| 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. |
- Bajones, Markus, et al.
(författare)
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Results of Field Trials with a Mobile Service Robot for Older Adults in 16 Private Households
- 2019
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Ingår i: ACM Transactions on Human-Robot Interaction. - : Association for Computing Machinery (ACM). - 2573-9522. ; 9:2, s. 10:1-10:27
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Tidskriftsartikel (refereegranskat)abstract
- In this article, we present results obtained from field trials with the Hobbit robotic platform, an assistive, social service robot aiming at enabling prolonged independent living of older adults in their own homes. Our main contribution lies within the detailed results on perceived safety, usability, and acceptance from field trials with autonomous robots in real homes of older users. In these field trials, we studied how 16 older adults (75 plus) lived with autonomously interacting service robots over multiple weeks. Robots have been employed for periods of months previously in home environments for older people, and some have been tested with manipulation abilities, but this is the first time a study has tested a robot in private homes that provided the combination of manipulation abilities, autonomous navigation, and nonscheduled interaction for an extended period of time. This article aims to explore how older adults interact with such a robot in their private homes. Our results show that all users interacted with Hobbit daily, rated most functions as well working, and reported that they believe that Hobbit will be part of future elderly care. We show that Hobbit's adaptive behavior approach towards the user increasingly eased the interaction between the users and the robot. Our trials reveal the necessity to move into actual users' homes, as only there, we encounter real-world challenges and demonstrate issues such as misinterpretation of actions during non-scripted human-robot interaction.
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| 5. |
- Baudin, Katarina, et al.
(författare)
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Views of Swedish Elder Care Personnel on Ongoing Digital Transformation : Cross-Sectional Study
- 2020
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Ingår i: Journal of Medical Internet Research. - Toronto : JMIR Publications. - 1438-8871. ; 22:6
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Tidskriftsartikel (refereegranskat)abstract
- Background: Swedish municipalities are facing demographic challenges due to the growing number of older people and the resulting increased need for health care services. Welfare technologies are being launched as possible solutions for meeting some of these challenges.Objective: The aim of this study was to explore the perception, experimentation, evaluation, and procurement of welfare technology practices among professionals working in municipal elder care in relation to their gender, age, and profession.Methods: Data for this explorative cross-sectional study were collected from 393 responses to a web-based survey on municipal elder care in Sweden. Chi square tests were performed to determine the associations.Results: The results revealed gender, age, and professional differences in perspectives of municipal elder care workers. Differences were particularly evident in attitudes toward technology, both the use of technology in general and in the workplace, and involvement and participation in decision making regarding the procurement of new welfare technologies. Men (37/53, 70%) expressed a more positive attitude toward and curiosity regarding new technologies than women (157/336, 46.7%) (P=.03). Regarding age, the younger respondents (18-24 years old) perceived the digital transformation in the workplace as "too slow" (4/4, 100%), whereas the majority of older respondents (65-74 years old) perceived it as happening at the "right pace" (4/7, 57%). The elder care personnel felt encouraged by management to explore and experiment with new welfare technologies, but never did so either for management or with patients. Even though the majority of the respondents were women, more men (4/7, 57%) were involved in the procurement process for welfare technology devices and solutions than women (98/336, 29.2%) (P<.001).Conclusions: Personnel working within municipal elder care were generally very positive toward new technologies. However, both gender and age differences may influence these perspectives such as the personnel's resistance to welfare technology and patients' participation in welfare technology usage and deployment. Different levels of participation in the decision-making process regarding new technology deployment may negatively affect the overall digital transformation within municipal elder care.
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| 6. |
- Chen, Xin, et al.
(författare)
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Digital Inclusion or Digital Divide for Older Immigrants? A scoping Review.
- 2020
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Ingår i: HCI 6<sup>th</sup> International Conference 2020. - Cham : Springer Nature. ; , s. 176-190, s. 176-190
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Konferensbidrag (refereegranskat)abstract
- The discussion of the digital divide and digital inclusion has extended to older adults. Although knowledge on the digital divide and digital inclusion among native older adults has increased substantially, little is known about the situations of older immigrants in relation to the digital divide. This paper employed the scoping review approach to map the situations and research methods of the digital divide among older immigrants from recent empirical studies. The initial search identified 997 articles, of which 13 articles were selected for this review. The results showed that socioeconomic status, language proficiency, degree of acculturation, level of education, and digital literacy are the most common factors leading to the disparities between native older adults and older immigrants. Although the results showed a narrowing gap as concerns access to the Internet, interventions are needed to reduce the divide among individuals of different ethnicities due to disparities in digital skills and knowledge. The included studies applied quantitative, qualitative, and mixed-method approaches. The homogeneity of the findings of some included studies implied the need to develop more methods and models to study the digital divide among older immigrants. This review suggested that future research incorporate ethnic characteristics in the research design to provide in-depth knowledge about the ethnic group. This knowledge could potentially be utilized for future interventions aimed at narrowing the remaining gap of the digital divide.
