Mulvenna Maurice, Hutton Anton, Coates Vivien, Martin Suzanne, Todd Stephen, Bond Raymond, Moorhead Anne
School of Computing and Mathematics, Ulster University, Newtownabbey, UK.
School of Creative Arts and Technologies, Ulster University, Newtownabbey, UK.
Neuroethics. 2017;10(2):255-266. doi: 10.1007/s12152-017-9305-z. Epub 2017 Jan 24.
This paper examines the ethics of using assistive technology such as video surveillance in the homes of people living with dementia. Ideation and concept elaboration around the introduction of a camera-based surveillance service in the homes of people with dementia, typically living alone, is explored. The paper reviews relevant literature on surveillance of people living with dementia, and summarises the findings from ideation and concept elaboration workshops, designed to capture the views of those involved in the care of people living with dementia at home. The research question relates to the ethical considerations of using assistive technologies that include video surveillance in the homes of people living with dementia, and the implications for a person living with dementia whenever video surveillance is used in their home and access to the camera is given to the person's family. The review of related work indicated that such video surveillance may result in loss of autonomy or freedom for the person with dementia. The workshops reflected the findings from the related work, and revealed useful information to inform the service design, in particular in fine-tuning the service to find the best relationship between privacy and usefulness. Those who took part in the workshops supported the concept of the use of camera in the homes of people living with dementia, with some significant caveats around privacy. The research carried out in this work is small in scale but points towards an acceptance by many caregivers of people living with dementia of surveillance technologies. This paper indicates that those who care for people living with dementia at home are willing to make use of camera technology and therefore the value of this work is to help shed light on the direction for future research.
本文探讨了在痴呆症患者家中使用视频监控等辅助技术的伦理问题。围绕在通常独居的痴呆症患者家中引入基于摄像头的监控服务展开了构思和概念阐述。本文回顾了有关痴呆症患者监控的相关文献,并总结了构思和概念阐述研讨会的结果,这些研讨会旨在收集那些在家中照顾痴呆症患者的人员的观点。研究问题涉及在痴呆症患者家中使用包括视频监控在内的辅助技术的伦理考量,以及当在患者家中使用视频监控并将摄像头的访问权限提供给患者家属时,对痴呆症患者的影响。对相关工作的综述表明,这种视频监控可能会导致痴呆症患者丧失自主性或自由。研讨会反映了相关工作的结果,并揭示了有助于服务设计的有用信息,特别是在对服务进行微调以找到隐私与实用性之间的最佳关系方面。参加研讨会的人员支持在痴呆症患者家中使用摄像头的概念,但对隐私问题提出了一些重要的限制条件。这项工作开展的研究规模较小,但表明许多痴呆症患者的照料者接受监控技术。本文表明,那些在家中照顾痴呆症患者的人员愿意使用摄像头技术,因此这项工作的价值在于有助于为未来研究指明方向。