Addressing design and suitability barriers to Telecare use: Has anything changed?

Bentley, C.L. and Powell, L.A. and Orell, A. and Mountain, G.A. (2014) Addressing design and suitability barriers to Telecare use: Has anything changed? Technology and Disability, 26 (4). pp. 221-235. DOI: 10.3233/TAD-150421

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BACKGROUND: Issues relating to design and suitability of Telecare were raised twenty years ago. We explored the views of non-users of Telecare and examined whether design-related barriers exist today despite significant technological advances. OBJECTIVE: To examine the reasons why people choose not to adopt Telecare, with specific focus on reasons relating to design and suitability of the intervention. METHODS: Individual qualitative semi-structured interviews were conducted with people who were not using or had actively declined Telecare, a voice which is rarely heard in Telecare-barrier research. Framework analysis was used to identify existing and emergent themes for n=22 participants. RESULTS: Sub-themes relating to design and suitability of Telecare were explored: Stigma, i.e. Telecare as symbolising old age and lost independence; Design, including stigmatising aesthetics and inappropriate use; Alternative options, i.e. propensity to seek non-Telecare solutions; Awareness of the devices and service; and Cost. CONCLUSIONS: Barriers to Telecare use are similar for both users and non-users. Our results indicate that design-related barriers have yet to be addressed despite the technological revolution. The cost model of Telecare services is becoming more consumer-driven. Thus Telecare design needs to exploit technological advances in order to improve wellbeing and allow individuals their choice and independence.

Item Type: Article
Subjects: Research Publications
Departments: College of Business, Law, Education and Social Sciences > School of Social Sciences
Date Deposited: 15 Sep 2015 09:27
Last Modified: 19 Nov 2015 03:46
ISSN: 1055-4181
URI: http://e.bangor.ac.uk/id/eprint/5336
Identification Number: DOI: 10.3233/TAD-150421
Publisher: IOS Press
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