Equity in AgeTech for Ageing Well in Technology-Driven Places: The Role of Social Determinants in Designing AI-based Assistive Technologies

Abstract

AgeTech involves the use of emerging technologies to support the health, well-being and independent living of older adults. In this paper we focus on how AgeTech based on artificial intelligence (AI) may better support older adults to remain in their own living environment for longer, provide social connectedness, support wellbeing and mental health, and enable social participation. In order to assess and better understand the positive as well as negative outcomes of AI-based AgeTech, a critical analysis of ethical design, digital equity, and policy pathways is required. A crucial question is how AI-based AgeTech may drive practical, equitable, and inclusive multilevel solutions to support healthy, active ageing.In our paper, we aim to show that a focus on equity is key for AI-based AgeTech if it is to realize its full potential. We propose that equity should not just be an extra benefit or minimum requirement, but the explicit aim of designing AI-based health tech. This means that social determinants that affect the use of or access to these technologies have to be addressed. We will explore how complexity management as a crucial element of AI-based AgeTech may potentially create and exacerbate social inequities by marginalising or ignoring social determinants. We identify bias, standardization, and access as main ethical issues in this context and subsequently, make recommendations as to how inequities that stem form AI-based AgeTech can be addressed.

Rethinking Health Recommender Systems for Active Aging: An Autonomy-Based Ethical Analysis

“…Such conditions can also be undermined when the options available to the subject are filtered or recommended in ways that create homogenization and a lack of socio-cultural diversity (Pariser, 2011 ). For instance, there are many stereotypical or poorly informed views about older adults, their needs and resources, and their desired way of life (Rubeis et al, 2022 ). Suppose HRS are designed according to such ageist stereotypes or biases.…”

Older Adults’ Perceptions About Using Intelligent Toilet Seats Beyond Traditional Care: Web-Based Interview Survey

“…Thus, safety is an important consideration when designing age tech for older adults, particularly for those with physical challenges [18]. The whole concept of age tech is to empower older adults to maintain their independence and remain actively engaged in their communities while ensuring their safety, health, and well-being through technology-driven solutions [75]. Safe technology aims to minimize harm to individuals and be reasonably free from causing damage.…”

“…As highlighted in prior research, a common reason older adults may incorporate age tech in their daily activities is health care cost saving [75]. Costs because of medication mismanagement (especially for older adults with chronic health problems) are an integral part of their monthly expenditure [80].…”