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Mannheim I, Köttl H. Ageism and (Successful) Digital Engagement: A Proposed Theoretical Model. THE GERONTOLOGIST 2024; 64:gnae078. [PMID: 38874215 PMCID: PMC11308187 DOI: 10.1093/geront/gnae078] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/24/2024] [Indexed: 06/15/2024] Open
Abstract
Recently, scholars have highlighted the detrimental consequences of technology-based ageism. Digital technology (DT) is commonly discoursed as an opportunity to promote Successful Aging. Nevertheless, the theoretical implications of ageism, DT, and Successful Aging are underexplored. This paper presents a new theoretical model of Digital Engagement and Ageism (D-EngAge), which elaborates on the potential impacts of ageism on digital engagement and participation in later life and explains how ageism may pose a threat to realizing the potential of DT to promote Successful Aging. The D-EngAge model was developed based on a synthesis of findings from 12 recent studies we conducted on the intersection of ageism and DT. Findings were synthesized through Iversen's clasification of four dimensions of ageism, demonstrating how ageism as a multifaceted construct has a reciprocal relationship with digital engagement on the micro- (individual), meso- (social interaction), and macro-levels (discourses and societal practices). Consequently, digital engagement on these levels may exacerbate or reduce technology-based ageism. This forum paper identifies ageism as a barrier to utilizing DT, critically discusses power imbalances, and deconstructs Successful Aging discourses regarding digital engagement. Theoretical implications and recommendations for future interventions and policy measures to mitigate ageism and promote digital engagement and participation in later life are presented.
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Affiliation(s)
- Ittay Mannheim
- Department of Communication Studies, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Hanna Köttl
- Department of Health Sciences, IMC University of Applied Sciences Krems, Krems an der Donau, Austria
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de Siqueira Silva Í, de Araújo AJ, Lopes RH, Silva CRDV, Xavier PB, de Figueirêdo RC, Brito EWG, Lapão LV, Martiniano CS, de Araújo Nunes VM, da Costa Uchôa SA. Digital home care interventions and quality of primary care for older adults: a scoping review. BMC Geriatr 2024; 24:507. [PMID: 38858634 PMCID: PMC11163791 DOI: 10.1186/s12877-024-05120-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/12/2024] [Accepted: 05/29/2024] [Indexed: 06/12/2024] Open
Abstract
BACKGROUND Population aging is forcing the transformation of health care. Long-term care in the home is complex and involves complex communication with primary care services. In this scenario, the expansion of digital health has the potential to improve access to home-based primary care; however, the use of technologies can increase inequalities in access to health for an important part of the population. The aim of this study was to identify and map the uses and types of digital health interventions and their impacts on the quality of home-based primary care for older adults. METHODS This is a broad and systematized scoping review with rigorous synthesis of knowledge directed by the guidelines of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR). The quantitative data were analyzed through descriptive statistics, and the qualitative data were analyzed through basic qualitative content analysis, considering the organizational, relational, interpersonal and technical dimensions of care. The preliminary results were subjected to consultation with stakeholders to identify strengths and limitations, as well as potential forms of socialization. RESULTS The mapping showed the distribution of publications in 18 countries and in the Sub-Saharan Africa region. Older adults have benefited from the use of different digital health strategies; however, this review also addresses limitations and challenges, such as the need for digital literacy and technological infrastructure. In addition to the impacts of technologies on the quality of health care. CONCLUSIONS The review gathered priority themes for the equitable implementation of digital health, such as access to home caregivers and digital tools, importance of digital literacy and involvement of patients and their caregivers in health decisions and design of technologies, which must be prioritized to overcome limitations and challenges, focusing on improving quality of life, shorter hospitalization time and autonomy of older adults.
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Affiliation(s)
- Ísis de Siqueira Silva
- Postgraduate in Collective Health, Federal University of Rio Grande Do Norte, Natal, Brazil.
