Why Older Adults and Their Children Disagree About In-Home Surveillance Technology, Sensors, and Tracking
Why Older Adults and Their Children Disagree About In-Home Surveillance Technology, Sensors, and Tracking
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DOI：
10.1093/geront/gnz068
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发表时间：
2020-08-01
期刊：
影响因子：
5.7
通讯作者：
Wetle, Terrie Fox
中科院分区：
文献类型：
--
作者：
Berridge, Clara;Wetle, Terrie Fox
背景和目的：尽管技术的监视性质允许护理人员远程监控位置、运动或活动，但护理人员和护理对象之间远程监控的舒适度的潜在差异尚未得到深入研究。在二元和总体水平上，我们比较了老年成年妇女及其成年子女对三种远程监测技术的偏好。他们对每种技术对隐私、安全、独立、自由、与家庭成员的关系、社会生活和身份的影响的评估也进行了比较。研究设计与方法：本研究采用以认知为基础的访谈探究和以价值为中心的设计方法。研究人员对18名“上门送餐服务”客户的女性和她们的10名成年子女进行了28次深入的结构化访谈。结果：车轮上的食物参与者报告了多种慢性疾病，平均有1.7个ADL和3.3个IADL困难；三分之二的人参加了医疗补助计划。成年子女比他们的母亲更喜欢每一种技术，并且低估了母亲理解这些技术功能的能力，以及让母亲充分参与决策的重要性。大多数人相信他们可以说服母亲收养孩子。对于这两组人来说，隐私是最受关注的问题，参与者认为隐私、独立、身份和自由的价值观之间存在显著的重叠。讨论与启示：孤立地研究隐私忽略了隐私在实现其他价值方面的重要作用。需要共享决策工具，以促进符合老年人价值观的远程监测使用，并防止冲突和护理人员越权。
Background and Objectives: Despite the surveilling nature of technologies that allow caregivers to remotely monitor location, movements, or activities, the potential differences in comfort with remote monitoring between caregivers and care recipients have not been examined in depth. On the dyad and aggregate level, we compare preferences of older adult women and their adult children for three remote monitoring technologies. Their assessments of each technology's impact on privacy, safety, independence, freedom, relationship with family member, social life, and identity are also compared.Research Design and Methods: This dyadic study used cognitive-based interview probing and value-centered design methods. Twenty-eight individual, in-depth, structured interviews were conducted with 18 women who are Meals on Wheels clients and 10 of their adult children.Results: Meals on Wheels participants reported multiple chronic conditions and an average of 1.7 ADL and 3.3 IADL difficulties; two thirds were enrolled in Medicaid. Adult children preferred each technology more than their mothers did and underestimated both their mothers' ability to comprehend the functions of the technologies and the importance of engaging them fully in decision making. Most were confident that they could persuade their mothers to adopt. For both groups, privacy was the most-cited concern, and participants perceived significant overlap between values of privacy, independence, identity, and freedom.Discussion and Implications: Studying privacy in isolation overlooks privacy's instrumental role in enabling other values. Shared decision-making tools are needed to promote remote monitoring use consistent with older adults' values and to prevent conflict and caregiver overreach.