Health Insurance And Elderly Mobility: Supporting Active Aging In Europe – Using Deep Dive Methodology to Investigate an Increased Incidence of Avoidable Hospital-Acquired Category 2 and 3 Pressure Ulcers
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Health Insurance And Elderly Mobility: Supporting Active Aging In Europe
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Effect Of A Physical Activity And Behaviour Maintenance Programme On Functional Mobility Decline In Older Adults: The React (retirement In Action) Randomised Controlled Trial
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Home Care Services For Seniors To Help You Age In Place
The Design, Computer Science and Engineering Laboratory, Jacobs School of Engineering, UC San Diego, La Jolla, CA 92093, USA
Department of Family Medicine and Public Health, School of Medicine, UC San Diego, La Jolla, CA 92093, USA
Division of Geriatrics and Gerontology, Department of Medicine, School of Medicine, UC San Diego, La Jolla, CA 92093, USA
Department of Psychiatry, Sam and Rose Stein Institute for Research on Aging, School of Medicine, UC San Diego, La Jolla, CA 92093, USA
Living Longer In Better Health: Six Shifts Needed For Healthy Aging
The Design Lab, Center for Wireless and Population Health Systems, Department of Family Medicine and Public Health, School of Medicine, UC San Diego, La Jolla, CA 92093, USA
Received: 28 February 2019 / Revised: 3 April 2019 / Accepted: 3 April 2019 / Published: 10 April 2019
The US population over 65 is increasing. Most older adults prefer to age in place, and technologies, including the Internet of Things (IoT), Ambient/Active Assisted Living (AAL) robots and artificial intelligence (AI) other, they can support an independent life. However, a top-down design process creates discrepancies between technologies and the needs of older adults. A user-centered design approach was used to identify older adults’ perspectives regarding AAL and AI technologies and gauge interest in participating in a co-design process. A survey was used to obtain demographic characteristics and assess privacy perspectives. A convenience sample of 31 retirement community residents participated in one of two 90-minute focus group sessions. The semi-structured group interview asked for barriers and facilitators to technology adoption, privacy attitudes, and interest in participating in project co-design to inform technology development. The focus group sessions were audiotaped and professionally transcribed. Transcripts were reviewed and coded to identify themes and patterns. Descriptive statistics were applied to the quantitative data. Barriers identified to technology use included low technological literacy, including unfamiliarity with terminology, and physical challenges, which can make adoption difficult. Facilitators included an eagerness to learn, an interest in co-design, and a desire to understand and control their data. Most participants identified as pragmatists and privacy fundamentalists, indicating that privacy is important to older adults. At the same time, they also reported a willingness to contribute to the design of technologies that facilitate aging independently. There is a need to increase the technological literacy of older adults along with the aging literacy of technologists.
The preference of older adults to “age in place,” or to live independently at home, rather than in an assisted living facility, is widely recognized [1, 2, 3, 4]. Individuals who develop disabilities and are no longer able to age in place are likely to be institutionalized in assisted living facilities. These declines, which can occur with advanced age, are major obstacles to the ability to maintain an independent lifestyle [5, 6]. This often leads to more significant mental and physical decline, as well as a reduction in quality of life and an increase in the cost of care, compared to older adults who continue to live independently . As a result, effective means of providing support for older adults are of central public health and ethical significance. In many cases, external aids provide crucially needed help that can prolong independent life.
How Diabetes Support Helps Older Adults
Technologies, such as the internet of things (IoT), robots Environment/Active Assisted Living (AAL) and other artificial intelligence (AI), have been shown to have great potential in fostering independent living, improving mental health and physical, and the increase in the quality of life [8, 9, 10, 11]. At the same time, they can also reduce the burden of the caregiver, which can lead to more targeted and better quality care . However, even though it played a significant role in successful interventions, the adoption of these technologies was limited [13, 14]. A major barrier to wider adoption has been the “top-down” design process often used in creating technology for older adults. This process is based on technologists’, or at best geriatricians’, preconceptions of the needs of older adults with little consideration of the users’ perspectives and preferences or their real-world constraints. .
While there are a number of studies that have indicated the need for well-designed technologies that meet the needs of older adults , few have addressed user-related issues in the design process of these technologies. It has been recognized that effective technologies are those that prioritize the needs and wishes of older adults, the general acceptance of potential users, and the appropriate preconditions for its adoption , but often this it is difficult to achieve with a top-down design methodology that fails to involve users in the design process. This has often created significant discrepancies between the needs and preferences of users and the products that are developed to meet their needs. Areas of concern for users include visual appearance, functionality, affordability, platform sustainability, privacy concerns, and interaction complexity [17, 18, 19]. These discrepancies can hinder meaningful adoption and sustained use, and risk leaving the priority needs of end users unmet. Employing user- or human-centered design (HCD) involves the end user in the early planning phases to better understand the needs of individuals for whom a product is being developed and to ensure that security, access and relevant utility are built into them . ]. A design process that involves end users can reveal untapped areas for improvement, which can lead to improved user satisfaction and lower barriers to adoption, and ultimately to greatly improved support for individuals who wish to age in place [21, 22].
The objectives of this study were to: (1) engage residents of a local continuing care senior housing community (CCSHC) in conversations about technologies that can facilitate continued independent living status theirs ; (2) assess their privacy attitudes and preferences; and (3) identify if residents are interested in co-designing technologies moving forward and if so, how to foster next steps.
Two focus groups were convened in a local retirement community located in San Diego, California, to explore barriers and facilitators to technology adoption as well as interest in participating in a co-design process of ” technology”. This study was carried out in conjunction with a longitudinal observational study involving more than 100 residents. The two focus groups were held in August 2018. The residents of the retirement community were invited to participate through a flyer approved by the IRB. Community leadership helped distribute the flyer and posted copies in the community lobby. Input was sought from community leadership to determine appropriate time slots for the focus groups. Residents interested in participating were directed to sign up for one of the two time periods offered. Selection criteria included any resident of the independent living facility with an expressed interest in the study and willingness to participate in a 90-minute focus group discussion. Residents requiring assisted living or skilled care were excluded from the study. To confirm attendance, a reminder email was sent to those who registered for a time. On the day that focus group sessions were held, no individual was left out. The study was verified as exempt by the Institutional Review Board of UC San Diego. Focus group attendees were provided with an introduction to the purpose of the project and gave verbal consent to participate. Each participant received $30.00 as compensation for their participation.
Impaired Physical Mobility & Immobility Nursing Diagnosis & Care Plan
The focus group protocol was developed with the aim of obtaining the perspectives and guidance of adults over 65 years of age regarding: (a) their use and interest in technology and connections with the personal health; (b) preferences for engaging in the participatory design of AI assistive aids; (c) familiarity with
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