Understanding Aging in Place for Older Adults: A Needs Analysis

Stakeholder needs assessment for developing ageing in place solutions - a qualitative study

BACKGROUND

Ageing in place is a common desire among older adults and people in need of care. Accessible housing and ambient assisted living (AAL) technologies can help to live independently at home. However, they cannot replace the human support network of informal caregivers, healthcare professionals and social workers. The needs of these stakeholders should be considered and analysed in order to develop user-friendly and acceptable (digital) solutions for ageing in place while supporting human support networks in fulfilling their roles. This paper presents the first step for a comprehensive multi-level needs analysis within the framework of an user-centered design thinking approach.

METHODS

Guideline-based interviews were conducted with healthcare professionals, social workers and an informal caregiver to collect data about the needs of older adults as well as people in need of care, and their human support networks.

RESULTS

The call for more information that is easier to find is a common desire of the three groups. There is agreement on system-based communication and orientation problems, the existence of physical and psychological stress exacerbated by a lack of human resources, the desire for personalised care, the need to feel safe and supported in emergencies, and the need for advice and help with administrative tasks. Overall, the needs of one group are closely linked to those of the other.

CONCLUSION

Stakeholder selection and diversity are decisive for findings about ageing in place. The overlaps between the stakeholders' needs offer chances and challenges at the same time for the development of user-friendly, acceptable (digital) solutions and products that support ageing in place.

Bare necessities? How the need for care modulates the acceptance of ambient assisted living technologies

BACKGROUND

Steadily increasing numbers of older people and people in need of care represent critical challenges for today's society. In the last years, diverse (health-related) technologies have been developed to facilitate living at home for older people but also to support (professional) care personnel in their daily care efforts. Ambient Assisted Living (AAL) technologies have the potential to enhance safety, support medical therapy, or facilitate everyday chores and social life. With the huge range and variety of technical opportunities, the question arises what influences (potential) users' decisions for the right technology in their individual conditions and situations. In particular with regard to the fragility of the care situation, it is unknown which technologies are desired for different care needs and diverse situations.

OBJECTIVES

The present study investigates (1) personal care needs as a potential influencing parameter for technology acceptance and (2) the selection of specific technologies.

METHOD

In an online questionnaire (including n = 162 people of all ages), technology acceptance and the selection of specific technologies was assessed, using two scenarios differing in their personal care needs (low care needs vs. moderate care needs) in two situational contexts (emergency detection vs. medical reminders).

RESULTS

Personal care needs influence the perception of benefits, barriers, and general acceptance of assisting technologies, independent from situational context. Higher needs for care lead to higher acknowledgements of the technology's benefits, lower agreements or, in parts, higher rejections of potential barriers and higher acceptance. The two care situations differ regarding the participants' preferences for technologies: For emergency detection, smart watches and emergency buttons are clearly accepted. In contrast, cameras are consistently rejected. For situations in which medical reminders are used, smartphone and smartwatches are most wanted, whereas audio assistants and smart TV were rather rejected.

CONCLUSIONS

The results provide insights into users' preferences for specific technologies for the purpose of emergency detection and medical reminders as well as for the important influence of personal care needs. These insights can be used to derive user-tailored solutions of technology configurations for specific care needs and situations.

The Domesticated Robot: Design Guidelines for Assisting Older Adults to Age in Place

Many older adults wish to remain in their own homes as they age [16]. However, challenges in performing home upkeep tasks threaten an older adult's ability to age in place. Even healthy independently living older adults experience challenges in maintaining their home [13]. Challenges with home tasks can be compensated through technology, such as home robots. However, for home robots to be adopted by older adult users, they must be designed to meet older adults' needs for assistance and the older users must be amenable to robot assistance for those needs. We conducted a needs assessment to (1) assess older adults' openness to assistance from robots; and (2) understand older adults' opinions about using an assistive robot to help around the home. We administered questionnaires and conducted structured group interviews with 21 independently living older adults (ages 65-93). The questionnaire data suggest that older adults prefer robot assistance for cleaning and fetching/organizing tasks overall. However their assistance preferences discriminated between tasks. The interview data provided insight as to why they hold such preferences. Older adults reported benefits of robot assistance (e.g., the robot compensating for limitations, saving them time and effort, completing undesirable tasks, and performing tasks at a high level of performance). Participants also reported concerns such as the robot damaging the environment, being unreliable at or incapable of doing a task, doing tasks the older adult would rather do, or taking up too much space/storage. These data, along with specific comments from participant interviews, provide the basis for preliminary recommendations for designing mobile manipulator robots to support aging in place.