| | | | | | | | - Pedro Bezerra Xavier
- Postgraduate in Health Sciences, Federal University of Rio Grande Do Norte, Natal, Brazil
| | | | | | - Luís Velez Lapão
- WHO Collaborating Center on Health Workforce Policy and Planning, IHMT, Universidade Nova de Lisboa, Lisbon, Portugal
- UNIDEMI, Department of Mechanical and Industrial Engineering, Nova School of Science and Technology, Caparica, Portugal
- Laboratório Associado de Sistemas Inteligentes, Escola de Engenharia Universidade do Minho, Campus Azurém, 4800-058, Guimarães, Portugal
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Gibb C, Meltzer G, Campbell N, Fothergill A. Digital and analogue spaces of care: How older adults are redefining care practices in the COVID-19 pandemic. DIGITAL GEOGRAPHY AND SOCIETY 2024; 6:100091. [PMID: 39035349 PMCID: PMC11258812 DOI: 10.1016/j.diggeo.2024.100091] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/23/2024]
Abstract
COVID-19 changed the way we care. Scholars have long argued that care often requires proximity, especially when it comes to care for, with, and by older adults. With lockdowns and the imposition of widespread public health guidelines aimed at curbing the spread of COVID-19, such as physically distancing and sheltering-in-place, in-person care practices became increasingly difficult. Yet, unlike disasters catalyzed by hurricanes or other natural hazards, physical and communications infrastructures remained largely intact during the pandemic. This situation opened the possibility for shifting care into digital spaces. In this paper, we study how older adults (ages 65 and up) in Canada and the USA navigated this abrupt turn towards digital spaces for care. Our findings are drawn from our larger mixed methods study investigating the everyday COVID-19 pandemic experiences of older adults, children, and teens, examining vulnerability, mobilities, and capacities. Not only are older adults frequently characterized as the recipients of care, but they are also typically (and erroneously) homogenized and stereotyped as vulnerable and tech-unsavvy. Exploring the ways in which older adults have provided, sought, received, avoided, and been denied care during the pandemic thus reveals the complex negotiations, contestations, and emancipatory possibilities of digital spaces of care. Our attention to the accessibility needs of diverse older adults serves as a vehicle for exploring issues of intersectionality in shaping digital care. We describe a range of digital care practices, ranging from telemedicine appointments and app-based communication to web-based volunteering and online social gatherings. We explore digital communication and connection between generations; the potential for such communication during the COVID-19 pandemic is unprecedented, in part due to the massive uptake of digital communication options such as online video conferencing programs. We discuss the mismatch between the possibilities made available through digital architectures and care practices, relations, needs, and desires of older adults. Drawing on feminist theorizations of care, we situate older adults as both givers and receivers of digital care and unpack the intertwining of their agency and vulnerability. Their innovations, spurred in part by diverse experiences with the aging process, the pandemic, loneliness, joy, and frustrations with care in the digital sphere, suggest radical practices and spaces for inclusive care during and after the pandemic. What is radical about such care is that it is based on everyday, even mundane, elements that often go unremarked, rather than any flashy (monetized) innovations developed by technology companies.
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Affiliation(s)
- Christine Gibb
- School of International Development and Global Studies, Faculty of Social Sciences, University of Ottawa, 120 University Private, Ottawa, Ontario K1N 9A7 Canada
| | - Gabriella Meltzer
- Columbia Mailman School of Public Health, Columbia University, 722 W 168th St, New York, New York 10032 USA
| | - Nnenia Campbell
- Natural Hazards Center University of Colorado, 483 UCB Boulder, Colorado 80309-0483 USA
| | - Alice Fothergill
- Department of Sociology, University of Vermont, 31 South Prospect Street Burlington, Vermont 05405 USA
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Gallistl V, Banday MUL, Berridge C, Grigorovich A, Jarke J, Mannheim I, Marshall B, Martin W, Moreira T, Van Leersum CM, Peine A. Addressing the Black Box of AI-A Model and Research Agenda on the Co-constitution of Aging and Artificial Intelligence. THE GERONTOLOGIST 2024; 64:gnae039. [PMID: 38700416 PMCID: PMC11134299 DOI: 10.1093/geront/gnae039] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Indexed: 05/05/2024] Open
Abstract
Algorithmic technologies and (large) data infrastructures, often referred to as Artificial Intelligence (AI), have received increasing attention from gerontological research in the last decade. Although there is much literature that dissects and explores the development, application, and evaluation of AI relevant to gerontology, this study makes a novel contribution by critically engaging with the theorizing in this growing field of research. We observe that gerontology's engagement with AI is shaped by an interventionist logic that situates AI as a black box for gerontological research. We demonstrate how this black box logic has neglected many aspects of AI as a research topic for gerontology and discuss three classical concepts in gerontology to show how they can be used to open various black boxes of aging and AI in the areas: (a) the datafication of aging, (b) the political economy of AI and aging, and (c) everyday engagements and embodiments of AI in later life. In the final chapter, we propose a model of the co-constitution of aging and AI that makes theoretical propositions to study the relational terrain between aging and AI and hence aims to open the black box of AI in gerontology beyond interventionist logic.
