O7.2 Welfare technology
Chair: Torhild Holthe
O7.2.1 Exergames and their construction of age
Susanne Dobner, Thomas
University of Vienna, Austria
The use and development of digital movement games or exergames has become widespread in gerontological research particularly in the context of Active and Assisted Living (AAL). In discourses around ‘active ageing’ and ‘ageing in place’, exergames are discussed as supporting older adults to remain physically and mentally fit which in turn allows them to maintain their ability to successfully age in place.
This empirical contribution examines how age is constructed in the interaction with and development of the ‘EnterTrain’ exergaming platform, a gaming platform developed within an ongoing AAL research project.
During a test and evaluation phase of the gaming platform, participants aged 65 and older have the games installed in their homes over a period of 12 months. Empirical material used for the analysis consist of video footage capturing older adults playing the games as well as qualitative in-depth interviews at several points in time during the trial phase. Additionally, participant observations during the initial installations of the gaming platform contribute to a better understanding of the interaction and construction of age(s) between participants, technicians and the gaming platform itself.
The theoretical basis of this contribution is a materialistic-feminist development of Schroeter's concept of the "Doing Age" (2012), which captures the interplay of symbolizations and physical performances analytically. To consider the concrete manifestations, i.e. how age and ideal representations of older adults are inscribed in technology (Aceros et al. 2015) is particularly important in gerontological research because they are a central expression of aging (cf. Abramson 2015).
O7.2.2 Participatory health promotion: Technical assistance customized to support fall
Marina Arkkukangas1, Sara Cederbom2, Michail Tonkonogi3, Õie Umb Carlsson1
1 Research and Development in Sörmland, Sweden, 2 OsloMet – Oslo Metropolitan University, Norway, 3 Dalarna University, Sweden
The problem of fall risk and fall injuries among older persons constitutes a challenge in how to target, address and develop an effective fall preventive exercise program. Digital technologies are increasingly proposed in health and social care to address the aging population. One way to approach health behavior changes is suggested to be by using technology.
The aim of this project is to collaborate with older persons and physiotherapists to develop an interactive technical support, an application for smart phones and tablets customized to support fall preventive exercise, based on the fall preventive Otago Exercise Programme. Older participants from organizations for retired persons and Physiotherapists with experience of working with older persons participate in this project. In addition, designer and researchers from different areas of expertise from Universities in Sweden and Norway are included and collaborates in this project. A qualitative approach will be used, including focus groups and semi-structured interviews.
The results generating from this project will constitute an effective tool in the fall preventive work, important for both self-care and health and social care services. Preliminary results will be presented at the conference.
We suggest participatory design as an approach to improve the quality of design. By including end users in the research process, it is more likely to develop a technical support that will provide older persons with the ability to reduce their own risk of falling and by that increase their quality of life.
O7.2.3 Virtual reality has added value in the recovery of balance and gait: a systematic
Petra Siemonsma1, Desiderio Cano Porras2, Rivka Inzelberg3, Gabriel Zeilig2, Meir Plotnik2
1 THIM University of Applied Science, The Netherlands, 2 Sheba Medical Center, Israel, 3 Tel Aviv University, Israel
Background: Virtual reality (VR) has emerged as a therapeutic tool facilitating motor learning for balance and gait rehabilitation. The evidence, however, has not yet resulted in standardized guidelines. The aim of this study was to systematically review the application of VR-based rehabilitation to balance and gait in six neurological cohorts, describing methodological quality, treatment set-up, and reported efficacy.
Methods: This study follows the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). VR-based treatments of Parkinson´s disease, multiple sclerosis, acute and chronic post-stroke, traumatic brain injury, and cerebral palsy were researched in PubMed and Scopus, including the earliest available records. Therapeutic validity (CONTENT scale) and risk of bias in randomized controlled trials (RCT) (Cochrane Collaboration´s tool) and non-RCT (Newcastle-Ottawa scale) were assessed.
Results: Ninety-seven articles were included, 68 published in 2013 or later. VR improved balance and gait in all cohorts, especially when combined with conventional rehabilitation. Most studies presented poor methodological quality, lacked a clear rationale for treatment set-ups, and did not address motor learning objectively. RCTs with more robust methodological designs are recommended.
Conclusion: Our results suggest that VR-based rehabilitation is developing rapidly, has the ability to improve balance and gait in neurological patients, and brings additional benefits when combined with conventional rehabilitation. This systematic review provides detailed information for developing theory-driven protocols that may assist to overcome the observed lack of argued choices for treatment set-ups and motor learning implementation and serve as reference for the design and planning of personalized VR-based treatments.
