Abstract
A variety of technologies classified as lifestyle monitoring (LM) allows, by unobtrusive monitoring, for supporting of living alone at home of vulnerable older adults, especially persons with neurocognitive disorders such as dementia. It can detect health deterioration, facilitate early intervention, and possibly help people avoid hospital admission. However, for LM to redeem its intended effects, it is important to be adopted by involved stakeholders such as informal and formal caregivers and care managers. Therefore, the aim of this qualitative study is to understand factors that drive or impede successful implementation of LM for vulnerable older adults, specifically using infrared sensors to record movements, studied from a multiple stakeholder perspective. An open coding process was used to identify key themes of the implementation process. Data were arranged according to a thematic framework based on the normalization process theory (NPT). All stakeholders agreed that LM could lead to various health benefits for older adults using LM. However, some did not perceive the LM system to be cost-efficient and expressed a need for more flexible health care structures for LM to be successfully implemented. All stakeholders acknowledged the fact that LM requires a transition of care and responsibilities, a clear eligibility strategy for clients, and a clear ambassador strategy for health care professionals, as well as reliable technology. This study highlights the complex nature of implementing LM and suggests the need for alignment within constructs of the NPT among stakeholders about new ways of collaboration in supporting living alone at home.
Highlights
Introduction iationsThe demography in the world is changing and brings challenges for societies and health care systems; the need of care among older adults is increasing due to increased longevity
The health care professionals consisted of nurses and professional caregivers who worked in the home support, e.g., providing aid in cleaning the house
There were limited results on reflexive monitoring; this step of evaluating lifestyle monitoring (LM) and following up the use of LM was not embedded in the health care organizations or among informal caregivers
Summary
The demography in the world is changing and brings challenges for societies and health care systems; the need of care among older adults is increasing due to increased longevity. This demand of care has to be provided by the social environment, e.g., informal caregivers or by professional caregivers, while at the same time there is an increasing shortage of care personnel [1]. To deal with mental health consequences, like dementia, there is an increased interest in facilitating the independence and autonomy of vulnerable older people at home with assistive technology or telecare in order to stay at home longer [4,5,6]. Assistive technologies or telecare consist of different combinations of single devices, e.g., fall detection systems, Licensee MDPI, Basel, Switzerland
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