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Co-production in practice: how people with assisted living needs can help design and evolve technologies and services

BACKGROUND: The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of ‘care closer to home’ is to be realised, then industry, health and social care providers must evolve ways to work with older people to...

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Autores principales: Wherton, Joseph, Sugarhood, Paul, Procter, Rob, Hinder, Sue, Greenhalgh, Trisha
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4453050/
https://www.ncbi.nlm.nih.gov/pubmed/26004047
http://dx.doi.org/10.1186/s13012-015-0271-8
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author Wherton, Joseph
Sugarhood, Paul
Procter, Rob
Hinder, Sue
Greenhalgh, Trisha
author_facet Wherton, Joseph
Sugarhood, Paul
Procter, Rob
Hinder, Sue
Greenhalgh, Trisha
author_sort Wherton, Joseph
collection PubMed
description BACKGROUND: The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of ‘care closer to home’ is to be realised, then industry, health and social care providers must evolve ways to work with older people to co-produce useful and useable solutions. METHOD: We conducted 10 co-design workshops with users of telehealth and telecare, their carers, service providers and technology suppliers. Using vignettes developed from in-depth ethnographic case studies, we explored participants’ perspectives on the design features of technologies and services to enable and facilitate the co-production of new care solutions. Workshop discussions were audio recorded, transcribed and analysed thematically. RESULTS: Analysis revealed four main themes. First, there is a need to raise awareness and provide information to potential users of assisted living technologies (ALTs). Second, technologies must be highly customisable and adaptable to accommodate the multiple and changing needs of different users. Third, the service must align closely with the individual’s wider social support network. Finally, the service must support a high degree of information sharing and coordination. CONCLUSIONS: The case vignettes within inclusive and democratic co-design workshops provided a powerful means for ALT users and their carers to contribute, along with other stakeholders, to technology and service design. The workshops identified a need to focus attention on supporting the social processes that facilitate the collective efforts of formal and informal care networks in ALT delivery and use.
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spelling pubmed-44530502015-06-04 Co-production in practice: how people with assisted living needs can help design and evolve technologies and services Wherton, Joseph Sugarhood, Paul Procter, Rob Hinder, Sue Greenhalgh, Trisha Implement Sci Research BACKGROUND: The low uptake of telecare and telehealth services by older people may be explained by the limited involvement of users in the design. If the ambition of ‘care closer to home’ is to be realised, then industry, health and social care providers must evolve ways to work with older people to co-produce useful and useable solutions. METHOD: We conducted 10 co-design workshops with users of telehealth and telecare, their carers, service providers and technology suppliers. Using vignettes developed from in-depth ethnographic case studies, we explored participants’ perspectives on the design features of technologies and services to enable and facilitate the co-production of new care solutions. Workshop discussions were audio recorded, transcribed and analysed thematically. RESULTS: Analysis revealed four main themes. First, there is a need to raise awareness and provide information to potential users of assisted living technologies (ALTs). Second, technologies must be highly customisable and adaptable to accommodate the multiple and changing needs of different users. Third, the service must align closely with the individual’s wider social support network. Finally, the service must support a high degree of information sharing and coordination. CONCLUSIONS: The case vignettes within inclusive and democratic co-design workshops provided a powerful means for ALT users and their carers to contribute, along with other stakeholders, to technology and service design. The workshops identified a need to focus attention on supporting the social processes that facilitate the collective efforts of formal and informal care networks in ALT delivery and use. BioMed Central 2015-05-26 /pmc/articles/PMC4453050/ /pubmed/26004047 http://dx.doi.org/10.1186/s13012-015-0271-8 Text en © Wherton et al. 2015 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research
Wherton, Joseph
Sugarhood, Paul
Procter, Rob
Hinder, Sue
Greenhalgh, Trisha
Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title_full Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title_fullStr Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title_full_unstemmed Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title_short Co-production in practice: how people with assisted living needs can help design and evolve technologies and services
title_sort co-production in practice: how people with assisted living needs can help design and evolve technologies and services
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4453050/
https://www.ncbi.nlm.nih.gov/pubmed/26004047
http://dx.doi.org/10.1186/s13012-015-0271-8
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