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Affiliation(s)
- Vera Gallistl
- Division Gerontology and Health Research, Karl Landsteiner University of Health Sciences, Krems, Austria
| | - Muneeb Ul Lateef Banday
- Interdisciplinary Center for Gender Studies, Switzerland and Goa Institute for Management, University of Bern, Goa, India
| | - Clara Berridge
- School of Social Work, University of Washington, Seattle, Washington, USA
| | - Alisa Grigorovich
- Recreation and Leisure Studies Department, Brock University, St. Catharines, Ontario, Canada
| | | | - Ittay Mannheim
- Department of Communication Studies, Ben-Gurion University of the Negev, Beer-Sheva, Israel
| | - Barbara Marshall
- Department of Sociology, Trent University, Peterborough, Ontario, Canada
| | - Wendy Martin
- Department of Health Sciences, Brunel University London, Uxbridge, Middlesex, UK
| | - Tiago Moreira
- Department of Sociology, Durham University, Durham, UK
| | - Catharina Margaretha Van Leersum
- Department of Digital Culture, Innovation and Communication, Faculty of Humanities, Open University of the Netherlands, Heerlen, Limburg, The Netherlands
| | - Alexander Peine
- Department of Digital Culture, Innovation and Communication, Faculty of Humanities, Open University of the Netherlands, Heerlen, Limburg, The Netherlands
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Ullal A, Tauseef M, Watkins A, Juckett L, Maxwell C, Tate J, Mion LC, Sarkar N. An Iterative Participatory Design Approach to Develop Collaborative Augmented Reality Activities for Older Adults in Long-Term Care Facilities. PROCEEDINGS OF THE SIGCHI CONFERENCE ON HUMAN FACTORS IN COMPUTING SYSTEMS. CHI CONFERENCE 2024; 2024:1009. [PMID: 39015130 PMCID: PMC11251005 DOI: 10.1145/3613904.3642595] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/18/2024]
Abstract
Over four million older adults living in long-term care (LTC) communities experience loneliness, adversely impacting their health. Increased contact with friends and family is an evidence-based intervention to reduce loneliness, but in-person visits are not always possible. Augmented Reality (AR)-based telepresence activities can offer viable alternatives with increased immersion and presence compared to video calls. However, its feasibility as an interaction technology for older adults is not known. In this paper, we detail the design of two dyadic collaborative AR activities that accommodate diminished physical and cognitive abilities of older adults. The findings include a general design framework based on an iterative participatory design focusing on preferred activities, modes of interaction, and overall AR experience of eight older adults, two family members, and five LTC staff. Results demonstrate the potential of collaborative AR as an effective means of interaction for older adults with their family, if designed to cater to their needs.
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Affiliation(s)
| | | | | | | | | | - Judith Tate
- The Ohio State University, Columbus, Ohio, USA
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Eost-Telling C, Yang Y, Norman G, Hall A, Hanratty B, Knapp M, Robinson L, Todd C. Digital technologies to prevent falls in people living with dementia or mild cognitive impairment: a rapid systematic overview of systematic reviews. Age Ageing 2024; 53:afad238. [PMID: 38219225 PMCID: PMC10788098 DOI: 10.1093/ageing/afad238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/14/2023] [Revised: 09/27/2023] [Indexed: 01/16/2024] Open
Abstract
OBJECTIVE Falls are a common cause of potentially preventable death, disability and loss of independence with an annual estimated cost of £4.4bn. People living with dementia (PlwD) or mild cognitive impairment (MCI) have an increased fall risk. This overview evaluates evidence for technologies aiming to reduce falls and fall risk for PlwD or MCI. METHODS In October 2022, we searched five databases for evidence syntheses. We used standard methods to rapidly screen, extract data, assess risk of bias and overlap, and synthesise the evidence for each technology type. RESULTS We included seven systematic reviews, incorporating 22 relevant primary studies with 1,412 unique participants. All reviews had critical flaws on AMSTAR-2: constituent primary studies were small, heterogeneous, mostly non-randomised and assessed as low or moderate quality. Technologies assessed were: wearable sensors, environmental sensor-based systems, exergaming, virtual reality systems. We found no evidence relating to apps. Review evidence for the direct impact on falls was available only from environmental sensors, and this was inconclusive. For wearables and virtual reality technologies there was evidence that technologies may differentiate PlwD who fell from those who did not; and for exergaming that balance may be improved. CONCLUSIONS The evidence for technology to reduce falls and falls risk for PlwD and MCI is methodologically weak, based on small numbers of participants and often indirect. There is a need for higher-quality RCTs to provide robust evidence for effectiveness of fall prevention technologies. Such technologies should be designed with input from users and consideration of the wider implementation context.
