Pub Date : 2018-06-22DOI: 10.1108/JET-12-2017-0048
Brijesh Sivathanu
Purpose The purpose of this paper is to utilize the novel approach of applying the behavioral reasoning theory (BRT) to examine the adoption of internet of things (IoT) based wearables for the healthcare of older adults and it aims to understand the relative effect of “reasons for” and “reasons against” adoption of IoT-based wearables for health care among older adults. Design/methodology/approach The hypothesized relationships were established using the BRT and empirically tested using a representative sample of 815 respondents. The data were analyzed using the PLS-SEM method. Findings The findings of this study demonstrate that adoption intention of IoT-based wearables for the health care of older adults is influenced by “reason for” and “reason against” adoption. The finding shows that “reasons for” adoption are ubiquitous, relative advantage, compatibility and convenience and “reasons against” adoption are usage barrier, traditional barrier and risk barrier. Value of “openness to change” significantly influences the “reasons for” and “reasons against” adoption of IoT-based wearables. Research limitations/implications This cross-sectional study is conducted only in the Indian context and future research can be conducted in other countries to generalize the results. Practical implications This research highlighted both the adoption factors—“for” and “against,” which should be considered while developing marketing strategies for IoT-based wearables for health care of older adults. Adoption of IoT-based wearables for healthcare of older adults will increase when marketers endeavor to minimize the effects of the anti-adoption factors. Originality/value This is a unique study that examines the adoption of IoT-based wearables for healthcare among older people using the BRT, by probing the “reasons for” and “reasons against” adoption in a single framework.
{"title":"Adoption of internet of things (IOT) based wearables for healthcare of older adults – a behavioural reasoning theory (BRT) approach","authors":"Brijesh Sivathanu","doi":"10.1108/JET-12-2017-0048","DOIUrl":"https://doi.org/10.1108/JET-12-2017-0048","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to utilize the novel approach of applying the behavioral reasoning theory (BRT) to examine the adoption of internet of things (IoT) based wearables for the healthcare of older adults and it aims to understand the relative effect of “reasons for” and “reasons against” adoption of IoT-based wearables for health care among older adults.\u0000\u0000\u0000Design/methodology/approach\u0000The hypothesized relationships were established using the BRT and empirically tested using a representative sample of 815 respondents. The data were analyzed using the PLS-SEM method.\u0000\u0000\u0000Findings\u0000The findings of this study demonstrate that adoption intention of IoT-based wearables for the health care of older adults is influenced by “reason for” and “reason against” adoption. The finding shows that “reasons for” adoption are ubiquitous, relative advantage, compatibility and convenience and “reasons against” adoption are usage barrier, traditional barrier and risk barrier. Value of “openness to change” significantly influences the “reasons for” and “reasons against” adoption of IoT-based wearables.\u0000\u0000\u0000Research limitations/implications\u0000This cross-sectional study is conducted only in the Indian context and future research can be conducted in other countries to generalize the results.\u0000\u0000\u0000Practical implications\u0000This research highlighted both the adoption factors—“for” and “against,” which should be considered while developing marketing strategies for IoT-based wearables for health care of older adults. Adoption of IoT-based wearables for healthcare of older adults will increase when marketers endeavor to minimize the effects of the anti-adoption factors.\u0000\u0000\u0000Originality/value\u0000This is a unique study that examines the adoption of IoT-based wearables for healthcare among older people using the BRT, by probing the “reasons for” and “reasons against” adoption in a single framework.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-06-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-12-2017-0048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44111893","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-18DOI: 10.1108/JET-12-2017-0054
J. Loy, N. Haskell
Purpose Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research. Design/methodology/approach This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods. Findings Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences. Research limitations/implications This review is a positioning paper for design-led research into digital technology across scale and medium. Practical implications This paper provides the basis for practical research including the ongoing hospital-based research of the authors. Social implications This approach potentially enhances emotional experiences of connected healthcare. Originality/value Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion.
