Advertisement

Assembling mass-market technology for the sake of wellbeing: a case study on the adoption of ambient intelligent systems by older adults living at home

  • Francisco J. GutierrezEmail author
  • Diego Muñoz
  • Sergio F. Ochoa
  • José M. Tapia
Original Research

Abstract

Everyday more and more ubiquitous applications are developed to support aging in place and ambient assisted living. Although these technologies typically adhere to the functional requirements defined by their developers, many of these solutions evidence limitations for being adopted by end-users, i.e., older adults. This paper reports the authors’ experience in the design and deployment of several iterations of the SocialConnector system—a computer-supported family communication mediator—as a case study that helps identify key factors that ease the adoption of ambient intelligent systems encouraging intergenerational family communication at home. The particularity of the followed approach is to assemble widely available mass-market technology—such as commercial Tablet PCs and TV displays—glued together with innovative software, as a way to drive system adoption through economically affordable hardware running over empirically-driven considerations for designing effective software in this study domain. The case study results help researchers and practitioners to conceive technology that has a better chance of being embraced by older adults and their supporting family networks; particularly, when such a technology is going to be deployed in their homes. Therefore, the key design factors identified in this paper can be used to inform the conception and modeling of ambient intelligent systems that help older adults address several aspects of their aging in place process, like health monitoring, personal security, social engagement, support to daily activities, and ultimately, fostering wellbeing.

Keywords

Technology adoption Older adults Home instrumentation Off-the-shelf technology Aging in place Ambient assisted living 

Notes

Acknowledgements

This work has been partially supported by the Fondecyt Project (Chile), grant: 1150252. The work of Francisco J. Gutierrez has been supported by the Ph.D. Scholarship Program of Conicyt Chile (CONICYT-PCHA/Doctorado Nacional/2013-21130075).

