| 1. |
- Frennert, Susanne, PhD, et al.
(författare)
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Elderly People's Perceptions of a Telehealthcare System : Relative Advantage, Compatibility, Complexity and Observability
- 2013
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Ingår i: Journal of technology in human services. - : Informa UK Limited. - 1522-8835 .- 1522-8991. ; 31:3, s. 218-237
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Tidskriftsartikel (refereegranskat)abstract
- The use of telehealthcare systems to promote independent living for elderly people is growing. The results presented in this article, derived from an initial user lab test of a telecare system-GiraffPlus-indicate that the crucial factor for adoption of telehealthcare systems is not usability but the system's ability to support autonomy in everyday life. Eleven users tested the usability and reported what they perceived as possible benefits of having such a system at home. To support autonomy, customization is crucial for the system to be perceived as meaningful for the individual. Our analysis confirms previous research. © 2013 Copyright Taylor and Francis Group, LLC.
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| 2. |
- Aminoff, Hedvig, et al.
(författare)
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Telemedicine for Remote Surgical Guidance in Endoscopic Retrograde Cholangiopancreatography : Mixed Methods Study of Practitioner Attitudes
- 2021
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Ingår i: JMIR Formative Research. - : JMIR Publications. - 2561-326X. ; 5:1
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Tidskriftsartikel (refereegranskat)abstract
- BACKGROUND: Telemedicine innovations are rarely adopted into routine health care, the reasons for which are not well understood. Teleguidance, a promising service for remote surgical guidance during endoscopic retrograde cholangiopancreatography (ERCP) was due to be scaled up, but there were concerns that user attitudes might influence adoption.OBJECTIVE: Our objective was to gain a deeper understanding of ERCP practitioners' attitudes toward teleguidance. These findings could inform the implementation process and future evaluations.METHODS: We conducted semistructured interviews with ERCP staff about challenges during work and beliefs about teleguidance. Theoretical constructs from the technology acceptance model (TAM) guided the thematic analysis. Our findings became input to a 16-item questionnaire, investigating surgeons' beliefs about teleguidance's contribution to performance and factors that might interact with implementation.RESULTS: Results from 20 interviews with ERCP staff from 5 hospitals were used to adapt a TAM questionnaire, exchanging the standard "Ease of Use" items for "Compatibility and Implementation Climate." In total, 23 ERCP specialists from 15 ERCP clinics responded to the questionnaire: 9 novices (<500 ERCP procedures) and 14 experts (>500 ERCP procedures). The average agreement ratings for usefulness items were 64% (~9/14) among experts and 75% (~7/9) among novices. The average agreement ratings for compatibility items were somewhat lower (experts 64% [~9/14], novices 69% [~6/9]). The averages have been calculated from the sum of several items and therefore, they only approximate the actual values. While 11 of the 14 experts (79%) and 8 of the 9 novices (89%) agreed that teleguidance could improve overall quality and patient safety during ERCP procedures, only 8 of the 14 experts (57%) and 6 of the 9 novices (67%) agreed that teleguidance would not create new patient safety risks. Only 5 of the 14 experts (36%) and 3 of the 9 novices (33%) were convinced that video and image transmission would function well. Similarly, only 6 of the 14 experts (43%) and 6 of the 9 novices (67%) agreed that administration would work smoothly. There were no statistically significant differences between the experts and novices on any of the 16 items (P<.05).CONCLUSIONS: Both novices and experts in ERCP procedures had concerns that teleguidance might disrupt existing work practices. However, novices were generally more positive toward teleguidance than experts, especially with regard to the possibility of developing technical skills and work practices. While newly trained specialists were the main target for teleguidance, the experts were also intended users. As experts are more likely to be key decision makers, their attitudes may have a greater relative impact on adoption. We present suggestions to address these concerns. We conclude that using the TAM as a conceptual framework can support user-centered inquiry into telemedicine design and implementation by connecting qualitative findings to well-known analytical themes.
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| 3. |
- Bajones, Markus, et al.
(författare)
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Hobbit : Providing Fall Detection and Prevention for the Elderly in the Real World
- 2018
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Ingår i: Journal of Robotics. - : Hindawi Limited. - 1687-9600 .- 1687-9619. ; 2018, s. 1-20
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Tidskriftsartikel (refereegranskat)abstract
- We present the robot developed within the Hobbit project, a socially assistive service robot aiming at the challenge of enabling prolonged independent living of elderly people in their own homes. We present the second prototype (Hobbit PT2) in terms of hardware and functionality improvements following first user studies. Our main contribution lies within the description of all components developed within the Hobbit project, leading to autonomous operation of 371 days during field trials in Austria, Greece, and Sweden. In these field trials, we studied how 18 elderly users (aged 75 years and older) lived with the autonomously interacting service robot over multiple weeks. To the best of our knowledge, this is the first time a multifunctional, low-cost service robot equipped with a manipulator was studied and evaluated for several weeks under real-world conditions. We show that Hobbit’s adaptive approach towards the user increasingly eased the interaction between the users and Hobbit. We provide lessons learned regarding the need for adaptive behavior coordination, support during emergency situations, and clear communication of robotic actions and their consequences for fellow researchers who are developing an autonomous, low-cost service robot designed to interact with their users in domestic contexts. Our trials show the necessity to move out into actual user homes, as only there can we encounter issues such as misinterpretation of actions during unscripted human-robot interaction.