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| 7. |
- 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
-
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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| 8. |
- Chen, Xin
(författare)
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Older immigrants in need of care in times of digitalization : The case of filial piety in transition among Chinese families in Sweden
- 2021
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Licentiatavhandling (övrigt vetenskapligt/konstnärligt)abstract
- Globalization has facilitated international communication and economic activities that motivate more international migration. Different cultures and values from the West and the East are interwoven in the same social context. Meanwhile, aging has become a notable phenomenon in most developed countries due to declining fertility and increased life expectancy. A digital transformation of society is taking place alongside the aging and international migration that will start to question the image of older adults and the patterns of providing elderly care. Chinese elderly care is characterized by familism providing family-based informal care to an older family member. Despite the influence of migration and modern lifestyles, filial piety is expected to continue to guide the care responsibilities and care providing among Chinese families. This thesis aims to understand the cultural provision of support and care for Chinese older adults living in Sweden and under the influence of the digital transformation of society. It starts by exploring the disparities, barriers, and facilitators for older immigrants in need of home care to utilize digital technology. After constructing knowledge about the influences of the foreign environment and continuous digitalization in home care, the thesis seeks to understand how filial piety continues to be enacted; what part of the tradition is preserved, and what is changed; how the internal and external factors influence the decision of elderly care; and the role of digitalization in this process. The thesis utilizes qualitative in-depth interviews to continue investigations among eight midlife and older Chinese immigrants living in Sweden. Thematic analysis was employed for data analysis. Berry’s acculturation framework and Yeh’s Dual Filial Piety Model provide the theoretical ground for the research. The results indicated that filial piety is in transition in terms of filial responsibilities, filial behaviors, and intergenerational relationships. Despite the differences in the acculturation level, the authoritarian element of filial piety lacked ground in the Swedish social context. Respondents showed their willingness to strengthen the reciprocity with their adult children by providing additional support, valuing affections rather than hands-on care, respecting adult children’s decisions. The uptake of digital technologies has enabled midlife and older Chinese immigrants to maintain more frequent contact with family members and friends in other countries. It also improves the autonomy and capabilities for respondents to plan more independent later lives. The conclusion is that traditional values such as filial piety was not as prominent in Sweden as they are in China.
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| 9. |
- Chen, Xin, et al.
(författare)
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The Use Of Information And Communication Technology Among Older Immigrants In Need Of Home Care : A Systematic Literature Review
- 2021
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Ingår i: Ageing International. - : Springer Nature. - 0163-5158 .- 1936-606X.
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Tidskriftsartikel (refereegranskat)abstract
- Better home care and home care technologies are no longer requested solely by nonimmigrant older adults but also by members of the fast-growing older adult immigrant population. However, limited attention has been given to this issue, or to the use of technology in meeting the needs of aging populations. The objective of this review is to map existing knowledge of older adult immigrants' use of information and communication technologies for home care service published in scientific literature from 2014 to 2020. Twelve studies met the established eligibility criteria in a systematic literature search. The results showed older adult immigrants faced similar barriers, which were independent of their ethnic backgrounds but related to their backgrounds as immigrants including lower socioeconomic status, low language proficiency, and comparatively lower levels of social inclusion. Technology use could be facilitated if older adult immigrants received culturally-tailored products and support from family members and from society. The results imply that the included studies do not address or integrate cultural preferences in the development of information and communication technology for home care services. Caregivers might provide an opportunity to bridge gaps between older immigrants' cultural preferences and technology design. This specific research field would also benefit from greater interest in the development of novel methodologies.
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| 10. |
- 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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| 11. |
- Erlingsdottir, Gudbjörg, et al.
