Using cultural probes to inform the design of assistive technologies

This paper discusses the practical implications of applying cultural probes to drive the design of assistive technologies. Specifically we describe a study in which a probe was deployed with home-based carers of people with dementia in order to capture critical data and gain insights of integrating the technologies into this sensitive and socially complex design space. To represent and utilise the insights gained from the cultural probes, we created narratives based on the probe data to enhance the design of assistive technologies.This work was supported by the Arts and Humanities Research Council (AH/K00266X/1) and RCUK through the Horizon Digital Economy Research grant (EP/G065802/1)

Future bathroom: A study of user-centred design principles affecting usability, safety and satisfaction in bathrooms for people living with disabilities

Research and development work relating to assistive technology 2010-11 (Department of Health) Presented to Parliament pursuant to Section 22 of the Chronically Sick and Disabled Persons Act 197

Participatory research to design a novel system to support the night-time needs of people with dementia; NOCTURNAL

Strategies to support people living with dementia are broad in scope, proposing both pharmacological and non-pharmacological interventions as part of the care pathway. Assistive technologies form part of this offering as both stand-alone devices to support particular tasks and the more complex offering of the “smart home” to underpin ambient assisted living. This paper presents a technology-based system, which expands on the smart home architecture, orientated to support people with daily living. The system, NOCTURNAL, was developed by working directly with people who had dementia, and their carers using qualitative research methods. The research focused primarily on the nighttime needs of people living with dementia in real home settings. Eight people with dementia had the final prototype system installed for a three month evaluation at home. Disturbed sleep patterns, night-time wandering were a focus of this research not only in terms of detection by commercially available technology but also exploring if automated music, light and visual personalized photographs would be soothing to participants during the hours of darkness. The NOCTURNAL platform and associated services was informed by strong user engagement of people with dementia and the service providers who care for them. NOCTURNAL emerged as a holistic service offering a personalised therapeutic aspect with interactive capabilities

Dementia and Technology: Evidence Supporting Assistive Technology for Individuals with Alzheimer’s Disease and Related Dementias

The prevalence of Alzheimer’s disease in the Unites States is estimated to be 5.2 million (Alzheimer’s Association, 2013). Alzheimer’s disease and related dementias (ADRD) can impact an individual’s ability to independently participate in daily occupations within their environment due to executive dysfunction, memory loss, poor judgment, and decreased problem solving (Desai, Grossberg, & Sheth, 2004; Alzheimer’s Association, 2013). Due to the rising prevalence of dementia, Labelle and Mihailidis (2006) note the importance of occupational therapists finding innovative and evidence-based strategies to enable participation in daily occupations. The purpose of this presentation is to present the results of a literature review that examined the current evidence supporting the use of assistive technology (AT) to promote engagement in meaningful occupations for individuals with ADRD. The literature review examined 12 articles using four databases: CINAHL, Cochrane, OvidSP, and PubMed. Peer-reviewed journals published from 2000 to present, individuals with AD/RD, and the use of AT were included while articles discussing other populations were excluded. Two authors reviewed and completed Appendix M (Law & McDermid, 2008a) and Appendix N (Law & McDermid, 2008b) or the Qualitative Review Form (Law & McDermid, 2008c) to critically appraise the articles. Statistics state 60-70% of individuals with ADRD live within the community (Alzheimer’s Association, 2013), however there is limited research specifically supporting the implementation of AT devices within the home for individuals with ADRD. Results of this literature review indicate testing specific prototypes of AT that support individuals with ADRD is in the preliminary stages. These prototypes have shown the potential of promoting participation within the individual’s living space. Of importance, prototypes are continually being modified to maximize engagement in meaningful occupations within their environment. In addition to findings related to testing AT, the literature shows that the use of AT decreases caregiver assistance and interactions during daily occupations. The use of AT by individuals with ADRD and their caregivers is influenced by the simplicity and familiarity of the design of AT as well as their satisfaction with the device. Occupational therapists are equipped with the knowledge and skills to serve as consultants during the development of AT, in addition to incorporating these technologies while using a client-centered approach with individuals with ADRD. References: Alzheimer\u27s Association. (2013). Alzheimer\u27s Disease Facts and Figures, Alzheimer\u27s & Dementia, 7(2). Desai, A. K., Grossberg, G. T., & Sheth, D. N. (2004). Activities of Daily Living in patients with Dementia. CNS drugs, 18(13), 853-875. Labelle, K. L., & Mihailidis, A. (2006). The use of automated prompting to facilitate handwashing in persons with dementia. The American journal of occupational therapy, 60(4), 442-450. Law, M & MacDermid, J (2008a). Appendix M in Evidence-Based Rehabilitation: A Guide to Practice. Slack, Inc. Law, M & MacDermid, J (2008b). Appendix N in Evidence-Based Rehabilitation: A Guide to Practice. Slack, Inc. Law, M & MacDermid, J (2008c). Qualitative Review Form in Evidence-Based Rehabilitation: A Guide to Practice. Slack, Inc

