Cargando…

Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults

Objective: To identify the key mechanisms, contexts, and outcomes that drive the successful participatory co-design of assistive technologies. Method: A rapid realist review was conducted using a systematic search strategy. After screening, a final set of 28 articles were included. Articles were ana...

Descripción completa

Detalles Bibliográficos
Autores principales: Carroll, Simon, Kobayashi, Karen, Cervantes, Matilde N., Freeman, Shannon, Saini, Manik, Tracey, Shannon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202255/
https://www.ncbi.nlm.nih.gov/pubmed/34179298
http://dx.doi.org/10.1177/23337214211023269
_version_ 1783707942293340160
author Carroll, Simon
Kobayashi, Karen
Cervantes, Matilde N.
Freeman, Shannon
Saini, Manik
Tracey, Shannon
author_facet Carroll, Simon
Kobayashi, Karen
Cervantes, Matilde N.
Freeman, Shannon
Saini, Manik
Tracey, Shannon
author_sort Carroll, Simon
collection PubMed
description Objective: To identify the key mechanisms, contexts, and outcomes that drive the successful participatory co-design of assistive technologies. Method: A rapid realist review was conducted using a systematic search strategy. After screening, a final set of 28 articles were included. Articles were analyzed for evidence relevant to our initial program theory (IPT), and context-mechanism-outcome configurations were developed, resulting in a revised program theory. Results: All 28 articles included were highly relevant to the IPT, and had sufficient detail regarding the process of participatory co-design. The findings of this review highlight several key context-mechanism-outcome configurations as potential patterns in the data under the two dimensions of the evolving program theory: knowledge integration and the ethico-political dimension. Discussion: This review revealed the key mechanisms of mutual awareness, mutual learning, trust, and reciprocity that need to be taken into account in AT development and assessment. We concluded that participatory co-design requires a restructuring of power relations between end-users and those traditionally in control of technology design. These findings inform the development and assessment of AT for older adults and help guide policy/decision-makers to move forward with the now urgent agenda for scale-up and spread, initiated by the burning platform of the COVID-19 pandemic.
format Online
Article
Text
id pubmed-8202255
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher SAGE Publications
record_format MEDLINE/PubMed
spelling pubmed-82022552021-06-24 Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults Carroll, Simon Kobayashi, Karen Cervantes, Matilde N. Freeman, Shannon Saini, Manik Tracey, Shannon Gerontol Geriatr Med Review Article Objective: To identify the key mechanisms, contexts, and outcomes that drive the successful participatory co-design of assistive technologies. Method: A rapid realist review was conducted using a systematic search strategy. After screening, a final set of 28 articles were included. Articles were analyzed for evidence relevant to our initial program theory (IPT), and context-mechanism-outcome configurations were developed, resulting in a revised program theory. Results: All 28 articles included were highly relevant to the IPT, and had sufficient detail regarding the process of participatory co-design. The findings of this review highlight several key context-mechanism-outcome configurations as potential patterns in the data under the two dimensions of the evolving program theory: knowledge integration and the ethico-political dimension. Discussion: This review revealed the key mechanisms of mutual awareness, mutual learning, trust, and reciprocity that need to be taken into account in AT development and assessment. We concluded that participatory co-design requires a restructuring of power relations between end-users and those traditionally in control of technology design. These findings inform the development and assessment of AT for older adults and help guide policy/decision-makers to move forward with the now urgent agenda for scale-up and spread, initiated by the burning platform of the COVID-19 pandemic. SAGE Publications 2021-06-11 /pmc/articles/PMC8202255/ /pubmed/34179298 http://dx.doi.org/10.1177/23337214211023269 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Review Article
Carroll, Simon
Kobayashi, Karen
Cervantes, Matilde N.
Freeman, Shannon
Saini, Manik
Tracey, Shannon
Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title_full Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title_fullStr Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title_full_unstemmed Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title_short Supporting Healthy Aging through the Scale-Up, Spread, and Sustainability of Assistive Technology Implementation: A Rapid Realist Review of Participatory Co-Design for Assistive Technology with Older Adults
title_sort supporting healthy aging through the scale-up, spread, and sustainability of assistive technology implementation: a rapid realist review of participatory co-design for assistive technology with older adults
topic Review Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8202255/
https://www.ncbi.nlm.nih.gov/pubmed/34179298
http://dx.doi.org/10.1177/23337214211023269
work_keys_str_mv AT carrollsimon supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults
AT kobayashikaren supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults
AT cervantesmatilden supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults
AT freemanshannon supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults
AT sainimanik supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults
AT traceyshannon supportinghealthyagingthroughthescaleupspreadandsustainabilityofassistivetechnologyimplementationarapidrealistreviewofparticipatorycodesignforassistivetechnologywitholderadults