{"title":"Future care: rethinking technology enhanced aged care environments","authors":"J. Loy, N. Haskell","doi":"10.1108/JET-12-2017-0054","DOIUrl":"https://doi.org/10.1108/JET-12-2017-0054","url":null,"abstract":"\u0000Purpose\u0000Cutting-edge hospital and residential care architecture and interior design aim to address the emotional and practical needs of patients, staff and visitors. Yet, whilst improving on past practice, current approaches to design still rarely recognise or respond to individuals. The purpose of this paper is to provide a review of design-led research into digital technology across disciplines for the personalisation of healthcare environments and is informed by the authors’ ongoing hospital-based research.\u0000\u0000\u0000Design/methodology/approach\u0000This review is based on a design anthropology framework providing insight into designing for changing the experience for older patients in current healthcare contexts and future focused strategies, integrating digital technologies and human-centred design across scale and disciplines. It is informed by ongoing hospital studies based on design-led research methodology, drawing on design anthropology and ethnographical methods.\u0000\u0000\u0000Findings\u0000Technology enhanced, human-centred, assistive devices and environments implemented into healthcare across scale are developing but integration is needed for meaningful experiences.\u0000\u0000\u0000Research limitations/implications\u0000This review is a positioning paper for design-led research into digital technology across scale and medium.\u0000\u0000\u0000Practical implications\u0000This paper provides the basis for practical research including the ongoing hospital-based research of the authors.\u0000\u0000\u0000Social implications\u0000This approach potentially enhances emotional experiences of connected healthcare.\u0000\u0000\u0000Originality/value\u0000Future care scenarios are proposed, with technology and human experience as key drivers. Individualised and personalised solutions better cater for diversity. Within this context, it is strategic to question and test new ways of crafting the older persons care experience. This paper brings new direction to this discussion.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-12-2017-0054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46444861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-06-18DOI: 10.1108/JET-10-2017-0041
Y. V. Zaalen, M. Mcdonnell, Barbara Mikołajczyk, S. Buttigieg, M. Requena, F. Holtkamp
Purpose The purpose of this paper is to focus on ethical and judicial themes related to technology and the older adults. Design/methodology/approach Different consecutive phases in technology design and allocation will be discussed from a range of perspectives. Findings Longevity is one of the greatest achievements of contemporary science and a result of development of social relations. Currently, various non-communicable diseases affect older adults and impose the greatest burden on global health. There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for good quality of life (QOL). The concept of assisting the older adult through the use of technology so as to access healthcare services has enormous potential. Although the potential of technology in healthcare is widely recognised, technology use can have its downsides. Professionals need to be aware of the risks, namely, those related to the privacy of the older person, which may accompany technology use. Research limitations/implications By 2050, there will be more people aged over 65 than there are children. This phenomenon of global ageing constitutes a massive challenge in the area of health protection. Practical implications Professionals need to be aware of the risks, for example, related to the privacy of the older person, that may accompany technology use. Social implications There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for QOL. Originality/value The concept of assisting the older adult through the use of technology to avail of healthcare has enormous potential. Assistive technology, social media use and augmentative and alternative communication can have a positive effect on the QOL of older people, as long as they are supported enough in use of these technologies. However, ethical and juridical considerations are at stake as well.
{"title":"Technology implementation in delivery of healthcare to older people: how can the least voiced in society be heard?","authors":"Y. V. Zaalen, M. Mcdonnell, Barbara Mikołajczyk, S. Buttigieg, M. Requena, F. Holtkamp","doi":"10.1108/JET-10-2017-0041","DOIUrl":"https://doi.org/10.1108/JET-10-2017-0041","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to focus on ethical and judicial themes related to technology and the older adults.\u0000\u0000\u0000Design/methodology/approach\u0000Different consecutive phases in technology design and allocation will be discussed from a range of perspectives.\u0000\u0000\u0000Findings\u0000Longevity is one of the greatest achievements of contemporary science and a result of development of social relations. Currently, various non-communicable diseases affect older adults and impose the greatest burden on global health. There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for good quality of life (QOL). The concept of assisting the older adult through the use of technology so as to access healthcare services has enormous potential. Although the potential of technology in healthcare is widely recognised, technology use can have its downsides. Professionals need to be aware of the risks, namely, those related to the privacy of the older person, which may accompany technology use.\u0000\u0000\u0000Research limitations/implications\u0000By 2050, there will be more people aged over 65 than there are children. This phenomenon of global ageing constitutes a massive challenge in the area of health protection.\u0000\u0000\u0000Practical implications\u0000Professionals need to be aware of the risks, for example, related to the privacy of the older person, that may accompany technology use.\u0000\u0000\u0000Social implications\u0000There is a great emphasis across Europe on caring for the older person in their own homes. Technology has a mediating role in determining the possibilities for QOL.\u0000\u0000\u0000Originality/value\u0000The concept of assisting the older adult through the use of technology to avail of healthcare has enormous potential. Assistive technology, social media use and augmentative and alternative communication can have a positive effect on the QOL of older people, as long as they are supported enough in use of these technologies. However, ethical and juridical considerations are at stake as well.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-10-2017-0041","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43154166","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-20DOI: 10.1108/JET-11-2017-0046
C. Weernink, E. Felix, P. Verkuijlen, A. V. Daele, J. Kazak, J. Hoof
Purpose In the domain of healthcare, both process efficiency and the quality of care can be improved through the use of dedicated pervasive technologies. Among these applications are so-called real-time location systems (RTLS). Such systems are designed to determine and monitor the location of assets and people in real time through the use of wireless sensor networks. Numerous commercially available RTLS are used in hospital settings. The nursing home is a relatively unexplored context for the application of RTLS and offers opportunities and challenges for future applications. The paper aims to discuss these issues. Design/methodology/approach This paper sets out to provide an overview of general applications and technologies of RTLS. Thereafter, it describes the specific healthcare applications of RTLS, including asset tracking, patient tracking and personnel tracking. These overviews are followed by a forecast of the implementation of RTLS in nursing homes in terms of opportunities and challenges. Findings By comparing the nursing home to the hospital, the RTLS applications for the nursing home context that are most promising are asset tracking of expensive goods owned by the nursing home in order to facilitate workflow and maximise financial resources, and asset tracking of personal belongings that may get lost due to dementia. Originality/value This paper is the first to provide an overview of potential application of RTLS technologies for nursing homes. The paper described a number of potential problem areas that can be addressed by RTLS.
