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探索老年人对数字家庭护理干预和家庭改造的看法:焦点小组研究

Exploring Older Adults' Perspectives on Digital Home Care Interventions and Home Modifications: Focus Group Study.

作者信息

Choukou Mohamed-Amine, Banihani Jasem, Azizkhani Sarah

机构信息

Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.

Centre on Aging, University of Manitoba, Winnipeg, MB, Canada.

出版信息

JMIR Form Res. 2024 Dec 13;8:e52834. doi: 10.2196/52834.

Abstract

BACKGROUND

Emerging gerontechnology seeks to enable older adults (OAs) to remain independently and safely in their homes by connecting to health and social support and services. There are increasing attempts to develop gerontechnology, but successful implementations are more likely limited because of the uncertainty of developers about the needs and priorities of OAs. As the global population ages, the challenges faced by older OAs in maintaining independence and well-being within their homes have become increasingly important. With the proportion of OAs expected to triple by 2068, addressing the needs of this demographic has become a pressing social and public health priority. OAs often encounter various challenges related to physical, cognitive, and social well-being, including reduced mobility, memory impairments, and social isolation, which can compromise their ability to age in place and maintain a high quality of life.

OBJECTIVE

The goals of this qualitative research study are to (1) determine the best strategies for promoting aging well in the community with the support of gerontechnology, (2) establish the top priorities for implementing gerontechnology with OAs and their families, and (3) create a road map for the creation and application of gerontechnology for aging well in Manitoba.

METHODS

A total of 14 OAs participated in a qualitative research study conducted through a coconstruction workshop format, including a presentation of novel research facilities and a demonstration of research and development products. This activity was followed by an interactive discussion focused on revisiting the ongoing research and innovation programs and planning for a new research and innovation agenda. The workshop contents, notes, and recorded conversation underwent a data-driven inductive analysis.

RESULTS

Emerging themes included home design, accessibility, and safety for OAs, particularly those with memory impairments. The participants also underlined the need for digital reminders and ambient technologies in current homes as a priority. Participants stressed the importance of including OAs in gerontechnology development programs and the need to consider dignity and independence as the guiding values for future research.

CONCLUSIONS

This study presents a tentative road map for the development of gerontechnology in Manitoba. The main principles of our road map are the inclusion of OAs as early as possible in gerontechnology development and the prioritization of independence and dignity. Applying these principles would contribute to combatting digital ageism and the marginalization of OAs in technology development because of the perceived lack of technological skills and the stereotypes associated with this presumption.

摘要

背景

新兴的老年技术旨在通过连接健康和社会支持与服务,使老年人能够在自己家中独立且安全地生活。开发老年技术的尝试日益增多,但由于开发者对老年人的需求和优先事项存在不确定性,成功的实施案例可能较为有限。随着全球人口老龄化,老年群体在居家保持独立和幸福方面面临的挑战变得愈发重要。预计到2068年,老年人口比例将增至三倍,满足这一人群的需求已成为紧迫的社会和公共卫生优先事项。老年人经常面临与身体、认知和社会福祉相关的各种挑战,包括行动不便、记忆障碍和社会孤立,这些都会影响他们居家养老和维持高质量生活的能力。

目的

这项定性研究的目标是:(1)确定在老年技术支持下促进社区健康老龄化的最佳策略;(2)确定与老年人及其家庭实施老年技术的首要优先事项;(3)为在曼尼托巴省创建和应用促进健康老龄化的老年技术制定路线图。

方法

共有14名老年人参与了一项通过共建研讨会形式开展的定性研究,包括展示新型研究设施以及演示研发产品。之后进行了互动讨论,重点是回顾正在进行的研究和创新项目,并规划新的研究和创新议程。对研讨会内容、笔记和录音对话进行了数据驱动的归纳分析。

结果

新出现的主题包括老年人的家庭设计、无障碍环境和安全性,尤其是那些有记忆障碍的老年人。参与者还强调,当前家庭中数字提醒和环境技术的需求应作为优先事项。参与者强调了让老年人参与老年技术开发项目的重要性,以及将尊严和独立性作为未来研究指导价值观的必要性。

结论

本研究为曼尼托巴省老年技术的发展提出了一个初步路线图。我们路线图的主要原则是尽早让老年人参与老年技术开发,并将独立性和尊严作为优先事项。应用这些原则将有助于对抗数字时代歧视以及由于认为老年人缺乏技术技能和与此假设相关的刻板印象而导致他们在技术开发中被边缘化的情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5e15/11681281/a273f1494d81/formative_v8i1e52834_fig1.jpg

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