Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes
<i>Background</i>: Technology-enabled healthcare or smart health has provided a wealth of products and services to enable older people to monitor and manage their own health conditions at home, thereby maintaining independence, whilst also reducing healthcare costs. However, despite the...
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| Format: | Article |
| Language: | English |
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MDPI AG
2019-04-01
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| Series: | Healthcare |
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| Online Access: | https://www.mdpi.com/2227-9032/7/2/54 |
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| author | Neil H. Chadborn Krista Blair Helen Creswick Nancy Hughes Liz Dowthwaite Oluwafunmilade Adenekan Elvira Pérez Vallejos |
| author_facet | Neil H. Chadborn Krista Blair Helen Creswick Nancy Hughes Liz Dowthwaite Oluwafunmilade Adenekan Elvira Pérez Vallejos |
| author_sort | Neil H. Chadborn |
| collection | DOAJ |
| description | <i>Background</i>: Technology-enabled healthcare or smart health has provided a wealth of products and services to enable older people to monitor and manage their own health conditions at home, thereby maintaining independence, whilst also reducing healthcare costs. However, despite the growing ubiquity of smart health, innovations are often technically driven, and the older user does not often have input into design. The purpose of the current study was to facilitate a debate about the positive and negative perceptions and attitudes towards digital health technologies. <i>Methods</i>: We conducted citizens’ juries to enable a deliberative inquiry into the benefits and risks of smart health technologies and systems. Transcriptions of group discussions were interpreted from a perspective of life-worlds versus systems-worlds. <i>Results</i>: Twenty-three participants of diverse demographics contributed to the debate. Views of older people were felt to be frequently ignored by organisations implementing systems and technologies. Participants demonstrated diverse levels of digital literacy and a range of concerns about misuse of technology. <i>Conclusion:</i> Our interpretation contrasted the life-world of experiences, hopes, and fears with the systems-world of surveillance, efficiencies, and risks. This interpretation offers new perspectives on involving older people in co-design and governance of smart health and smart homes. |
| first_indexed | 2024-04-13T01:51:14Z |
| format | Article |
| id | doaj.art-ebe42d6a1bab4994a6ac7207650d2f75 |
| institution | Directory Open Access Journal |
| issn | 2227-9032 |
| language | English |
| last_indexed | 2024-04-13T01:51:14Z |
| publishDate | 2019-04-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Healthcare |
| spelling | doaj.art-ebe42d6a1bab4994a6ac7207650d2f752022-12-22T03:07:53ZengMDPI AGHealthcare2227-90322019-04-01725410.3390/healthcare7020054healthcare7020054Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart HomesNeil H. Chadborn0Krista Blair1Helen Creswick2Nancy Hughes3Liz Dowthwaite4Oluwafunmilade Adenekan5Elvira Pérez Vallejos6Division of Rehabilitation, Ageing and Wellbeing, School of Medicine, The University of Nottingham, Nottingham NG7 2TU, UKKMB Consulting, Nottingham NG4 3LH, UKHorizon Digital Research Institute, The University of Nottingham, Nottingham NG7 2TU, UKHuman Factors Research Group, The University of Nottingham, Nottingham NG7 2RD, UKHorizon Digital Research Institute, The University of Nottingham, Nottingham NG7 2TU, UKDivision of Psychiatry and Applied Psychology, School of Medicine, The University of Nottingham, Nottingham NG7 2TU, UKHorizon Digital Research Institute, The University of Nottingham, Nottingham NG7 2TU, UK<i>Background</i>: Technology-enabled healthcare or smart health has provided a wealth of products and services to enable older people to monitor and manage their own health conditions at home, thereby maintaining independence, whilst also reducing healthcare costs. However, despite the growing ubiquity of smart health, innovations are often technically driven, and the older user does not often have input into design. The purpose of the current study was to facilitate a debate about the positive and negative perceptions and attitudes towards digital health technologies. <i>Methods</i>: We conducted citizens’ juries to enable a deliberative inquiry into the benefits and risks of smart health technologies and systems. Transcriptions of group discussions were interpreted from a perspective of life-worlds versus systems-worlds. <i>Results</i>: Twenty-three participants of diverse demographics contributed to the debate. Views of older people were felt to be frequently ignored by organisations implementing systems and technologies. Participants demonstrated diverse levels of digital literacy and a range of concerns about misuse of technology. <i>Conclusion:</i> Our interpretation contrasted the life-world of experiences, hopes, and fears with the systems-world of surveillance, efficiencies, and risks. This interpretation offers new perspectives on involving older people in co-design and governance of smart health and smart homes.https://www.mdpi.com/2227-9032/7/2/54smart healtholder peopleco-designdigital life-worldsmart cities |
| spellingShingle | Neil H. Chadborn Krista Blair Helen Creswick Nancy Hughes Liz Dowthwaite Oluwafunmilade Adenekan Elvira Pérez Vallejos Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes Healthcare smart health older people co-design digital life-world smart cities |
| title | Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes |
| title_full | Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes |
| title_fullStr | Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes |
| title_full_unstemmed | Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes |
| title_short | Citizens’ Juries: When Older Adults Deliberate on the Benefits and Risks of Smart Health and Smart Homes |
| title_sort | citizens juries when older adults deliberate on the benefits and risks of smart health and smart homes |
| topic | smart health older people co-design digital life-world smart cities |
| url | https://www.mdpi.com/2227-9032/7/2/54 |
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