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Affiliation(s)
- Charlotte Eost-Telling
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration Greater Manchester, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
| | - Yang Yang
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK
| | - Gill Norman
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration Greater Manchester, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
| | - Alex Hall
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK
| | - Barbara Hanratty
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE4 5PL, UK
| | - Martin Knapp
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, Care Policy and Evaluation Centre, London School of Economics and Political Science, London WC2A 2AE, UK
| | - Louise Robinson
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, Population Health Sciences Institute, Newcastle University, Newcastle-upon-Tyne NE4 5PL, UK
| | - Chris Todd
- National Institute for Health and Care Research (NIHR) Older People and Frailty Policy Research Unit, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
- Division of Nursing, Midwifery and Social Work, School of Health Sciences, The University of Manchester, Manchester M13 9PT, UK
- National Institute for Health and Care Research (NIHR) Applied Research Collaboration Greater Manchester, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester M13 9PL, UK
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McCarthy B, Sabharwal JK, Chawla S. Old age or cognitive decline? Examining the usability of a mobile health app for older Australians. Inform Health Soc Care 2024; 49:83-97. [PMID: 38529731 DOI: 10.1080/17538157.2024.2332691] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/27/2024]
Abstract
There is a growing literature on the role of mobile health applications (mHealth apps) in supporting older adults and the self-management of personal health. The purpose of this pilot study is to assess the usability of a government-funded mobile health app amongst older Australians and to evaluate whether cognitive function and demographic characteristics (i.e. age, gender, education) are associated with usability. A total of 28 older adults living in a regional city in Australia took part in the study. The participants were recruited using purposive sampling. Data collection instruments consisted of validated cognitive tests, task-based usability tests, and a questionnaire. The data was analyzed using non-parametric strategies. The findings of this study demonstrated that a government-funded, mHealth app was usable by older adults. Users were able to perform basic tasks in an effective and efficient manner. The hypothesis that elderly age would be significantly associated with performance on cognitive tests, as well as usability, was not supported. Performance on some cognitive tests was significantly and positively related to usability. Education and gender were not related to usability. The results suggest that traditional stereotypes surrounding aging and cognitive decline need to be reexamined.
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Affiliation(s)
- Breda McCarthy
- Psychology, School of Social and Health Sciences, James Cook University, Townsville, Singapore
- Information Technology, James Cook University, Singapore, Singapore
| | - Jagdeep Kaur Sabharwal
- Psychology, School of Social and Health Sciences, James Cook University, Townsville, Singapore
| | - Shailey Chawla
- Information Technology, James Cook University, Singapore, Singapore
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Xu W, Zhu J, Xi W, Cui J. Creating Age-Friendly Environments in a Smart Society in China: A Policy Review. J Aging Soc Policy 2023:1-20. [PMID: 37982277 DOI: 10.1080/08959420.2023.2284058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2023] [Accepted: 09/20/2023] [Indexed: 11/21/2023]
Abstract
Technology is increasingly being integrated into Age-Friendly Environments (AFEs). This study explores how technology is manifested in AFE policies in China. We conducted a content analysis of 176 policies spanning seven years to identify the relationship between technology and AFEs and the characteristics of policy development. The findings indicate that technology plays a role in advancing a smart age-friendly society, particularly in terms of enhancing community support and health services and promoting social inclusion. The findings also reveal a list of policy actions and changes in collaborative leadership and strategic priorities throughout policy development. This study emphasizes the need for ongoing policy attention to technology as an integrated component of AFE policies.
