What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare

Telehealth and telecare research has been dominated by efficacy trials. The field lacks a sophisticated theorisation of [a] what matters to older people with assisted living needs; [b] how illness affects people's capacity to use technologies; and [c] the materiality of assistive technologies. We sought to develop a phenomenologically and socio-materially informed theoretical model of assistive technology use. Forty people aged 60–98 (recruited via NHS, social care and third sector) were visited at home several times in 2011–13. Using ethnographic methods, we built a detailed picture of participants' lives, illness experiences and use (or non-use) of technologies. Data were analysed phenomenologically, drawing on the work of Heidegger, and contextualised using a structuration approach with reference to Bourdieu's notions of habitus and field. We found that participants' needs were diverse and unique. Each had multiple, mutually reinforcing impairments (e.g. tremor and visual loss and stiff hands) that were steadily worsening, culturally framed and bound up with the prospect of decline and death. They managed these conditions subjectively and experientially, appropriating or adapting technologies so as to enhance their capacity to sense and act on their world. Installed assistive technologies met few participants' needs; some devices had been abandoned and a few deliberately disabled. Successful technology arrangements were often characterised by ‘bricolage’ (pragmatic customisation, combining new with legacy devices) by the participant or someone who knew and cared about them. With few exceptions, the current generation of so-called ‘assisted living technologies’ does not assist people to live with illness. To overcome this irony, technology providers need to move beyond the goal of representing technology users informationally (e.g. as biometric data) to providing flexible components from which individuals and their carers can ‘think with things’ to improve the situated, lived experience of multi-morbidity. A radical revision of assistive technology design policy may be needed

Friends of Musselman LIbrary Newsletter Spring 2008

Table of Contents: From the Director: Honor with Books Kick-Off (Robin Wagner, Brittany Bloam ’07, Jack Ryan, Robert Bohrer); Library Helps Information Literacy (Katherine Downton); Save the Date: Piano Trio; Library Lingo (Kathy D’Angelo); Federated Searching; Focus on Philanthropy: Rare American Bible Folios (Geoff Jackson ‘91); Phi Kappa Psi Papers (Reverend Fredrick Weiser ’57, Ned Brownley ’53); Rare Albumen Prints of the Gettysburg Battlefield; Gettysburg Semester (Allen Guelzo); 2 WWII Propaganda Posters; GettDigital: How It Is Done (Tina Gebhart); Hidden Talents (Neil Beach, Kathy Bradley, Kim Davidson, Julia Hendon, Suzy Miller, Janelle Wertzberger); Library Exhibits (Lindsay Treworgy ’08); LP Records (Tim Sestrick, Amy Ward); Study Break – Decorate Carts; Music at Musselman (Dr. F. William Sunderman Senior \u2719, Dr. F. William Sunderman Junior); Librarians in Vienna; Alumni Collectors( William C. Wright ‘61 and Ian Isherwood); Pat Hogan and Pat Boron; Warner Endowmen

Faculty Excellence

Each year, the University of New Hampshire selects a small number of its outstanding faculty for special recognition of their achievements in teaching, scholarship and service. Awards for Excellence in Teaching are given in each college and school, and university-wide awards recognize public service, research, teaching and engagement. This booklet details the year\u27s award winners\u27 accomplishments in short profiles with photographs and text

The World at our Doorstep

The Onondaga Citizens League studied the issues of refugee resettlement in Central New York. The purposes of the study were to first develop a clearer picture and understanding of the refugee dynamic in Onondaga County -- the needs, the service continuum and the opportunities new refugee populations offe and then to recommend programming and policies to help it be a more welcoming community. The lessons learned crossed sectors from literacy to public safety, and offer information both in process and potential.The community has a long history of welcoming people from around the world and has seen an increase in New Americans in the last four to five years, as global unrest has grown. The higher numbers, coinciding as they did with an economic downturn that hurt all residents of the community, made the refugee presence more noticeable and for some, more problematic. Underlying the study was an unspoken question -- does Onondaga County have the resources and the willingness to welcome this population in a way that helps them without negatively affecting others with human service needs? The actions recommended might be targeted towards helping this new population, but were built on the premise that by helping them, Onondaga County (and other communities) help themselves

Faculty Excellence

Each year, the University of New Hampshire selects a small number of its outstanding faculty for special recognition of their achievements in teaching, scholarship and service. Awards for Excellence in Teaching are given in each college and school, and university-wide awards recognize public service, research, teaching and engagement. This booklet details the year\u27s award winners\u27 accomplishments in short profiles with photographs and text

Faculty Excellence

Each year, the University of New Hampshire selects a small number of its outstanding faculty for special recognition of their achievements in teaching, scholarship and service. Awards for Excellence in Teaching are given in each college and school, and university-wide awards recognize public service, research, teaching and engagement. This booklet details the year\u27s award winners\u27 accomplishments in short profiles with photographs and text

Community Connectedness and Long-Term Care in Late Life: A Narrative Analysis of Successful Aging in a Small Town

This dissertation is a narrative inquiry of the ways in which cultural values, norms, and expectations shape the aging experience of elderly adults living independently in Kasson, a small rural town in southeastern Minnesota, and within Prairie Meadows, Kasson's residential assisted living facility. Despite significant evidence of the reciprocal relationship between community connectedness, successful aging, and healthy communities, we know relatively little about the ways in which contextual meanings of old age influence long-term care and perceptions of well-being in late life. I therefore utilized a variety of interpretive methods, including participant observation, textual analysis, in-depth interviews, and photovoice, to complement and enlarge existing research. Ultimately, I engaged crystallization methodology to co-construct with my participants a multivocal, multigenre text of layered accounts, photographs, stories, and personal reflections. My research design and presentation highlight the inherent possibilities of participatory methods, aesthetic ways of knowing, and asset-based community development for influencing policy and practice at individual, community, and societal levels with typically disenfranchised populations in future communication scholarship. My narrative analysis uncovered three overarching narratives - the "small town" narrative, the "aging in place" narrative, and the "old age" narrative - that guide communicative practices within and between Kasson and Prairie Meadows. Overall, elderly adults in these communities negotiate community connectedness in late life by drawing from or re-storying each of the three narratives. First, they co-construct personal and relational identities through social interactions and shared understandings (e.g., civic engagement, church membership, neighborliness, collective history) of what it means to live in a small town. Second, they face uncertainty (e.g., health and dependency issues) by turning to the past to make sense of the present and future. Third, they embrace old age through membership in age-specific contexts (e.g., Red Hats, senior center, Prairie Meadows) while resisting it in others (e.g., tensions between independence, isolation, and communal life). In total, their stories illuminate the ways in which personal meanings and cultural ideologies support and constrain interactions and decisions in late life as individuals strive for long-term living and a meaningful, supportive place in which to grow old

Mi Cuerpo, Nuestra Responsabilidad: Using Photovoice to describe the assets and barriers to sexual and reproductive health among Latinos in North Carolina

Latinos in North Carolina experience disparities in sexual and reproductive health. To identify and explore assets for and barriers to sexual and reproductive health in the Latino community, an academic-community partnership engaged community health workers (CHW) in Photovoice, a participatory qualitative research methodology. Five sessions were completed in which CHW agreed on photo assignments and discussed the photos. Themes included the role of men, cultural taboos, and the effect of undocumented immigrant status on access to resources. Findings were presented at a community forum. Building on the strengths of CHW to reduce barriers to sexual and reproductive health is a viable strategy to address disparities

Faces of Change: Highlights of U.S. Department of Labor Efforts to Combat International Child Labor

ChildLaborFacesofChange.pdf: 1759 downloads, before Oct. 1, 2020