References

  1. Arnold-Cathalifaud M, Thumala D, Urquiza A, Ojeda A (2008) Young people’s images of old age in Chile: exploratory research. Educ Gerontol 34(2):105–123. doi: 10.1080/03601270701700359 Google Scholar
  2. Azimi I, Rahmani AM, Liljeberg P, Tenhunen H (2017) Internet of things for remote elderly monitoring: a study from user-centered perspective. J Ambient Intell Humaniz Comput 8(2):273–289. doi: 10.1007/s12652-016-0387-y Google Scholar
  3. Barbosa Neves B, Franz RL, Munteanu C, Baecker R, Ngo M (2015) “My hand doesn’t listen to me!”: adoption and evaluation of a communication technology for the ‘oldest old’. Proceedings of the ACM SIGCHI Conference on Human Factors in Computing Systems (CHI’15). ACM Press, pp 1593–1602. doi: 10.1145/2702123.2702430
  4. Barros C, Fernández MB, Herrera MS (2014) Notions that people over 45 years old have about family and the internal interactions between family members [in Spanish]. Psicoperspectivas 13(1):121–130. doi: 10.5027/psicoperspectivas-Vol13-Issue1-fulltext-264 Google Scholar
  5. Berkhoff C, Ochoa SF, Pino JA, Favela J, Oliveira J, Guerrero LA (2014) Clairvoyance: a framework to integrate shared displays and mobile computing devices. Future Gener Comput Syst 34:190–200. doi: 10.1016/j.future.2013.10.013 Google Scholar
  6. Bobeth J, Schrammel J, Deutsch S, Klein M, Drobics M, Hochleitner C, Tscheligi M (2014) Tablet, gestures, remote control? Influence of age on performance and user experience with iTV applications. Proceedings of the ACM International Conference on Interactive Experiences for TV and Online Video. ACM Press, pp 139–146. doi: 10.1145/2602299.2602315
  7. Boyd K, Nugent C, Donnelly M, Sterritt R, Bond R (2012) A Usability Protocol for Evaluating Online Social Networks. In: Proceedings of the 10th International Conference on Smart Homes and Health Telematics (ICOST’12), LNCS, vol 7251, pp 222–225. doi: 10.1007/978-3-642-30779-9 $430
  8. Brereton M, Soro A, Vaisutis K, Roe P (2015) The messaging kettle: prototyping connection over a distance between adult children and older parents. Proceedings of the ACM SIGCHI Conference on Human Factors in Computing Systems (CHI’15). ACM Press, pp 713–716. doi: 10.1145/2702123.2702462
  9. Chen K, Chan AHS (2011) A review of technology acceptance by older adults. Gerontechnology 10(1):1–12. doi: 10.4017/gt.2011.10.01.006.00 Google Scholar
  10. Chuttur MY (2009) Overview of the technology acceptance model: origins, developments and future directions. Sprouts: Working Papers on Information Systems 9(37). http://sprouts.aisnet.org/9-37
  11. Cleland I, Nugent CD, McClean SI, Hartin HJ, Sanders C, Donnelly M, Zhang S, Scotney B, Smith K, Norton MC, Tschanz JT (2014) Predicting Technology Adoption in People with Dementia: Initial Results from the TAUT Project. In Proceedings of the 6th International Work-Conference on Ambient Assisted Living (IWAAL’14), LNCS 8868, 266–274. doi: 10.1007/978-3-319-13105-4 $439
  12. Cloutier-Fisher D, Kobayashi K, Smith A (2011) The subjective dimension of social isolation: a qualitative investigation of older adults’ experiences in small social support networks. J Aging Stud 25(4):407–414. doi: 10.1016/j.jaging.2011.03.012 Google Scholar
  13. Cornejo R, Tentori M, Favela J (2013) Ambient awareness to strengthen the family social network of older adults. Comput Support Coop Work 22(2):309–344. doi: 10.1007/s10606-012-9166-2 Google Scholar
  14. Czaja SJ, Charness N, Fisk AD, Hertzog C, Nair SN, Rogers WA, Sharit J (2006) Factors predicting the use of technology: findings from the Center for Research and Education on Aging and Technology (CREATE). Psychol Aging 21(2):333–352. doi: 10.1037/0882-7974.21.2.333 Google Scholar
  15. Davis FD, Bagozzi RP, Warshaw PR (1989) User acceptance of computer technology: a comparison of two theoretical models. Manage Sci 35:982–1003. doi: 10.1287/mnsc.35.8.982 Google Scholar
  16. Demiris G, Rantz MJ, Aud MA, Marek KD, Tyrer HW, Skubic M, Hussam AA (2004) Older adults’ attitudes towards and perceptions of ‘smart home’ technologies: a pilot study. Med Inform Internet Med 29(2):87–94. doi: 10.1080/14639230410001684387 Google Scholar
  17. Dickinson A, Hill RL (2007) Keeping in touch: talking to older people about computers and communication. Educ Gerontol 33(8):613–630. doi: 10.1080/03601270701363877 Google Scholar
  18. Doyle J, Bailey C, Ni Scanaill C, van der Berg F (2014) Lessons learned in deploying independent living technologies to older adults’ homes. Univ Access Inf Soc 13(2):191–204. doi: 10.1007/s10209-013-0308-1 Google Scholar
  19. Fernández B, Herrera MS, Valenzuela E (2014) Chile and its older adults: third national survey on quality of life in elderly people [in Spanish]. Ministry of Social Development, ChileGoogle Scholar
