Pub Date : 2019-06-17DOI: 10.1108/JET-12-2018-0063
M. Poyade, Glyn Morris, Ian Taylor, Victor Portela
PurposeThe purpose of this paper is to present the preliminary outcomes of a research which takes gradual exposure in virtual reality (VR) outside the laboratory to empower people with “hidden disabilities” breaking down their barriers towards independent living. It explores the use of VR through smartphones to practically apply gradual exposure to environment stressors that are typically found in busy spaces from one’s own safe environment.Design/methodology/approachAberdeen International Airport has kindly accepted to take part to this research as a case study. Following a participatory design and usability testing, a semi-controlled seven-day study was conducted among seven individuals with hidden disabilities to assess user acceptance.FindingsResults showed undeniable participants’ engagement and enthusiasm for the proposed approach, although further research is needed to increase the presence and improve the overall user experience.Research limitations/implicationsThe proposed research has been conducted on small cohort of participants outside of a clinical setting. Further engagement with individuals with hidden disabilities is required in order to determine the effectiveness of the proposed approach.Originality/valueThis research presents a methodological and technological framework which contributes effectively to the practicality of VR exposure therapy outside of the laboratory setting, from one’s own safe place.
{"title":"iSenseVR: bringing VR exposure therapy outside the laboratory","authors":"M. Poyade, Glyn Morris, Ian Taylor, Victor Portela","doi":"10.1108/JET-12-2018-0063","DOIUrl":"https://doi.org/10.1108/JET-12-2018-0063","url":null,"abstract":"PurposeThe purpose of this paper is to present the preliminary outcomes of a research which takes gradual exposure in virtual reality (VR) outside the laboratory to empower people with “hidden disabilities” breaking down their barriers towards independent living. It explores the use of VR through smartphones to practically apply gradual exposure to environment stressors that are typically found in busy spaces from one’s own safe environment.Design/methodology/approachAberdeen International Airport has kindly accepted to take part to this research as a case study. Following a participatory design and usability testing, a semi-controlled seven-day study was conducted among seven individuals with hidden disabilities to assess user acceptance.FindingsResults showed undeniable participants’ engagement and enthusiasm for the proposed approach, although further research is needed to increase the presence and improve the overall user experience.Research limitations/implicationsThe proposed research has been conducted on small cohort of participants outside of a clinical setting. Further engagement with individuals with hidden disabilities is required in order to determine the effectiveness of the proposed approach.Originality/valueThis research presents a methodological and technological framework which contributes effectively to the practicality of VR exposure therapy outside of the laboratory setting, from one’s own safe place.","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-12-2018-0063","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43898638","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 : 2019-06-12DOI: 10.1108/JET-10-2018-0050
Rachel Proffitt, S. Glegg, D. Levac, B. Lange
Purpose Despite increasing evidence for the effectiveness of off-the-shelf and rehabilitation-specific active video games (AVGs) and virtual reality (VR) systems for rehabilitation, clinical uptake remains poor. A better match between VR/AVG system capabilities and client/therapist needs, through improved end-user involvement (UI) in VR/AVG implementation research, may increase uptake of this technology. The purpose of this paper is to review four case examples from the authors' collective experience of including end users in VR/AVG research to identify common benefits, challenges and lessons learned. Design/methodology/approach The authors apply knowledge and lessons learned from the four cases to make recommendations for subsequent user-engaged research design and methods, including evaluation of the impact of end UI. Findings A better match between VR/AVG system capabilities and client/therapist needs leads to improved end UI in all stages of VR/AVG implementation research. There are common benefits of increasing buy-in and soliciting early on the knowledge and skills of therapists as well as input from the ultimate end users: people participating in rehabilitation. Most settings have the challenges of balancing the technology requirements with the needs and goals of the practice setting and of the end users. Research limitations/implications Increasing end UI in VR/AVG implementation research may address issues related to poor clinical uptake. In the VR/AVG context, end users can be therapists, clients or technology developers/engineers. This paper presented four case scenarios describing the implementation of different VR/AVG systems and involving a variety of populations, end users and settings. Originality/value The set of recommendations for subsequent user-engaged research design and methods span the process of development, research and implementation. The authors hope that these recommendations will foster collaborations across disciplines, encourage researchers and therapists to adopt VR/AVGs more readily, and lead to efficacious and effective treatment approaches for rehabilitation clients.