(författare)
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Förbättrade arbets- och patientflöden i primärvården med digitalt Flow : slutrapport
- 2023
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Rapport (övrigt vetenskapligt/konstnärligt)abstract
- I projektet studeras det digitala verktyget Flow och dess inverkan på personalens arbetsmiljö samt på kostnadseffektiviteten i svensk primärvårdskontext. Flow ger patienten möjlighet till digital kontakt och kommunikation med vårdcentralen samt möjlighet till digital kommunikation mellan olika personalgrupper inom vårdcentralen. Implementeringen av Flow har studerats på tre vårdcentraler: A, B och C. På vårdcentral A har implementeringen gått smidigt och haft en positiv effekt medan den gått mindre bra och inte fått lika positiv effekt på vårdcentral B och C. Detta trots att alla verkar överens om att själva plattformen är lätt att arbete i så kan den således få olika effekt på arbetsbelastningen. För att få en positiv effekt behövs det en rad åtgärder vid införandet och vid själva användandet: en gemensam bild hos både ledning och personal om varför plattformen ska införas att involvera och förankra idén om plattformen hos vårdpersonal redan innan implementeringen; att utbilda all personal i plattformen men också utbilda superanvändare som är villiga att driva implementeringen och villiga att kontinuerligt stötta kollegor i förändringsarbetet; att avsätta tid i schemat för vårdpersonal att utforska, lära sig och använda plattformen; att marknadsföra plattformen gentemot patienterna; att ha regelbundna återkopplingsmöten, i vilka vårdpersonal kan diskutera och ventilera farhågor och förväntningar samt uppmuntra kontinuerlig användning. Vad gäller kostnadsanalysen så förefaller Flow leda till besparingar för vårdgivaren. Vi har också jämfört Flow med två andra digitala system inom vården som vi studerat tidigare. Jämförelserna visar bland annat att även om ett digitalt system upplevs som positivt så skapar det oftast något slags kringarbete för vårdpersonalen när systemet eller data det innehåller ska tas hand om. Vidare kan vi konstatera att digitaliseringen inte ersätter de befintliga arbetsrutinerna helt utan skapar ett parallellt arbetsflöde.
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| 12. |
- 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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| 13. |
- Frennert, Susanne
(författare)
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Approaches to welfare technology in municipal eldercare
- 2020
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Ingår i: Journal of technology in human services. - : Routledge. - 1522-8835 .- 1522-8991. ; 38:3, s. 226-246
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Tidskriftsartikel (refereegranskat)abstract
- Welfare technologies have been proposed in Scandinavian countries as way to ensure accessible and efficient care to those who need it. Significant investments have been made to develop and deploy these technologies. This study used a multiple case study design to explore how welfare technologies are implemented in Swedish eldercare practices. The multiple case study generated detailed knowledge and insights from a broad perspective on the employment of welfare technologies within various municipalities. The study revealed three approaches for integrating welfare technologies into municipal eldercare services: as an end-product, as a project, and as a strategy. Findings indicate that municipal welfare technology practices are diverse and multifaceted, yet implementing such practices is a complex process. This study proposes a focus shift, from technological solutions to organizational context, eldercare personnel, and care receivers.
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| 14. |
- 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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| 15. |
- 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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| 16. |
- Frennert, Susanne, et al.
(författare)
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Digitalt stött patientflöde : hot och/eller möjlighet för att underlätta arbetet beror på ledarskapet och hur arbetet organiseras
- 2022
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Konferensbidrag (refereegranskat)abstract
- Digital teknik har blivit en stor del av de flestas vardag och arbete. Digitaliseringen sker även inom primärvården och tros kunna öka kvalitet och effektivitet i vården, samt minska kostnaderna(van Gemert-Pijnen, Kip, Kelders, & Sanderman, 2018), men hur påverkar den vårdpersonalens arbete? Primärvården är redan en utsatt sektor på grund av ökat patientflöde, personalflykt och hög sjukfrånvaro (Golay, 2019; Greenhalgh & Papoutsi, 2018). Det är därför av stor vikt att förstå hur olika digitala lösningar påverkar vårdpersonalen och deras arbete. I ett forskningsprojekt följer vi införandet av och arbetet med en digital plattform på vårdcentraler för att studera hur digitalt stött patient- och arbetsflöde påverkar personalens arbetssätt och arbetsbelastning. Genom plattformen kan patienter ta kontakt med vårdcentralen digitalt istället för via telefonsamtal. Kommunikation och patientmöten kan ske synkront eller asynkront i form av digitala (chatt eller video) eller fysiska möten med olika kategorier av vårdpersonal. Plattformen är tänkt att förbättra ledning och organisering av arbetet/patientflödet, minska arbetsbördan och kognitiv belastning, stärka patientens delaktighet samt öka kostnadseffektiviteten – men hur blir det i praktiken?
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| 17. |
- 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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| 18. |
- Frennert, Susanne, et al.
