Older Adults’ Deployment of ‘Distrust’

Older adults frequently deploy the concept of distrust when discussing digital technologies, and it is tempting to assume that distrust is largely responsible for the reduced uptake by older adults witnessed in the latest surveys of technology use. To help understand the impact of distrust on adoption behavior, we conducted focus groups with older adults exploring how, in what circumstances, and to what effect older adults articulate distrust in digital technologies. Our findings indicate that distrust is not especially relevant to older adults’ practical decision making around technology (non-)use. The older adults in our study used the language of distrust to open up discussions around digital technologies to larger issues related to values. This suggests that looking to distrust as a predictor of non-use (e.g. in Technology Acceptance Model studies) may be uniquely unhelpful in the case of older adults, as it narrows the discussion of technology acceptance and trust to interactional issues, when their use of distrust pertains to much wider concerns. Likewise, technology adoption should not be viewed as indicative of trust or an endorsement of technology acceptability. Older adults using-while-distrusting offers important insights into how to design truly acceptable digital technologies

Applying the nominal group technique for the conceptual validation of ehealth solutions

The development of ehealth applications is a complex task, not only in technological terms, but also in the understanding of both the users' needs, expectations and contexts, and the business models. Therefore, initial conceptual validations might be essential to verify whether the proposed solutions are adequate, sustainable, and worth to be developed. The study reported by this paper applied the nominal group technique to verify the potential suitability and sustainability of a diverse set of ehealth applications to support older adults. The study identified a set of transversal advantages (i.e., promotion of active and healthy, integrated care, and healthcare equity) and barriers (i.e., contextual, personal, and development and deployment barriers. As a conclusion, the nominal group technique was adequate for the conceptual validation of the proposed ehealth solutions and provided comprehensive information about issues that must be carefully considered during the development of these solutions to assure their viability and to reduce research waste.publishe

Implementation of the MASK-Air® App for Rhinitis and Asthma in Older Adults: MASK@Puglia Pilot Study

Introduction: MASK-air® is an app whose aim is to reduce the global burden of allergic rhinitis and asthma. A transfer of innovative practices was performed to disseminate and implement MASK-air® in European regions. The aim of the study was to examine the implementation of the MASK-air® app in older adults of the Puglia TWINNING in order to investigate (i) the rate of acceptance in this population, (ii) the reasons for refusal and (iii) the evaluation of the app after its use. Methods: All consecutive geriatric patients aged between 65 and 90 years were included by the outpatient clinic of the Bari Geriatric Immunoallergology Unit. After a 1-h training session, older adults used the app for 6 months. A 6-item questionnaire was developed by our unit to evaluate the impact of the app on the management of the disease and its treatment. Results: Among the 174 recruited patients, 102 accepted to use the app (mean age, SD: 72.4 ± 4.6 years), 6 were lost to follow-up, and 63 had a low education level. The reasons given not to use the app included lack of interest (11%), lack of access to a smartphone or tablet (53%), low computer literacy (28%), and distrust (8%). At follow-up, the overall satisfaction was high (89%), the patient considered MASK-air® “advantageous” (95%), compliance to treatment was improved (81%), and the rate of loss to follow-up had decreased to 6%. Conclusion: Older adults with a low level of education can use the MASK-air® app after a short training session

Ethnicity and health: key themes in a developing field

Ethnicity is a social division that is increasingly difficult to ignore. Ethnicity has to be considered alongside other social divisions including socioeconomic status which is crucial to explaining minority disadvantages in health. Identity is a key dimension of ethnicity, which encompasses self-ascribed and externally-imposed elements. The stigma associated with particular conditions, combined with the effects of racism and economic marginalization, can be central to some minority groups' ability to discuss disease and seek treatment. In a world where human rights are taken seriously, minority ethnic groups' presence in research has to become a routine consideration, rather than an optional extra. In research, as in service provision, planning for linguistic and cultural diversity represents additional work and will require extra resources

Evil, child abuse and the caring professions

The aim of this paper is to explore the ways in which the concept of evil has been invoked in relation to child abuse. First, the scene is set by juxtaposing professional discourses which have eschewed the concept of evil and public opinion which is affronted by the evil of child abuse. Second, I will discuss the work of some therapists in the USA whose work with perpetrators and survivors has led them to frame the causes and consequences of child abuse in terms of moral evil. Third, I will draw upon case studies of Satanic abuse and spirit possession in the UK to illustrate that some social workers and religious communities have interpreted child abuse as an outcome of or as an antidote to metaphysical evil. Finally, there is a critical appraisal of the merits of referencing moral and metaphysical evil in the discourses of caring professionals, with a suggestion that a mythical–metaphorical conception of evil could be a more flexible and fruitful resource for therapeutic work

Evaluating the Contextual Integrity of Privacy Regulation: Parents' IoT Toy Privacy Norms Versus COPPA

Increased concern about data privacy has prompted new and updated data protection regulations worldwide. However, there has been no rigorous way to test whether the practices mandated by these regulations actually align with the privacy norms of affected populations. Here, we demonstrate that surveys based on the theory of contextual integrity provide a quantifiable and scalable method for measuring the conformity of specific regulatory provisions to privacy norms. We apply this method to the U.S. Children's Online Privacy Protection Act (COPPA), surveying 195 parents and providing the first data that COPPA's mandates generally align with parents' privacy expectations for Internet-connected "smart" children's toys. Nevertheless, variations in the acceptability of data collection across specific smart toys, information types, parent ages, and other conditions emphasize the importance of detailed contextual factors to privacy norms, which may not be adequately captured by COPPA.Comment: 18 pages, 1 table, 4 figures, 2 appendice

Energy-aware systems for improving the well-being of older people by reducing their energy consumption

Fuel poverty is becoming a problem amongst the older community in the UK. To help reduce the anxiety that fuel poverty places on older members of the community, this paper will first address why such systems are necessary before introducing a system and various interfaces for engaging and promoting better energy usage. Key areas of the proposed prototype will be discussed which focuses on a recommender and behavioural change system which enables older people to improve their energy footprint through energy-aware systems. Using systems to help reduce fuel poverty will invariably improve their general well-being. Results show how this technology can be accepted and act as an enabler in improving the overall well-being of older people as well as other system considerations. In addition, a number of subsequent phases of the project will be detailed which will discuss a longer test duration, an analysis of the data harvested and future directions