{"title":"End-user involvement in rehabilitation virtual reality implementation research.","authors":"Rachel Proffitt, S. Glegg, D. Levac, B. Lange","doi":"10.1108/JET-10-2018-0050","DOIUrl":"https://doi.org/10.1108/JET-10-2018-0050","url":null,"abstract":"Purpose\u0000Despite increasing evidence for the effectiveness of off-the-shelf and rehabilitation-specific active video games (AVGs) and virtual reality (VR) systems for rehabilitation, clinical uptake remains poor. A better match between VR/AVG system capabilities and client/therapist needs, through improved end-user involvement (UI) in VR/AVG implementation research, may increase uptake of this technology. The purpose of this paper is to review four case examples from the authors' collective experience of including end users in VR/AVG research to identify common benefits, challenges and lessons learned.\u0000\u0000\u0000Design/methodology/approach\u0000The authors apply knowledge and lessons learned from the four cases to make recommendations for subsequent user-engaged research design and methods, including evaluation of the impact of end UI.\u0000\u0000\u0000Findings\u0000A better match between VR/AVG system capabilities and client/therapist needs leads to improved end UI in all stages of VR/AVG implementation research. There are common benefits of increasing buy-in and soliciting early on the knowledge and skills of therapists as well as input from the ultimate end users: people participating in rehabilitation. Most settings have the challenges of balancing the technology requirements with the needs and goals of the practice setting and of the end users.\u0000\u0000\u0000Research limitations/implications\u0000Increasing end UI in VR/AVG implementation research may address issues related to poor clinical uptake. In the VR/AVG context, end users can be therapists, clients or technology developers/engineers. This paper presented four case scenarios describing the implementation of different VR/AVG systems and involving a variety of populations, end users and settings.\u0000\u0000\u0000Originality/value\u0000The set of recommendations for subsequent user-engaged research design and methods span the process of development, research and implementation. The authors hope that these recommendations will foster collaborations across disciplines, encourage researchers and therapists to adopt VR/AVGs more readily, and lead to efficacious and effective treatment approaches for rehabilitation clients.","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-10-2018-0050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48827498","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 : 2019-03-18DOI: 10.1108/JET-06-2018-0028
Suhas Govind Joshi
Purpose This study introduces a phenomenological approach to the design of enabling technologies for older adults focusing on capabilities rather than disabilities. The purpose of this paper is to use embodied experiences to structure an alternative understanding of the human–technology relationship and demonstrates the significance and implications of this approach. Design/methodology/approach In total, 31 older citizens (M=80.5 years, SD=5.97 years) were engaged in a participatory design process revolving around the embodied experiences of the participants. The aim was to design new wireless chargers for their existing enabling technologies. The paper presents design results and statistical analyses of performance evaluations. Findings The co-designed alternatives were compared to the current alternative. The statistical analyses revealed an average increase in performance of 45.35 percent across all participants when using designs anchored in embodied experiences. The significance of these results suggests that a shift from disabilities to capabilities provides new opportunities to understand and facilitate interaction between older adults and technology. Research limitations/implications The study follows the theoretical argument into real-use scenarios involving co-designed artifacts to demonstrate how the suggested approach can be a viable alternative strategy to how we facilitate the design of enabling technologies for older adults. Originality/value The suggested design approach contributes to the ongoing development of enabling technologies for older adults by introducing a respectful and inclusive alternative strategy.
{"title":"Using embodied experiences to re-design enabling technologies","authors":"Suhas Govind Joshi","doi":"10.1108/JET-06-2018-0028","DOIUrl":"https://doi.org/10.1108/JET-06-2018-0028","url":null,"abstract":"\u0000Purpose\u0000This study introduces a phenomenological approach to the design of enabling technologies for older adults focusing on capabilities rather than disabilities. The purpose of this paper is to use embodied experiences to structure an alternative understanding of the human–technology relationship and demonstrates the significance and implications of this approach.\u0000\u0000\u0000Design/methodology/approach\u0000In total, 31 older citizens (M=80.5 years, SD=5.97 years) were engaged in a participatory design process revolving around the embodied experiences of the participants. The aim was to design new wireless chargers for their existing enabling technologies. The paper presents design results and statistical analyses of performance evaluations.\u0000\u0000\u0000Findings\u0000The co-designed alternatives were compared to the current alternative. The statistical analyses revealed an average increase in performance of 45.35 percent across all participants when using designs anchored in embodied experiences. The significance of these results suggests that a shift from disabilities to capabilities provides new opportunities to understand and facilitate interaction between older adults and technology.\u0000\u0000\u0000Research limitations/implications\u0000The study follows the theoretical argument into real-use scenarios involving co-designed artifacts to demonstrate how the suggested approach can be a viable alternative strategy to how we facilitate the design of enabling technologies for older adults.\u0000\u0000\u0000Originality/value\u0000The suggested design approach contributes to the ongoing development of enabling technologies for older adults by introducing a respectful and inclusive alternative strategy.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-06-2018-0028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48236759","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 : 2019-03-18DOI: 10.1108/JET-09-2018-0045
D. Vaziri, David Unbehaun, Konstantin Aal, Irina Shklovski, R. Wieching, D. Schreiber, V. Wulf
Purpose Designing technologies for active and healthy ageing (AHA) requires a subtle understanding of end users (primary stakeholders) and healthcare professionals (secondary stakeholders). Often, their perspectives can be heterogeneous and contradictory. Identifying and negotiating them may be a challenge for designers. The purpose of this paper is to present our approach to understanding and negotiating contradictory stakeholder perspectives when designing AHA technologies for older adults. Design/methodology/approach The authors conducted an exploratory interview study with 15 community-dwelling older adults and 11 healthcare stakeholders, including doctors, health insurance agencies, policymakers and caregivers. The authors analyzed the interview material and negotiated contradictory perspectives. Findings Three major issues among stakeholders emerged: perspectives on AHA; perceived benefits and drawbacks of AHA technologies; and concerns about data privacy, control and trust. Research limitations/implications The results show the heterogeneity and contradictions in stakeholder perspectives on AHA technologies and how these perspectives may be negotiated. This could help understand and facilitate long-term use of AHA technologies among older adults. Originality/value This study alerts researchers to contradictory perspectives among older people and healthcare stakeholders and the importance of involving them in the design of AHA technologies.