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| 4. |
- Chen, Xin, et al.
(författare)
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Maintenance and Reformulation of Filial Piety and Filial Practice in Sweden : Perspectives of Digitally Empowered Midlife and Older Chinese Immigrants
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Annan publikation (övrigt vetenskapligt/konstnärligt)abstract
- Filial piety is a core cultural norm in East Asian countries that shapes eldercare obligations and responsibilities. Research on migration and science technology studies (STS) demonstrates the potential of digital technologies to influence the acculturation experiences of immigrants, but the primary focus has been on younger generations. This paper explores how the combination of digital technologies and acculturation influences expectations of filial piety and filial practices of midlife and older Chinese immigrants in Sweden. In-depth interviews of eight midlife and older Chinese immigrants provided qualitative data for thematic analysis, revealing that the in-formants expected to be more independent in later life but to maintain a close and reciprocally supportive relationship with their adult children. They considered their acculturation experiences to be both satisfying and challenging. The uptake of digital technology ensured frequent contact with Chinese communities and enhanced their experience of life in Sweden. The findings suggest a potential need for intervention through formal care supports for older Chinese immigrants, despite the stereotype of interdependence and family-based care. This study also provides insight into the need for social inclusion in Sweden by incorporating cultural preferences into digital communication and the design of care provision.
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| 5. |
- Coradeschi, Silvia, et al.
(författare)
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GiraffPlus : A System for Monitoring Activities and Physiological Parameters and Promoting Social Interaction for Elderly
- 2014
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Ingår i: Human-Computer Systems Interaction. - Cham : Springer. - 2194-5357. - 9783319084909 - 9783319084916 ; , s. 261-271
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Bokkapitel (refereegranskat)abstract
- This chapter presents a telehealth system called GiraffPlus supporting independent living of elderly in their own home. GiraffPlus system is a complex system which monitors activities and physiological parameters in the home using a network of sensors. The elaborated information is presented to the primary user, the elderly, and to secondary users like health care and home care providers and possibly to family members as a help to assess possible health and wellbeing deterioration, provide acute alarms, and support health procedure. The secondary users can also visit the elderly via the Giraff, a teleoperated robot that can communicate and move in the home under the control of the secondary user. The chapter focusses in particular on the deployment of the system in six real homes in Sweden, Italy and Spain. The chapter outlines the technological various components used, the expectations of the users and the evaluation method.
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| 6. |
- Frennert, Susanne, PhD
(författare)
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A Human Factor Approach to HRI
- 2019
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Ingår i: Social Robotics. - Cham : Springer. - 9783030358877 - 9783030358884 ; , s. 311-321
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Konferensbidrag (refereegranskat)abstract
- In today’s competitive marketplace, robotics and HRI is an exciting new paradigm for changing how work is done in organisations. Its potential success depends on how HRI fit to humans and other technologies in an organisation. The paper argues that the Human-Technology-Organisation framework may be used as an analytic tool to widen the understanding of prerequisites for successful development, implementation and deployment of HRI in organisations as well as for evaluations of existing HRI applications at work. This paper describes the Human-Technology-Organisation (HTO) framework, and ties it to HRI. It helps the reader to see HRI as a situated, local enactment involving diverse users, formal and informal rules and practices. Furthermore, it de-centers technology as the main agent of change. The aim of the paper is to provoke reflection and discussion about HRI, that through subtle interactions between humans, robots and organisations influence the quality of its development, implementation and deployment.
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| 7. |
- Frennert, Susanne, PhD, et al.
(författare)
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Capturing seniors' requirements for assistive robots by the use of attention cards
- 2012
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Ingår i: NordiCHI '12 Proceedings of the 7th Nordic Conference on Human-Computer Interaction. - New York : ACM Press. - 9781450314824 ; , s. 783-784
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Konferensbidrag (refereegranskat)abstract
- This paper describes and reflects upon a senior-oriented participatory design methodology that facilitates communication, attention and creativity. Previous research indicates that seniors tend to lose focus and start cross talking during workshops, which results in broad and superficial findings. However, our workshop methodology indicates that the use of attention cards helps the seniors to stay focused by visualizing concrete first person narrative scenarios. This paper does not describe the findings of the workshop. Instead, we use our experience to propose ways in which the process of eliciting user requirements for novel technologies from old users with no prior experience of the technology in question can be made.
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| 8. |
- Frennert, Susanne, PhD, et al.
(författare)
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Case report : Implications of Doing Research on Socially Assistive Robots in real Homes
- 2017
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Ingår i: International Journal of Social Robotics. - : Springer Science and Business Media LLC. - 1875-4791 .- 1875-4805.