  20. Fisk AD, Rogers WA, Charness N, Czaja SJ, Sharit J (2012) Designing for older adults: principles and creative human factors approaches. CRC Press, Boca Raton, FLGoogle Scholar
  21. Forghani A, Neustaedter C (2014) The routines and needs of grandparents and parents for grandparent-grandchildren conversations over distance. Proceedings of the ACM SIGCHI Conference on Human Factors in Computing Systems (CHI’14). ACM Press, pp 4177–4186. doi: 10.1145/2556288.2557255
  22. Garattini C, Wherton J, Prendergast D (2012) Linking the lonely: an exploration of a communication technology designed to support social interaction among older adults. Univ Access Inf Soc 11(2):211–222. doi: 10.1007/s10209-011-0235-y Google Scholar
  23. Giddens A (1998) Conversations with Anthony Giddens: making sense of modernity. Stanford University Press, Stanford, CAGoogle Scholar
  24. Guerrero LA, Ochoa SF, Pino JA, Collazos C (2006) Selecting computing devices to support mobile collaboration. Group Decis Negot 15(3):243–271. doi: 10.1007/s10726-006-9020-3 Google Scholar
  25. Gutierrez FJ, Ochoa SF (2016) Mom, I do have a family!: attitudes, agreements, and expectations on the interaction with Chilean older adults. Proceedings of the ACM Conference on Computer-Supported Cooperative Work and Social Computing (CSCW’16). ACM Press, pp 1400–1409. doi: 10.1145/2818048.2820000
  26. Gutierrez FJ, Ochoa SF (2017) It takes at least two to tango: understanding the cooperative nature of elderly caregiving in Latin America. Proceedings of the ACM Conference on Computer-Supported Cooperative Work and Social Computing (CSCW’17). ACM Press, pp 1618–1630. doi: 10.1145/2998181.2998314
  27. Gutierrez FJ, Ochoa SF, Vassileva J (2017) Mediating intergenerational family communication with computer-supported domestic technology. In: Proceedings of the International Conference on Collaboration and Technology (CRIWG'17). Springer, pp. 132–147. doi: 10.1007/978-3-319-63874-4_11
  28. Harley D, Fitzpatrick G (2009) YouTube and intergenerational communication: the case of Geriatric1927. Univ Access Inf Soc 8(1):5–20. doi: 10.1007/s10209-008-0127-y Google Scholar
  29. Heart T, Kalderon E (2013) Older adults: are they ready to adopt health-related ICT? Int J Med Inf 82(11):209–231. doi: 10.1016/j.ijmedinf.2011.03.002 Google Scholar
  30. Holzinger A (2005) Usability engineering methods for software developers. Commun ACM 48(1):71–74. doi: 10.1145/1039539.1039541 Google Scholar
  31. House JS (2001) Social isolation kills, but how and why? Psychosom Med 63(2):273–274. doi: 10.1097/00006842-200103000-00011 Google Scholar
  32. House JS, Landis KR, Umberson D (1988) Social relationships and health. Science 241(4865):540–545. doi: 10.1126/science.3399889 Google Scholar
  33. IEC-International Electrotechnical Commission (2014) Internet of Things: Wireless Sensor Networks. Wireless Sensor Networks project team. http://www.iec.ch/whitepaper/pdf/iecWP-internetofthings-LR-en.pdf
  34. Jaschinski C, Ben Allouch S (2015) An extended view on benefits and barriers of ambient assisted living solutions. Int J Adv Life Sci 7(1–2):40–53Google Scholar
  35. Kochera A, Straight A, Guterbock T (2005) Beyond 50.05—a report to the nation on livable communities: creating environments for successful aging. American Association of Retired Persons (AAAP). http://assets.aarp.org/rgcenter/il/beyond_50_communities.pdf. Accessed 2 Nov 2016
  36. Kurniawan S, Zaphiris P (2005) Research-derived web design guidelines for older people. Proceedings of the International ACM SIGACCESS Conference on Computers and Accessibility (ASSETS’05). ACM Press, pp 129–135. doi: 10.1145/1090785.1090810
  37. Licoppe C, Smoreda Z (2005) Are social networks technologically embedded?: how networks are changing today with changes in communication technology. Soc Netw 27(4):317–335. doi: 10.1016/j.socnet.2004.11.001 Google Scholar
  38. Lindley SE, Harper R, Sellen A (2008) Designing for elders: exploring the complexity of relationships in later life. Proceedings of the British HCI Group Annual Conference on HCI (BCS-HCI’08). British Computer Society, pp 77–86Google Scholar
  39. Lyytinen K, Yoo Y (2002) Issues and challenges in ubiquitous computing. Commun ACM 45(12):62–65. doi: 10.1145/585597.585616 Google Scholar
  40. Melenhorst AS, Rogers WA, Caylor EC (2001) The use of communication technologies by older adults: exploring the benefits from the user’s perspective. Proc Human Factors Ergonom Soc Annu Meet 45(3):221–225Google Scholar
  41. Morris A, Goodman J, Brading H (2007) Internet use and non-use: views of older users. Univ Access Inf Soc 6(1):43–57. doi: 10.1007/s10209-006-0057-5 Google Scholar
