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Addressing design and suitability barriers to Telecare use: Has anything changed?

Bentley, C.L., Powell, L.A., Orrell, A. and Mountain, G.A. (2014) Addressing design and suitability barriers to Telecare use: Has anything changed? Technology and Disability, 26 (4). 221 - 235. ISSN 1878-643X

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BACKGROUND: Issues relating to design and suitability of Telecare were raised twenty years ago. We explored the views of non-users of Telecare and examined whether design-related barriers exist today despite significant technological advances. OBJECTIVE: To examine the reasons why people choose not to adopt Telecare, with specific focus on reasons relating to design and suitability of the intervention. METHODS: Individual qualitative semi-structured interviews were conducted with people who were not using or had actively declined Telecare, a voice which is rarely heard in Telecare-barrier research. Framework analysis was used to identify existing and emergent themes for n=22 participants. RESULTS: Sub-themes relating to design and suitability of Telecare were explored: Stigma, i.e. Telecare as symbolising old age and lost independence; Design, including stigmatising aesthetics and inappropriate use; Alternative options, i.e. propensity to seek non-Telecare solutions; Awareness of the devices and service; and Cost. CONCLUSIONS: Barriers to Telecare use are similar for both users and non-users. Our results indicate that design-related barriers have yet to be addressed despite the technological revolution. The cost model of Telecare services is becoming more consumer-driven. Thus Telecare design needs to exploit technological advances in order to improve wellbeing and allow individuals their choice and independence.

Item Type: Article
Copyright, Publisher and Additional Information: © 2014 IOS Press. Reproduced with permission from the copyright holder.
Keywords: Telecare; Barriers; Stigma; Independence
Institution: The University of Sheffield
Academic Units: The University of Sheffield > Faculty of Medicine, Dentistry and Health (Sheffield) > School of Health and Related Research (Sheffield)
Depositing User: Symplectic Sheffield
Date Deposited: 29 Apr 2015 15:07
Last Modified: 29 Apr 2015 15:07
Published Version: http://dx.doi.org/10.3233/TAD-150421
Status: Published
Publisher: IOS Press
Refereed: Yes
Identification Number: 10.3233/TAD-150421
Related URLs:
URI: http://eprints.whiterose.ac.uk/id/eprint/84696

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