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Affiliation(s)
- Wenqian Xu
- Department of Health Sciences, Lund University, Lund, Sweden
| | - Junhua Zhu
- Centre for East Asian Studies, University of Turku, Turku, Finland
| | - Wanyu Xi
- School of Aging Services and Management, Nanjing University of Chinese Medicine, Nanjing, China
| | - Jian Cui
- Department of Industry and Investment Management, The 3rd Research Institute of China Electronics Technology Group Corporation, Beijing, China
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Martínez-Angulo P, Rich-Ruiz M, Ventura-Puertos PE, López-Quero S. Integrating shared decision-making, expressing preferences and active participation of older adults in primary care nursing: a systematic review of qualitative studies and qualitative meta-synthesis. BMJ Open 2023; 13:e071549. [PMID: 37344120 DOI: 10.1136/bmjopen-2022-071549] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/23/2023] Open
Abstract
OBJECTIVES To systematically synthesise the results of primary qualitative studies on how community-dwelling older adults experience shared decision-making processes, express preferences and actively participate in care. DESIGN Systematic review of qualitative studies and qualitative meta-synthesis. METHODS We focused on studies about community-dwelling participants aged ≥65 undergoing a health-disease process circumscribed to a primary healthcare setting, and the central theme should focus on either shared decision-making, expressing preferences or patient participation. We searched the following databases: MEDLINE, CINAHL, Web of Science, Scopus and PsycINFO (time publication frame 2012-2022). We excluded studies in those cases where the qualitative results were not analysed or unrelated to the phenomenon addressed, phenomena were not clear enough to be included or the setting did not occur in the community. RESULTS A total of 12 studies were included in this meta-synthesis. We appraised the quality of the selected studies through Critical Appraisal Skills Programme (CASP) Checklist. The metasummary comprised the frequency and intensity of qualitative patterns across the included studies. The meta-synthesis revealed four influential elements in their interaction: recognising personal qualities, facing professional characteristics, experiences of discrimination and a double-edged context. CONCLUSIONS The phenomena studied were influenced by how older people approached their role in their binomial relationship with healthcare professionals. Those with a reinforced self-concept were better aware of health-disease-related situations regarding shared decision-making and the importance of being communicatively assertive. Professional characteristics were also crucial in how older people modulated their acting ability through their personality, communication skills and the approach healthcare professionals used towards older adults. Situations of discrimination generated through an imbalance of power inhibited the expression of preferences and hindered the active participation of older people. The context surrounding the participants influenced all these situations, key in tipping the balance between a therapeutic and a harmful side. PROSPERO REGISTRATION NUMBER CRD42022363515.
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Affiliation(s)
- Pablo Martínez-Angulo
- Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba, Andalucía, Spain
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba, Andalucía, Spain
| | - Manuel Rich-Ruiz
- Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba, Andalucía, Spain
- Nursing and Healthcare Research Unit (Investén-isciii), Instituto de Salud Carlos III, Madrid, Spain
- Ciber Fragility and Healthy Aging (CIBERFES), Madrid, Spain
| | - Pedro E Ventura-Puertos
- Department of Nursing, Pharmacology and Physiotherapy, Faculty of Medicine and Nursing, University of Córdoba (UCO), Córdoba, Andalucía, Spain
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba, Andalucía, Spain
| | - Salvador López-Quero
- Interdisciplinary Research Group in Discourse Analysis (HUM380), University of Córdoba (UCO), Córdoba, Andalucía, Spain
- Department of Language Sciences, Faculty of Philosophy and Letters, University of Córdoba (UCO), Córdoba, Andalucía, Spain
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Gallistl V, Katz S, Kolland F, Peine A. Editorial: Socio-gerontechnology-New perspectives on the digital transformation of later life. FRONTIERS IN SOCIOLOGY 2023; 8:1183572. [PMID: 37066065 PMCID: PMC10102660 DOI: 10.3389/fsoc.2023.1183572] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/10/2023] [Accepted: 03/17/2023] [Indexed: 06/19/2023]
Affiliation(s)
- Vera Gallistl
- Division Gerontology and Health Research, Department General Health Studies, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Stephen Katz
- Sociology Department, Trent University, Peterborough, ON, Canada
| | - Franz Kolland
- Division Gerontology and Health Research, Department General Health Studies, Karl Landsteiner University of Health Sciences, Krems an der Donau, Austria
| | - Alexander Peine
- Department of Cultural Studies, Open University of the Netherlands, Heerlen, Netherlands
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Toso F, Brankaert R, Hendriks N, Lenaerts L, Wilkinson A. Reflecting on Living Labs as Multi-Stakeholder Collaborative Networks to Evaluate Technological Products for People Living with Dementia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:1673. [PMID: 36767050 PMCID: PMC9914846 DOI: 10.3390/ijerph20031673] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/29/2022] [Revised: 12/30/2022] [Accepted: 01/04/2023] [Indexed: 06/18/2023]
Abstract
Dementia is a growing societal challenge putting pressure on care systems across Europe. Providing supporting technology for people living with dementia, referring to both people with dementia and their caregivers, is an important strategy to alleviate pressure. In this paper, we present lessons learned from the Interreg NWE Project Certification-D, in which we evaluated technological products with people living with dementia, using a Living Lab approach. Living Labs were set up in five different countries to conduct field evaluations at the homes of people living with dementia. Via an open call products from small to medium enterprises across northwestern Europe were selected to be evaluated in the Living Labs. In this paper, we describe the setup of and reflection on Living Labs as multi-stakeholder collaboration networks to evaluate technological products in the context of dementia. We reflect on the experiences and insights from the Living Lab researchers to execute and operate the Living Labs in such a sensitive setting. Our findings show that Living Labs can be used to conduct field evaluations of products, that flexibility is required to adopt a Living Lab in various care settings with different stakeholder compositions and expertise, and that Living Lab researchers serve as both a linking pin and buffer between people living with dementia and companies and thereby support the adoption of technological products. We close the paper with a proposal of best practices to encourage inclusivity in, and scalability of, Living Labs in the context of dementia.
