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Towards a Consumer-Directed Service Delivery of Digital Technologies for Ageing in Place to People with Dementia
Örebro University, Örebro University School of Business.ORCID iD: 0000-0002-7163-3011
2021 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

One of the major societal challenges occuring within our time is that of the increased elderly population and subsequently elderly people suffering from dementia. However, the existing workforce for taking care of this population is rapidly diminishing, thus alternatives or aids are needed. Digital technologies for ageing in place are offered by Swedish municipalities as part of their welfare services. Their aim, to maintain the independency and prolong the time staying at home or also known as “ageing in place”. However, it is important that people with dementia have a say in the delivery of such services by maintaining a consumer-directed role.

This thesis address the question: What are the consumer-directed challenges for service delivery of digital technologies for ageing in place to elderly with dementia?

The thesis adopts a consumer-directed perspective, meaning that it perceives people with dementia as able to control and direct the delivery of digital technologies for ageing in place. The thesis uses a qualitative case study methodology and a literature review approach. Three case studies are conducted. The first case studied the challenges occuring in the delivery of digital technologies for ageing in place in a Swedish municipality. The second case was conducted at a dementia care residence with the purpose of identifying various needs (from staff, relatives and people with dementia) for suggesting possible digital technologies. The third case investigated the level of Consumer Direction people with dementia have over the delivery process of a mobile security alarm as part of the welfare services. This thesis identifies a number of challenges in the delivery process to people with dementia, and gives an overview of the problematic areas within such process. Lastly the thesis provides insights on the factors that influence the acceptance of digital technologiesf or ageing in place, as a step towards the actual use of the technologies that takes place under the delivery process.

Place, publisher, year, edition, pages
Örebro: Örebro University , 2021. , p. 139
Series
Örebro Studies in Informatics ; 19
Keywords [en]
consumer direction, people with dementia, digital technologies for ageing in place, service delivery, Sweden
National Category
Information Systems, Social aspects
Identifiers
URN: urn:nbn:se:oru:diva-89475ISBN: 978-91-7529-376-9 (print)OAI: oai:DiVA.org:oru-89475DiVA, id: diva2:1527127
Public defence
2021-04-08, Örebro universitet, Långhuset, Hörsal L2, Fakultetsgatan 1, Örebro, 13:15 (English)
Opponent
Supervisors
Available from: 2021-02-10 Created: 2021-02-10 Last updated: 2021-03-24Bibliographically approved
List of papers
1. Factors influencing seniors’ acceptance of technology for ageing in place in the post-implementation stage: A literature review
Open this publication in new window or tab >>Factors influencing seniors’ acceptance of technology for ageing in place in the post-implementation stage: A literature review
2019 (English)In: International Journal of Medical Informatics, ISSN 1386-5056, E-ISSN 1872-8243, Vol. 129, p. 324-333Article, review/survey (Refereed) Published
Abstract [en]

Purpose: To identify factors that influence the acceptance of technology for ageing in place by seniors in the post-implementation stage. This review is among very few that focus on acceptance in post-implementation phase.

Methods: A literature review. We searched six databases (Cinahl, Medline, PsycINFO, PubMed, Science Direct, Scopus). Inclusion criteria were: 1) original and peer-reviewed research written in English, 2) Articles published in 2010–2018, 3) Empirical research papers, 4) Research in which participants are seniors aged above 60 years, 5) Research aimed at investigating factors that influence the acceptance of digital technology for ageing in place, 6) Research conducted in home environment, 7) Focus on post-implementation stage.

Results: Twenty-three out of 2181 papers were included. The results show that acceptance of technology in the post-implementation stage is influenced by 36 factors, divided into six themes: concerns/problems regarding technology (technical errors, etc.), experienced positive characteristics of technology (e.g., ease of use factors, privacy implications), expected benefits of technology (e.g., increased safety, companionship, increased security, etc.), need for technology (e.g., perceived need to use), social influence (e.g., influence by peers, family or surroundings) and characteristics of older adults (e.g., past experiences/attitudes, physical environment). The articles considered different types of technology: health monitoring, ADL, safety and communication. The level of technology readiness for digital technologies supporting ageing in place in post-implementation stage is still low within the scientific literature, since only seven out of 23 articles studied mature technologies (TRL 8–9 of the technology readiness level scale). The majority of the studies were conducted in Western Europe or the US, and only two were conducted in other regions (Australia, and Taiwan). Qualitative and quantitative methods were equally used in the analysed articles.