Outcomes for Older Telecare Recipients: The Importance of Assessments

The article explores both telecare in relation to its composition of assistive technologies, including sensors; and associated services that use such technologies as a means by which, often vulnerable, people can obtain help through their activation - with signals being routed to monitoring centres. The context is one where there are changes to such technologies and ongoing growth in the use of telecare services - despite there being no indicated benefits from a major study (the Whole System Demonstrators). The 'curious' investment in such technologies and services by Adult Social Care Departments in England is investigated through an interview survey that elicited over 100 valid responses. Iy gave particular attention to the assessment process by which effective targeting (to those who would be most likely to benefit) would, it had been assumed, have taken place. Key outcomes point to needed improvements to social care practice - including the need to balance a narrow focus on risk (determined in a largely top-down way) with other telecare offerings that could more proactively address (e.g. loneliness) and involve the user more proactively in relation to technology and service options. The file attached to this record is the author's final peer reviewed version. The Publisher's final version can be found by following the DOI link.Summary This article explores the role of telecare assessment, review and staff training in meeting the needs of older people living at home. Using original empirical data obtained from an online survey of English local authorities it reveals considerable variation in assessment and review practice and in training given to social work and other staff who assess and review, which may impact on outcomes for telecare users. The study findings are situated within an English policy context and earlier findings from a large, government funded randomised controlled trial. This trial concluded that telecare did not lead to better outcomes for users. Findings Our survey findings suggest that it may be the way in which telecare is used, rather than telecare itself that shapes outcomes for people who use it, and that ‘sub-optimal’ outcomes from telecare may be linked to how telecare is adopted, adapted and used; and that this is influenced by staff training, telecare availability and a failure to regard telecare as a complex intervention. Application The findings may help to reconcile evidence which suggests that telecare does not deliver better outcomes and local authority responses to this which either discount or contest its value. The article suggests that to use telecare to achieve optimal outcomes for older people, social workers, care managers and other professionals involved in assessing for telecare will need to be given enhanced training opportunities, and their employers will need to perceive telecare as a complex intervention rather than simply a ‘plug and play’ solution

Awareness, requirements and barriers to use of Assistive Technology designed to enable independence of people suffering from Dementia (ATD)

This article is available through the Brunel Open Access Publishing Fund. Copyright @ 2012 IOS PressThis study investigated the awareness and use of assistive technology for people with dementia. The aim of the study was to explore barriers to the uptake of, and the unmet needs for, assistive technology for dementia (ATD) The work was carried out with family carers of people with dementia because carers are often the purchasers, end users and main beneficiaries of this type of technology. Focus groups were used to explore carers’ views on ATD use, and the problems that might be addressed by ATD, in order to develop a questionnaire for dementia carers. The questionnaire was administered at Alzheimer’s Society carer support groups in South Bucks and in Hillingdon Borough (UK). None of the 16 focus group participants or the 42 respondents to the questionnaire had any personal experience of ATD. The dementia carers reported a number of concerns, problems and unmet needs that could be addressed by existing, commercially available ATD products. Some needs for new technology development were identified in the study, but the lack of awareness of ATD appears to be the most important barrier to technology adoption

Information and communication technology solutions for outdoor navigation in dementia

INTRODUCTION: Information and communication technology (ICT) is potentially mature enough to empower outdoor and social activities in dementia. However, actual ICT-based devices have limited functionality and impact, mainly limited to safety. What is an ideal operational framework to enhance this field to support outdoor and social activities? METHODS: Review of literature and cross-disciplinary expert discussion. RESULTS: A situation-aware ICT requires a flexible fine-tuning by stakeholders of system usability and complexity of function, and of user safety and autonomy. It should operate by artificial intelligence/machine learning and should reflect harmonized stakeholder values, social context, and user residual cognitive functions. ICT services should be proposed at the prodromal stage of dementia and should be carefully validated within the life space of users in terms of quality of life, social activities, and costs. DISCUSSION: The operational framework has the potential to produce ICT and services with high clinical impact but requires substantial investment

Socially Assistive Robot Enabled Personalised Care for People with Dementia in Australian Private Homes

Australia’s population is ageing and a large number of people are living in their own homes. Motivated by design science as the research methodology, the authors in this paper embark the research on designing, implementing, trialling and evaluating robot enabled user-centred care for people with dementia in home-based settings. Given the importance of pursuing person-centred care practice, this research involves marrying personhood in health care with socially assistive robotics to the designs of social robot enabled person-centred care services. We have conducted first ever longitudinal robotic trials through real deployments in Australian private dwellings to evaluate the impact of the designed socially assistive robots on older people with dementia. The data analyses have been performed through both interactional data (with 2044 times of interaction and a total of 167 hours of usage) and quality of robot experience survey. The descriptive analysis of interactional data show that the designed socially assistive robot enabled care system has facilitated breaking the technology barrier of people with dementia, positively proving sensory enrichment to participants and provided respires to the participants’ carers. The quality of robot experience survey statistics indicate the participants had positive experience with their robot

Is big brother watching you? Responding to tagging and tracking in dementia care

The increased availability of assistive technologies, particularly tagging and tracking technology, raises questions for occupational therapists working in dementia care. As experts in environmental adaptation to support participation, occupational therapists need to be clear about what technologies are available to address wandering behaviour, how emerging technologies will be used in their practice, and how they will proactively respond to the ethical issues involved in these technologies. Their use within ethical, person-centred practice will ensure that big brother is not watching, but rather supporting independent functioning in the person’s own home