“It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people

The provision of reassurance is seen as a goal and benefit of the use of assistive technology (AT) in supporting people to manage their health and care needs at a distance. Conceptually, reassurance in health and care settings remains under-theorised with the benefits of experiencing reassurance thr...

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Main Authors: Lynch, J, Hughes, G, Papoutsi, C, Wherton, J, A'Court, C
Format: Journal article
Language:English
Published: Elsevier 2021
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author Lynch, J
Hughes, G
Papoutsi, C
Wherton, J
A'Court, C
author_facet Lynch, J
Hughes, G
Papoutsi, C
Wherton, J
A'Court, C
author_sort Lynch, J
collection OXFORD
description The provision of reassurance is seen as a goal and benefit of the use of assistive technology (AT) in supporting people to manage their health and care needs at a distance. Conceptually, reassurance in health and care settings remains under-theorised with the benefits of experiencing reassurance through technology use assumed rather than understood. UK health and social care service goals of managing safety and risk have largely been equated with providing reassurance to users of AT and their carers. What has not been explored is how reassurance is experienced variably by users of different types of technology-enabled care. We present data from 3 case studies of different technologies in use in health and social care provision, analysed through a postphenomenology and sociomaterial lens. Our findings point to reassurance as an important facet of AT provision but the intended functions and uses of technological devices alone did not account for people's experiences of reassurance. Participant narratives referred variously to the comfort of being monitored, having their illness/wellness verified by the device, feeling reassured by the promise of help if needed, and imbuing the device with symbolic meaning (when the user associated the device with meanings and functions other than its technical capabilities). The different ways in which reassurance was experienced provides a useful way of understanding the potential tensions with AT policy goals as well as the positive meaning attributed to devices in some cases. This study reaffirms the importance of AT implementation being anchored in what matters to the user.
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spelling oxford-uuid:6f912b58-7a9c-4012-bae7-f6fa267993a22022-03-26T19:31:21Z“It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older peopleJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6f912b58-7a9c-4012-bae7-f6fa267993a2EnglishSymplectic ElementsElsevier2021Lynch, JHughes, GPapoutsi, CWherton, JA'Court, CThe provision of reassurance is seen as a goal and benefit of the use of assistive technology (AT) in supporting people to manage their health and care needs at a distance. Conceptually, reassurance in health and care settings remains under-theorised with the benefits of experiencing reassurance through technology use assumed rather than understood. UK health and social care service goals of managing safety and risk have largely been equated with providing reassurance to users of AT and their carers. What has not been explored is how reassurance is experienced variably by users of different types of technology-enabled care. We present data from 3 case studies of different technologies in use in health and social care provision, analysed through a postphenomenology and sociomaterial lens. Our findings point to reassurance as an important facet of AT provision but the intended functions and uses of technological devices alone did not account for people's experiences of reassurance. Participant narratives referred variously to the comfort of being monitored, having their illness/wellness verified by the device, feeling reassured by the promise of help if needed, and imbuing the device with symbolic meaning (when the user associated the device with meanings and functions other than its technical capabilities). The different ways in which reassurance was experienced provides a useful way of understanding the potential tensions with AT policy goals as well as the positive meaning attributed to devices in some cases. This study reaffirms the importance of AT implementation being anchored in what matters to the user.
spellingShingle Lynch, J
Hughes, G
Papoutsi, C
Wherton, J
A'Court, C
“It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title “It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title_full “It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title_fullStr “It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title_full_unstemmed “It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title_short “It's no good but at least I've always got it round my neck”: A postphenomenological analysis of reassurance in assistive technology use by older people
title_sort it s no good but at least i ve always got it round my neck a postphenomenological analysis of reassurance in assistive technology use by older people
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