{"title":"Negotiating contradictions: engaging disparate stakeholder demands in designing for active and healthy ageing","authors":"D. Vaziri, David Unbehaun, Konstantin Aal, Irina Shklovski, R. Wieching, D. Schreiber, V. Wulf","doi":"10.1108/JET-09-2018-0045","DOIUrl":"https://doi.org/10.1108/JET-09-2018-0045","url":null,"abstract":"\u0000Purpose\u0000Designing technologies for active and healthy ageing (AHA) requires a subtle understanding of end users (primary stakeholders) and healthcare professionals (secondary stakeholders). Often, their perspectives can be heterogeneous and contradictory. Identifying and negotiating them may be a challenge for designers. The purpose of this paper is to present our approach to understanding and negotiating contradictory stakeholder perspectives when designing AHA technologies for older adults.\u0000\u0000\u0000Design/methodology/approach\u0000The authors conducted an exploratory interview study with 15 community-dwelling older adults and 11 healthcare stakeholders, including doctors, health insurance agencies, policymakers and caregivers. The authors analyzed the interview material and negotiated contradictory perspectives.\u0000\u0000\u0000Findings\u0000Three major issues among stakeholders emerged: perspectives on AHA; perceived benefits and drawbacks of AHA technologies; and concerns about data privacy, control and trust.\u0000\u0000\u0000Research limitations/implications\u0000The results show the heterogeneity and contradictions in stakeholder perspectives on AHA technologies and how these perspectives may be negotiated. This could help understand and facilitate long-term use of AHA technologies among older adults.\u0000\u0000\u0000Originality/value\u0000This study alerts researchers to contradictory perspectives among older people and healthcare stakeholders and the importance of involving them in the design of AHA technologies.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-09-2018-0045","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43989837","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 : 2019-03-18DOI: 10.1108/JET-05-2018-0023
F. Andréasson, Jan Aidemark, L. Magnusson, A. Strömberg, E. Hanson
Purpose The purpose of this paper is to reflect on carers’ experiences of being involved in the development of a web-based support programme for carers of people with heart failure (CPwHF), and discuss the challenges related to their involvement in the development process. The focus was on the different phases in the project as well as the methodological challenges and opportunities that occurred in the user group sessions conducted. Design/methodology/approach This research adopt an explorative design studying a co-design process to develop an information and communication technology based support programme for and with CPwHF. Habermas’ concepts of lifeworld and system are used as a theoretical framework to analyse the co-design process employed in the study. Findings Reflecting on the co-design approach adopted, the findings highlight the methodological challenges that arise with carer involvement and the possible tensions that occur between researchers’ ambitions to include users in the design process, and the goal of developing a product or service, in the different phases of the design process. Originality/value Findings highlight that there is a tension between the system and lifeworld in the co-design process which are not totally compatible. The paper highlights that there is a need to develop flexible and reflexive human-centred design methodologies, able to meet carers’ needs and ideas, and at the same time balance this with proposed research outcomes.