  42. Muñoz D, Gutierrez FJ, Ochoa SF, Baloian N (2013) Enhancing social interaction between older adults and their families. In: Proceedings of the International Work-Conference on Ambient Assisted Living (IWAAL’13). Springer, pp 47–54. doi: 10.1007/978-3-319-03092-0_7
  43. Muñoz D, Cornejo R, Gutierrez FJ, Favela J, Ochoa SF, Tentori M (2015a) A social cloud-based tool to deal with time and media mismatch of intergenerational family communication. Future Gener Comput Syst 53:140–151. doi: 10.1016/j.future.2014.07.003 Google Scholar
  44. Muñoz D, Gutierrez FJ, Ochoa SF, Baloian N (2015b) SocialConnector: a ubiquitous system to ease the social interaction among family community members. Comput Syst Sci Eng 30(1):57–68Google Scholar
  45. Muñoz D, Gutierrez FJ, Ochoa SF (2015c) Introducing ambient assisted living technology at the home of the elderly: challenges and lessons learned. In: Proceedings of the International Work-Conference on Ambient Assisted Living (IWAAL’15). Springer, pp 125–136. doi: 10.1007/978-3-319-26410-3_12
  46. Neal AG, Collas SF (2000) Intimacy and alienation: forms of estrangement in female/male relationships. Garland Publishing, New York, NYGoogle Scholar
  47. Nugent C, Cleland I, McClean SI, Behrens S (2016) TAUT: technology adoption and prediction tools for everuday technologies. Alzheimer’s Dementia J Alzheimer’s Assoc 12(7):P273–P274. doi: 10.1016/j.jalz.2016.06.49 Google Scholar
  48. Patsoule E, Koutsabasis P (2012) Redesigning web sites for older adults. Proceedings of the International Conference on Pervasive Technologies Related to Assistive Environments (PETRA’12). ACM Press pp 13:1–13:8. doi: 10.1145/2413097.2413114
  49. Procter R, Greenhalgh T, Wherton J, Sugarhood P, Rouncefields M, Hinder S (2014) The day-to-day co-production of aging in place. Comput Support Coop Work 23(3):245–267. doi: 10.1007/s10606-014-9202-5 Google Scholar
  50. Steele R, Lo A, Secombe C, Wong YK (2009) Elderly persons’ perception and acceptance of using wireless sensor networks to assist healthcare. Int J Med Informatics 78(12):788–801. doi: 10.1016/j.ijmedinf.2009.08.001 Google Scholar
  51. Tapia JM, Gutierrez FJ, Ochoa SF (2016) Using Smart TV applications for providing interactive ambient assisted living services to older adults. Proceedings of the International Conference on Ubiquitous Computing and Ambient Intelligence (UCAmI’16). Springer, pp 514–524. doi: 10.1007/978-3-319-48746-5_53
  52. Tee K, Brush AJB, Inkpen KM (2009) Exploring communication and sharing between extended families. Int J Hum Comput Stud 67(2):128–138. doi: 10.1016/j.ijhcs.2008.09.007 Google Scholar
  53. Thomas PA (2011) Trajectories of social engagement and limitations in late life. J Health Soc Behav 52(4):430–443. doi: 10.1177/0022146511411922 Google Scholar
  54. Thumala D, Arnold-Cathalifaud M, Massad C, Herrera F (2015) Inclusión y Exclusión Social de las Personas Mayores en Chile [Social Inclusion and Exclusion of Older Adults in Chile, in Spanish]. Servicio Nacional del Adulto Mayor, Facultad de Ciencias Sociales Universidad de Chile. http://senama.cl/filesapp/interiorSenamaOKFINAL.pdf. Accessed 5 July 2016
  55. Tilvis RS, Routasalo P, Karppinen H, Strandberg TE, Kautianen H, Pitkala KH (2012) Social isolation, social activity and loneliness as survival indicators in old age: a nationwide survey with a 7-year follow-up. Eur Geriatr Med 3(1):18–22. doi: 10.1016/j.eurger.2011.08.004 Google Scholar
  56. Umberson D, Montez JK (2010) Social relationships and health: a flashpoint for health policy. J Health Soc Behav 51:54–66. doi: 10.1177/0022146510383501 Google Scholar
  57. Venkatesh V, Davis F (2000) A theoretical extension of the Technology Acceptance Model: four longitudinal field studies. Manage Sci 46(2):186–204. doi: 10.1287/mnsc.46.2.186.11926 Google Scholar
  58. Ware P, Bartlett SJ, Paré G, Symeonidis I, Tannenbaum C, Bartlett G, Poissant L, Ahmed S (2017) Using eHealth technologies: interests, preferences, and concerns of older adults. Interact J Med Res 6(1). doi: 10.2196/ijmr.4447
  59. Yao D, Qiu Y, Huang H, Du Z, Ma J (2011) A survey of technology accessibility problems faced by older users in China. Univ Access Inf Soc 10(4):373–390. doi: 10.1007/s10209-011-0222-3 Google Scholar
  60. Zaphiris P, Pfeil U, Xhixho D (2009) User evaluation of age-centred web design guidelines. Proceedings of the International Conference on Universal Access in Human-Computer Interaction. Springer pp 677–686. doi: 10.1007/978-3-642-02707-9_77

Copyright information

© Springer-Verlag GmbH Germany 2017

Authors and Affiliations

  1. 1.Department of Computer ScienceUniversity of ChileSantiagoChile

Personalised recommendations