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Affiliation(s)
- Francesca Toso
- Human Centred Design (HCD) Group, Department of Design, Production and Management, Faculty of Engineering Technology (ET), University of Twente, Horst Complex, 7522 LV Enschede, The Netherlands
- Systemic Change Group, Department of Industrial Design, Eindhoven University of Technology, Atlas Building, 5612 AE Eindhoven, The Netherlands
| | - Rens Brankaert
- Systemic Change Group, Department of Industrial Design, Eindhoven University of Technology, Atlas Building, 5612 AE Eindhoven, The Netherlands
- Health Innovations & Technology, Fontys School of Allied Health Professions, Dominee Theodor Fliednerstraat 2, 5631 BN Eindhoven, The Netherlands
| | - Niels Hendriks
- Interactions Research Group, LUCA School of Arts, C-Mine 5, 3600 Genk, Belgium
| | - Lieke Lenaerts
- Interactions Research Group, LUCA School of Arts, C-Mine 5, 3600 Genk, Belgium
| | - Andrea Wilkinson
- Interactions Research Group, LUCA School of Arts, C-Mine 5, 3600 Genk, Belgium
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Reuter A, Xu W, Iwarsson S, Olsson T, Schmidt SM. Optimising conditions and environments for digital participation in later life: A macro-meso-micro framework of partnership-building. Front Psychol 2023; 14:1107024. [PMID: 36936014 PMCID: PMC10017487 DOI: 10.3389/fpsyg.2023.1107024] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/24/2022] [Accepted: 02/10/2023] [Indexed: 03/06/2023] Open
Abstract
The ongoing digitalisation of societies, exacerbated by the COVID-19 pandemic, has led to increased efforts to ensure the digital inclusion of older adults. Digital inclusion strategies throughout the COVID-19 pandemic predominantly focused on increasing access and basic digital literacy of Information and Communication Technologies (ICTs) for all members of society. Older adults, who are more likely to experience digital exclusion, are amongst the target groups of digital inclusion strategies. We propose that beyond digital inclusion, there is a need to focus on digital participation and optimise opportunities for everyone to participate in communities and society in post-pandemic times. Creative digital skills are the foundation of digital participation and can lead to a variety of contributions. Digital participation offers conditions that support agency and active contributions in a digitalised society. Taking macro-, meso-, and micro-level enablers of digital participation in later life into account, we argue for the establishment and implementation of multi-layered and multisectoral partnerships that address environmental factors (including social and physical dimensions) of digital participation and create opportunities for diverse, meaningful and fulfilling engagement with ICTs in later life. The partnership approach can be used in designing and implementing digital participation programmes and should be further evaluated against the needs and lived experiences of older individuals. Foresighted research is needed to investigate key factors of effective partnerships for optimising environments for digital participation in later life.
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Affiliation(s)
- Arlind Reuter
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
- *Correspondence: Arlind Reuter,
| | - Wenqian Xu
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Susanne Iwarsson
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | - Tobias Olsson
- Department of Culture, Languages and Media, Faculty of Education and Society, Malmö University, Malmö, Sweden
| | - Steven M. Schmidt
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
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