Registration number: Prospero CRD42016042051.
O7.2.4 Dialogue cafés with elderly: A method for user participatory collaboration in
Torhild Holthe1, Anne Lund1, Liv Halvorsrud1, Dag Karterud1, Norway; Adele Flakke Johannessen2, Hilde Lovett2, Erik Thorstensen1, Reidun Norvoll1, Ellen-Marie Forsberg1
1 OsloMet – Oslo Metropolitan University (formerly Oslo and Akershus University College of Applied Sciences), Norway, 2 Norwegian Board of Technology, Norway
The ageing society is an important societal grand challenge, and access to new enabling technologies may be one important strategy for meeting this challenge. However, to develop technologies that are usable, acceptable and desirable, older adults must take part in identifying user needs and requirements. The Assisted Living Project (ALP) (2015-2019) engages different stakeholders, including elderly with mild cognitive impairment living at home, in technology development through a “Responsible Research and Innovation” (RRI) approach.
The study took place at a CARE+ seniors’ home, and 11-19 residents (up to 80 and 90 years of age) took part in four dialogue cafés during 2016 - 2017, organized as group discussions around specific topics. Topics were introduced by use of scenarios illustrated with cartoons. Notes were taken from each group and the results were summarized in reports.
The residents highlighted the importance of being independent, self-sufficient, and in control over own life. They wished to remain active and feared that relying on help from others or from technology may cause a deterioration of their cognitive ability. They wished for technology that could provide safety indoor and outdoor, detect falls and emergency situations, and enable access to the world outside. Technology options were demonstrated and discussed and the project’s technology development process has been shaped by their feedback.
Dialogue cafés have so far proved to be a useful way for engaging the elderly in a care dwelling, stimulating peer learning, and for discussing both everyday challenges and technological solutions.
O7.2.5 From 2 to 1: Perspectives on welfare technology as a means to reduce staff-
intensity in caring
Anna Amilon, Anu Siren, Gabriela Kruse Larsen, Line Mehlsen
The Danish Centre of Applied Social Science, Denmark
The rapid demographic change is anticipated to increase the demand for residential care, resulting in a shortage of care professionals. Welfare technologies may alleviate this skills shortage. In the municipal project “From 2 to 1”, various welfare technologies were implemented in a Danish assisted living center. Building on ethnographic field studies, interviews and document analysis, we explore residents’, the staff’s and the municipality’s perspectives on the welfare technologies and the care that is given and received. The analysis shows that although the municipality stressed improved conditions for the staff and the residents as important goals, only the staff’s time use was evaluated. The staff was positive towards the new technologies and highlighted the reduction in work-related pain, reduction in waiting time and improved contact with residents as positive outcomes. However, the staff was negative towards the motive of saving resources. The residents were more skeptical towards the new technologies and expressed being uncomfortable, frightened and occasionally even in pain due to them. However, acceptance grew as new care-routines were established and some aspects of the new technologies improved the residents’ comfort – e.g. reduced waiting time and a reduction in the number of lifts. Notably, the residents did not mention improved contact with the staff as a motivating factor or positive result. We conclude that in spite of both the staff and the municipality highlighting the residents’ well-being and comfort as important outcomes, the residents wishes have very little bearing on whether and how welfare technologies are used.
O7.2.6 Which socio-demographic groups are at greatest risk of being displaced due to
Vegard Skirbekk1, Solveig Christiansen1, Philipp Hessel2
1 Norwegian Institute of Public Health, Norway, 2 Andes University, Colombia
Whereas existing studies have largely focused on workers’ skills and human capital as principal risk factor of displacement, there is a lack of studies concerning demographic characteristics, and our aim is to identify which family groups that are at greatest risk of potentially experiencing job-displacement. We use representative data for Norway, linking data from the 2015 Labour Force Survey (sample size 21,105) with population registries and detailed probabilities of potential job automation by occupation. We use a set of univariate Kuskall-Wallis tests as well as multivariate Generalized Linear Models (GLM) to assess whether the risk of automation differs according to sex, age, education, marital status and the number of children. We find that men have a higher risk of being displaced due to automation than women. We also find that both the youngest and the oldest individuals are at greater risk of job loss. Moreover, those who lack own family support are more likely to lose their jobs, i.e. workers who are not married and those who are childless have an elevated risk of being displaced due to automation.