Conclusions: Acceptance of technology in the post-implementation stage is influenced by multiple factors. An interesting finding was that the seniors’ views of technology change between the pre- and post-implementation stages. Some negative concerns that appeared in the pre-implementation stage appear as positive characteristics in the post-implementation stage. In the post-implementation stage, seniors realize the wide variety of benefits that technology can have on their lives. We expect that findings of this review can be utilised by academics and policy-makers for gaining insights for further research and successful implementation of technology for ageing in place.

Place, publisher, year, edition, pages
Elsevier, 2019
Keywords
Seniors, Technology for ageing in place, Ageing, Acceptance, Post-implementation
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:oru:diva-75109 (URN)10.1016/j.ijmedinf.2019.06.027 (DOI)000483422400042 ()31445274 (PubMedID)2-s2.0-85069438701 (Scopus ID)
Available from: 2019-07-18 Created: 2019-07-18 Last updated: 2021-03-22Bibliographically approved
2. Challenges in the provision of digital technologies to elderly with dementia to support ageing in place: A case study of a Swedish municipality
Open this publication in new window or tab >>Challenges in the provision of digital technologies to elderly with dementia to support ageing in place: A case study of a Swedish municipality
2021 (English)In: Disability and Rehabilitation: Assistive Technology, ISSN 1748-3107, E-ISSN 1748-3115, Vol. 16, no 7, p. 758-768Article in journal (Refereed) Published
Abstract [en]

Purpose: The aim of this paper is to identify structural problems and challenges for the delivery of digital technologies for ageing in place to elderly with dementia.

Methods: To that end, I conducted a case study in a Swedish municipality.

Results: The results showed that elderly with dementia are not exploiting their full potential of receiving help in the form of technology, since the four conditions of the Consumer Direction (Control and Direct services – Variety of digital technologies for ageing in place options – Information and Support – Participation in systems design) were met to a very low degree.

Conclusions: I propose that the municipality in question creates a proper knowledge-sharing platform so that occupational therapists are well informed about digital technologies for ageing in place, to allow them to provide accurate information and support to elderly with dementia, resulting in a possible increase in use of technology and subsequently support the empowerment goal of Consumer Direction. I also believe, according to the findings of this study, that the module of Information and Support should be treated as the most important condition for achieving increased Consumer Direction.

Place, publisher, year, edition, pages
Informa Healthcare, 2021
Keywords
Elderly, dementia, empowerment, consumer direction, digital technologies for ageing in place, provision
National Category
Information Systems
Research subject
Informatics
Identifiers
urn:nbn:se:oru:diva-78937 (URN)10.1080/17483107.2019.1710774 (DOI)000506435900001 ()31913734 (PubMedID)2-s2.0-85078613310 (Scopus ID)
Available from: 2020-01-09 Created: 2020-01-09 Last updated: 2023-12-08Bibliographically approved
3. Identifying Possible Digital Technologies For People with Dementia: Lessons Learned From A Swedish Dementia Care Residence
Open this publication in new window or tab >>Identifying Possible Digital Technologies For People with Dementia: Lessons Learned From A Swedish Dementia Care Residence
(English)Manuscript (preprint) (Other academic)
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:oru:diva-90469 (URN)
Available from: 2021-03-16 Created: 2021-03-16 Last updated: 2021-05-31Bibliographically approved
4. Consumer direction in the field of digital technologies and people with dementia: A literature review
Open this publication in new window or tab >>Consumer direction in the field of digital technologies and people with dementia: A literature review
(English)Manuscript (preprint) (Other academic)
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:oru:diva-90470 (URN)
Available from: 2021-03-16 Created: 2021-03-16 Last updated: 2021-03-16Bibliographically approved
5. Consumer direction in welfare service delivery of digital technologies to people with dementia
Open this publication in new window or tab >>Consumer direction in welfare service delivery of digital technologies to people with dementia
(English)Manuscript (preprint) (Other academic)
National Category
Information Systems, Social aspects
Identifiers
urn:nbn:se:oru:diva-90471 (URN)
Available from: 2021-03-16 Created: 2021-03-16 Last updated: 2021-03-16Bibliographically approved

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