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Tidskriftsartikel (refereegranskat)abstract
- The current paper addresses the implications of doing research on socially assistive robots in real homes. In contrast to laboratory studies, studies of robots in their intended natural environments can provide insights into people’s experiences of robots, and if and how a robot becomes embedded and used in people’s everyday life. However, moving robots out of the lab and into real life environments poses several challenges. Laboratory methods mainly focus on cause-and-effect relations between independent and dependent variables, while researchers who are conducting studies in real homes have much less control. In home trials, researchers need to decide what kind of data is obtainable and available. In real homes, researchers face unique challenges that require unique and pragmatic approaches. Any single study conducted in a real home is likely to have methodological limitations. Therefore, several different studies using different robots and methods are needed before the results can be converged in order to reach conclusions that are convincingly supported. This paper is an effort to provide such a report on a specific empirical case and converging findings from other studies. The goal is to provide an account of the research challenges and opportunities encountered when introducing a robot into its intended practice: the homes of older people. The aim is to give enough details for other researchers to critically examine and systematically build on the insights and findings presented.
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| 9. |
- Frennert, Susanne, PhD, et al.
(författare)
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Domestication of a telehealthcare system
- 2014
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Ingår i: Gerontechnology. - : International Society for Gerontechnology (ISG). - 1569-1101 .- 1569-111X. ; 13:2
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Tidskriftsartikel (refereegranskat)abstract
- Purpose: This paper evaluates the implementation of a telehealthcare system in older people's homes. The research is situated within an EU funded project (GiraffPlus). The GiraffPlus system collects daily behaviour and physiological data from sensors, performs context recognition, and does long-term trend analysis. The system consists of a network of non-invasive wireless home sensors and a semi-autonomous telepresence robot. The goal of the project is to ensure user centered design (UCD) that actively involves users during the entire development cycle so that they can obtain a product that is integrated into daily life, given specific experiences and needs. Users include elderly persons' relatives or friends they have appointed as secondary users, and professional caregivers. In this presentation, we will focus the different experiences of these three user groups and discuss drivers and barriers to the system's success. Method: The analytic approach is inspired by theoretical framework of Silverstone et.al of domestication, where the user is seen as an active consumer, taming new technologies by defining their nature, scope, and function1. In this framework the adoption of new technologies is seen as a process that involves different phases, i.e., appropriation, objectification, incorporation, and conversion. The phases are not fixed and the domestication of innovations is not a linear process2. The qualitative evaluation involves comprehensive interviews with the older participants, their relatives, and formal caregivers; before the telehealthcare system is installed; a month after the telehealthcare system is installed; 6 months after the telehealthcare system is installed; and two weeks after the telehealthcare system 'moved' out. Results & Discussion: So far, the results confirm in part that the elderly need new technology for around-the-clock contact with healthcare professionals, around-the-clock case detection, and health status monitoring, as well as alerts if something is wrong with the individual's health status. The older participants believed that they would easily be able to use the system. Issues were raised about surveillance and who had access to the collected data. The formal caregivers also find the system useful when assessing their elderly patients' needs. They wished that the system would increase the quality of interaction with patients (e.g. seeing the patients via the GiraffRobot instead of talking to them via the telephone). The formal caregivers had difficulties seeing the telehealthcare system as long-term installation in patients' homes; instead they believed it would be useful for patients as a form of post-hospitalisation monitoring or for assessing the care needs of a potential patient. They could see many barriers within their own organisation, such as the need for training. Conclusion This study proves that both the elderly and their relatives are prepared to take on semi-autonomous telepresence robots but that the health care providers are not. Deficiencies in the organization of the introduction of the new approach pose an obstacle and a challenge for the development of modern medical care.
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| 10. |
- Frennert, Susanne, PhD
(författare)
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Hitting a moving target : digital transformation and welfare technology in Swedish municipal eldercare
- 2021
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Ingår i: Disability and Rehabilitation. - : Informa UK Limited. - 1748-3107 .- 1748-3115. ; 16:1, s. 103-111
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Tidskriftsartikel (refereegranskat)abstract
- Introduction: This article contributes to the discussion on digital transformation and welfare technology in municipal eldercare. The aim of welfare technology solutions is to exceed the current welfare system and to meet the challenges of an ageing population through technological innovations and applications that help people to better cope with health issues and strengthen their participation, activity and independence regarding their own healthcare. Methods: First, this article outlines a number of different perspectives on technological and social change. Against this backdrop, this article portrays the challenges faced by Swedish municipal eldercare organizations due to the moving targets of digital transformation and the development of welfare technologies. Conclusion: In this context, eldercare organizations are at risk of becoming victims of the fast pace at which technology develops and the rhetoric of technological determinism; they may try to pursue the latest technological innovation at the expense of their stakeholders’ needs. The implementation and deployment of welfare technology become a real-world social experiment. Without proper tools for evaluation, welfare technology might be implemented and deployed as an end in itself, instead of as means for better ageing or improved eldercare. This article concludes by framing a set of questions to help increase the understanding of welfare technology implementation and deployment in order to mitigate risks and improve outcomes.IMPLICATIONS FOR REHABILITATION Analysis of different perspectives regarding technological and social change. Identification of the challenges faced by municipal eldercare organizations due to digital transformation. Presentation of evaluation questions to increase the understanding of welfare technology implementation and deployment in order to mitigate risks and improve outcomes.
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