(författare)
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Embedding and Integrating a Digital Patient Management Platform Into Everyday Primary Care Routines : Qualitative Case Study
- 2022
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Ingår i: JMIR Formative Research. - : JMIR Publications. - 2561-326X. ; 6:2
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Tidskriftsartikel (refereegranskat)abstract
- Background: Traditional primary care is characterized by patient consultations via phone and physical visits. However, the current development in Swedish primary care is to blend digital solutions with traditional solutions. This paper addresses this development by examining the normalization of embedding and integrating a digital health care platform into everyday care routines in a primary care clinic. The digital health care platform enables both synchronous (video calls) and asynchronous (chat) communication, as well as self-registration of patient data using automated questions and forms requiring the patient's input.Objective: This study aims to explore the work that health care professionals (HCPs) have to undertake to implement and sustain a digital health care platform as part of their everyday work practice. Methods: HCPs were observed and interviewed to assess their individual and collective engagement and the mechanisms involved in the implementation of the digital platform and its effects on everyday work routines. The normalization process theory (NPT) was used to frame the data analysis.Results: The analysis identified several themes related to the four NPT constructs: coherence, cognitive participation, collective action, and reflexive monitoring. The use of these constructs enabled the analysis to identify ways of supporting implementation. For example, it showed the benefits of having implementation champions and scheduling work hours for HCPs to use the platform. The analysis also revealed a theme of materiality that deviated from the NPT constructs, as NPT gives ontological priority to human actors and social structures.Conclusions: Digital health care platform implementation is a complex process. Our findings provide insights into how individual and collective actions can be supported to embed and integrate a digital platform into everyday care routines. Primary health care organizations need to involve HCPs throughout the implementation process by reorganizing work and providing frequent feedback loops. HCPs are more likely to engage with and commit to changing practices if they perceive the digital platform to be beneficial compared with the current practice. However, they also need resources (eg, time, training, and continuous support) to put the platform into practice. Patient engagement and appraisal are important elements in implementation. Unless patients are willing to use the platform, there is no motivation for HCPs to embed the digital platform into everyday care practice.
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| 19. |
- Frennert, Susanne
(författare)
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Expectations and Sensemaking : Older People and Care Robots
- 2020
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Ingår i: Human Aspects of IT for the Aged Population. Technology and Society. - Cham : Springer. - 9783030502317 - 9783030502324 ; , s. 191-206
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Konferensbidrag (refereegranskat)abstract
- We do not yet know how the robotization of eldercare will unfold, but one thing is clear: technology mediates human practices and experiences [1]. As such, care robots will co-shape the actions of care givers and older people and influence the perceptions and experiences of old age. The robotization of eldercare means that it is essential for developers, policy makers, and researchers to become increasingly aware of the intertwined and implicit expectations that older people impose on care robots. This paper both zooms in towards older people’s individual expectations and zooms out towards expectation configurations at a group level and the expectation imagery of care robots in future eldercare.
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| 20. |
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| 21. |
- Frennert, Susanne
(författare)
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Gender blindness : On health and welfare technology, AI and gender equality in community care.
- 2021
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Ingår i: Nursing Inquiry. - : John Wiley & Sons. - 1320-7881 .- 1440-1800. ; 28:4
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Tidskriftsartikel (refereegranskat)abstract
- Digital health and welfare technologies and artificial intelligence are proposed to revolutionise healthcare systems around the world by enabling new models of care. Digital health and welfare technologies enable remote monitoring and treatments, and artificial intelligence is proposed as a means of prediction instead of reaction to individuals' health and as an enabler of proactive care and rehabilitation. The digital transformation not only affects hospital and primary care but also how the community meets older people's needs. Community care is often provided by informal and formal care-givers, most of whom are women. Gender equality is at the heart of many national strategies, but do all genders have equal rights, responsibilities and opportunities when it comes to community care and its digital transformation? The digital transformation of community care is entangled with how care is provided to older people and the working conditions of community-care professionals. Current and, even more so, future community-care systems are and will be partly constituted by networks of technological artefacts. These health and welfare technological artefacts and the discourse surrounding them mediate and constitute social relations and community care. This article looks into how health and welfare technology and artificial intelligence-based devices and systems mediate and constitute gender relations in community care and presents an argument for reflexivity, embodiment, pluralism, participation and ecology as an alternative strategy to treating community care as one-size-fit-all and being blind to gender-related issues.
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| 22. |
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| 23. |
- 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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| 24. |
- Frennert, Susanne, PhD, et al.
(författare)
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How Do Older People Think and Feel About Robots in Health- and Elderly Care?
- 2019
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Ingår i: Inclusive Robotics for a Better Society. - Cham : Springer International Publishing. - 9783030240745 - 9783030240738 ; , s. 167-174
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Konferensbidrag (refereegranskat)abstract
- This extended abstract is a report on older people’s perception of interactive robots in health- and elderly care. A series of focus groups was conducted. In total 31 older people participated. The majority of the participants viewed interactive robots in health- and elderly care as an asset but they also voiced concerns regarding reliability, practical handling, costs and fear of mechanical care.
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| 25. |
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