{"title":"Lifeworld in co-designing with informal carers","authors":"F. Andréasson, Jan Aidemark, L. Magnusson, A. Strömberg, E. Hanson","doi":"10.1108/JET-05-2018-0023","DOIUrl":"https://doi.org/10.1108/JET-05-2018-0023","url":null,"abstract":"\u0000Purpose\u0000The purpose of this paper is to reflect on carers’ experiences of being involved in the development of a web-based support programme for carers of people with heart failure (CPwHF), and discuss the challenges related to their involvement in the development process. The focus was on the different phases in the project as well as the methodological challenges and opportunities that occurred in the user group sessions conducted.\u0000\u0000\u0000Design/methodology/approach\u0000This research adopt an explorative design studying a co-design process to develop an information and communication technology based support programme for and with CPwHF. Habermas’ concepts of lifeworld and system are used as a theoretical framework to analyse the co-design process employed in the study.\u0000\u0000\u0000Findings\u0000Reflecting on the co-design approach adopted, the findings highlight the methodological challenges that arise with carer involvement and the possible tensions that occur between researchers’ ambitions to include users in the design process, and the goal of developing a product or service, in the different phases of the design process.\u0000\u0000\u0000Originality/value\u0000Findings highlight that there is a tension between the system and lifeworld in the co-design process which are not totally compatible. The paper highlights that there is a need to develop flexible and reflexive human-centred design methodologies, able to meet carers’ needs and ideas, and at the same time balance this with proposed research outcomes.\u0000","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-05-2018-0023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48144448","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}
{"title":"The Digitalization of Healthcare: Electronic Records and the Disruption of Moral Orders","authors":"Johanna L. H. Birkland","doi":"10.1108/JET-03-2019-071","DOIUrl":"https://doi.org/10.1108/JET-03-2019-071","url":null,"abstract":"","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-03-2019-071","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48597969","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 : 2019-03-18DOI: 10.1108/JET-06-2018-0027
G. Lancioni, Nirbhay N. Singh, M. O'Reilly, J. Sigafoos, Fiora D’amico, Dominga Laporta, A. Scordamaglia, K. Pinto
PurposeMusic stimulation is considered beneficial for people with advanced Alzheimer’s disease. The purpose of this paper is to assess a tablet-based program to promote music-related hand responses and positive engagement (e.g. singing or moving the body with the music) in people with advanced Alzheimer’s disease.Design/methodology/approachThe program was implemented with 20 participants according to a non-concurrent multiple baseline design across participants. The participants were provided with a tablet whose screen worked as a sensor. During the intervention, sensor activations by hand responses led the tablet to present 10 s segments of preferred songs; an absence of sensor activation led the tablet to produce a prompt.FindingsThe participants’ mean frequencies of hand responses (i.e. sensor activations) per 5 min session increased from mostly zero during baseline to between about 9 and 20 during the intervention. The mean percentages of observation intervals with participants’ positive engagement increased from 0 to 12 during the baseline to between 13 and 55 during the intervention. The differences between baseline and intervention data were statistically significant for all participants.Originality/valueA tablet-based program, such as that used in this study, may help people with advanced Alzheimer’s disease develop specific music-related responses and positive engagement.
{"title":"Tablet-based intervention to foster music-related hand responses and positive engagement in people with advanced Alzheimer’s disease","authors":"G. Lancioni, Nirbhay N. Singh, M. O'Reilly, J. Sigafoos, Fiora D’amico, Dominga Laporta, A. Scordamaglia, K. Pinto","doi":"10.1108/JET-06-2018-0027","DOIUrl":"https://doi.org/10.1108/JET-06-2018-0027","url":null,"abstract":"PurposeMusic stimulation is considered beneficial for people with advanced Alzheimer’s disease. The purpose of this paper is to assess a tablet-based program to promote music-related hand responses and positive engagement (e.g. singing or moving the body with the music) in people with advanced Alzheimer’s disease.Design/methodology/approachThe program was implemented with 20 participants according to a non-concurrent multiple baseline design across participants. The participants were provided with a tablet whose screen worked as a sensor. During the intervention, sensor activations by hand responses led the tablet to present 10 s segments of preferred songs; an absence of sensor activation led the tablet to produce a prompt.FindingsThe participants’ mean frequencies of hand responses (i.e. sensor activations) per 5 min session increased from mostly zero during baseline to between about 9 and 20 during the intervention. The mean percentages of observation intervals with participants’ positive engagement increased from 0 to 12 during the baseline to between 13 and 55 during the intervention. The differences between baseline and intervention data were statistically significant for all participants.Originality/valueA tablet-based program, such as that used in this study, may help people with advanced Alzheimer’s disease develop specific music-related responses and positive engagement.","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2019-03-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-06-2018-0027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47115932","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}
{"title":"Quantified Lives and Vital Data","authors":"K. Morrissey","doi":"10.1108/JET-12-2018-058","DOIUrl":"https://doi.org/10.1108/JET-12-2018-058","url":null,"abstract":"","PeriodicalId":42168,"journal":{"name":"Journal of Enabling Technologies","volume":null,"pages":null},"PeriodicalIF":2.2,"publicationDate":"2018-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1108/JET-12-2018-058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46517659","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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