Design for Agency, Adaptivity and Reciprocity: Reimagining AAL and Telecare Agendas

Fitzpatrick, Geraldine; Huldtgren, Alina; Malmborg, Lone; Harley, Dave; IJsselsteijn, Wijnand A.

doi:10.1007/978-1-4471-6720-4_13

Cited by 20 publications

(11 citation statements)

References 65 publications

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“…The experiences reported in this project point to some of the limitations of such ''modernist'' [17] technology-driven assumptions and, in line with Fitzpatrick et al [14], suggest that we may need to reimagine the aims of such systems to better support the diversity of aging experiences and infrastructures.…”

Section: Resultssupporting

confidence: 60%

Why do few assistive technology systems make it to market? The case of the HandyHelper project

Haslwanter

Fitzpatrick

2016

Univ Access Inf Soc

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Assistive technologies, such as telecare monitoring applications installed in the home, are being promoted to help reduce pressure on health care systems caused by an aging population and as such promise a large market for new products. However, despite many projects undertaken by commercial companies, and despite significant investments both by the companies and by national and international funding programs in the EU, such systems are not widespread. This paper reports on a retrospective study of the development of one early system, HandyHelper. We were interested in what challenges the development team faced and why the system is no longer on the market. Qualitative research methods were applied, including document analysis and interviews of key people involved in its development. Even though the system worked technically, the input of older users was sought, and a pilot installation was run, the development was stopped. The findings from a thematic analysis point to complex issues. Some problems were avoidable, e.g., by providing more support for new users, though other problems point to inherent tensions, such as the different needs of sensor-based security features and interactive services aimed at the older users. Yet other aspects are outside of the developer's control, such as available public funding. We summarize these findings and suggest lessons learnt for future projects.

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Section: Resultssupporting

confidence: 60%

Why do few assistive technology systems make it to market? The case of the HandyHelper project

Haslwanter

Fitzpatrick

2016

Univ Access Inf Soc

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“…Such technologies and systems are rarely used in both real-life and professional working environments [ 11 ]. Beyond availability and technical possibilities, users’ acceptance and the broad willingness to use these systems are decisive for a sustainable integration of AAL technologies in everyday life [ 12 ]. As recently reported [ 13 ], there are considerable differences in AAL acceptance between people in need of care and professional caregivers, indicating a more critical and restraint attitude of care staff compared with people in need of care and their relatives.…”

Section: Introductionmentioning

confidence: 99%

They Don’t Care About Us! Care Personnel’s Perspectives on Ambient Assisted Living Technology Usage: Scenario-Based Survey Study

Heek

Ziefle

2018

JMIR Rehabil Assist Technol

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BackgroundDemographic change represents enormous burdens for the care sectors, resulting in high proportions of (older) people in need of care and a lack of care staff. Ambient Assisted Living (AAL) technologies have the potential to support the bottlenecks in care supply but are not yet in widespread use in professional care contexts.ObjectiveThe objective of our study was to investigate professional caregivers’ AAL technology acceptance and their perception regarding specific technologies, data handling, perceived benefits, and barriers. In particular, this study focuses on the perspectives on AAL technologies differing between care professionals working in diverse care contexts to examine the extent to which the care context influences the acceptance of assistive technologies.MethodsA Web-based survey (N=170) was carried out focusing on professional caregivers including medical, geriatric, and disabled people’s caregivers. Based on a scenario, the participants were asked for their perceptions concerning specific technologies, specific types of gathered data, and potential benefits of and barriers to AAL technology usage.ResultsThe care context significantly impacted the evaluations of AAL technologies (F14,220=2.514; P=.002). Professional caregivers of disabled people had a significantly more critical attitude toward AAL technologies than medical and geriatric caregivers, indicated (1) by being the only caregiver group that rejected evaluations of AAL technology acceptance (F2,118=4.570; P=.01) and specific technologies (F2,118=11.727; P<.001) applied for gathering data and (2) by the comparatively lowest agreements referring to the evaluations of data types (F2,118=4.073, P=.02) that are allowed to be gathered.ConclusionsAAL technology acceptance is critical because of technology implementation reasons, especially in the care of people with disabilities. AAL technologies in care contexts have to be tailored to care professional’s needs and concerns (“care about us”). The results contribute to a broader understanding of professional caregivers’ needs referring to specific data and technology configurations and enclose major differences concerning diverse care contexts. Integrating these findings into user group-tailored technology concepts and communication strategies will support a sustainable adoption of AAL systems in professional care contexts.

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“…VSD is a design framework that focuses attention on the interaction between stakeholders and technology artefacts, through a consideration of social and moral values (Friedman et al 2006;Davis & Nathan 2014). Although VSD has been applied in many domains, only a few VSD studies have been conducted in the domain of technology design involving people with age-related cognitive decline (Teipel et al 2016;Burmeister 2016Burmeister , 2010Sharkey 2014;Schikhof et al 2010;Fitzpatrick et al 2015). Fitzpatrick et al (2015, p 18) also recommend that in this area "rigorous ethical reflection" is required to complement the application of VSD.…”

Section: Vsd and The Domain Of Age-related Cognitive Declinesmentioning

confidence: 99%

Power influences upon technology design for age-related cognitive decline using the VSD framework

Burmeister

Kreps

2018

Ethics Inf Technol

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Implicit in the value sensitive design (VSD) approach is a concern for understanding, and where possible, disrupting problematic power relationships. Yet an awareness of the issues and ethics of power relations is a prerequisite for such a concern to bear fruit. This article provides some insight into the issues, and through a case study of technology design to support care arrangements for age-related cognitive decline, illustrates how finding a satisfactory resolution can be particularly troublesome.

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Design for Agency, Adaptivity and Reciprocity: Reimagining AAL and Telecare Agendas

Cited by 20 publications

References 65 publications

Why do few assistive technology systems make it to market? The case of the HandyHelper project

Why do few assistive technology systems make it to market? The case of the HandyHelper project

They Don’t Care About Us! Care Personnel’s Perspectives on Ambient Assisted Living Technology Usage: Scenario-Based Survey Study

Power influences upon technology design for age-related cognitive decline using the VSD framework

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