{"title":"Real-time location systems in nursing homes: state of the art and future applications","authors":"C. Weernink, E. Felix, P. Verkuijlen, A. V. Daele, J. Kazak, J. Hoof","doi":"10.1108/JET-11-2017-0046","DOIUrl":"https://doi.org/10.1108/JET-11-2017-0046","url":null,"abstract":"Purpose\u0000In the domain of healthcare, both process efficiency and the quality of care can be improved through the use of dedicated pervasive technologies. Among these applications are so-called real-time location systems (RTLS). Such systems are designed to determine and monitor the location of assets and people in real time through the use of wireless sensor networks. Numerous commercially available RTLS are used in hospital settings. The nursing home is a relatively unexplored context for the application of RTLS and offers opportunities and challenges for future applications. The paper aims to discuss these issues.\u0000\u0000\u0000Design/methodology/approach\u0000This paper sets out to provide an overview of general applications and technologies of RTLS. Thereafter, it describes the specific healthcare applications of RTLS, including asset tracking, patient tracking and personnel tracking. These overviews are followed by a forecast of the implementation of RTLS in nursing homes in terms of opportunities and challenges.\u0000\u0000\u0000Findings\u0000By comparing the nursing home to the hospital, the RTLS applications for the nursing home context that are most promising are asset tracking of expensive goods owned by the nursing home in order to facilitate workflow and maximise financial resources, and asset tracking of personal belongings that may get lost due to dementia.\u0000\u0000\u0000Originality/value\u0000This paper is the first to provide an overview of potential application of RTLS technologies for nursing homes. The paper described a number of potential problem areas that can be addressed by RTLS.","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-03-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-11-2017-0046","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42925514","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2018-03-15DOI: 10.1108/JET-01-2018-0003
I. Martens, H. Verbeek, J. Aarts, W. P. H. Bosems, E. Felix, J. Hoof
Purpose Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology. Design/methodology/approach A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire. Findings The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed. Practical implications The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents. Originality/value The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.
{"title":"The vision of bedfast nursing home residents of their quality of life and the contribution of technological innovations in and around the bed","authors":"I. Martens, H. Verbeek, J. Aarts, W. P. H. Bosems, E. Felix, J. Hoof","doi":"10.1108/JET-01-2018-0003","DOIUrl":"https://doi.org/10.1108/JET-01-2018-0003","url":null,"abstract":"\u0000Purpose\u0000Over 8 per cent of the Dutch nursing home population is bedfast, and this number is slowly increasing. The quality of life (QoL) of this population is lower than that of residents who are still mobile. Little research has been conducted on how to improve the QoL of this bedfast population, particularly through making technological adjustments to the bed and the direct surroundings. The purpose of this paper is to gain insight into the QoL of bedfast residents and how to improve this through technology.\u0000\u0000\u0000Design/methodology/approach\u0000A mixed-method multi-case study with thematic analysis was conducted in two nursing homes with seven participants based on semi-structured interviews and Short Form-12 questionnaire.\u0000\u0000\u0000Findings\u0000The major causes of the experienced low QoL were the limited opportunities for engaging in social contacts with others, and coping with the dependency on other people and having limited control. Participants suggested improvements of QoL through the application of modern communication technologies to engage in social contacts and to control the bed itself and environment around the bed.\u0000\u0000\u0000Practical implications\u0000The results may help improve the design of the bed and the direct environment in order to improve the QoL of bedfast nursing home residents.\u0000\u0000\u0000Originality/value\u0000The QoL of bedfast nursing home residents has not been studied before in relation to the bed itself and technological solutions that may help improve the QoL and level of control.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-01-2018-0003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47928465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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