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Making Telecare desirable rather than a last resort

Published online by Cambridge University Press:  21 December 2016

CLAIRE L. BENTLEY ,
LAUREN A. POWELL ,
ALISON ORRELL  and
GAIL A. MOUNTAIN
CLAIRE L. BENTLEY
Affiliation:
School of Health and Related Research, The University of Sheffield, UK.
LAUREN A. POWELL*
Affiliation:
School of Health and Related Research, The University of Sheffield, UK.
ALISON ORRELL
Affiliation:
School of Social Sciences, Neuadd Ogwen, Bangor University, UK.
GAIL A. MOUNTAIN
Affiliation:
School of Health and Related Research, The University of Sheffield, UK.
*
Address for correspondence: Lauren Powell, School of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK E-mail: [email protected]
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Abstract

Despite reported benefits of Telecare use for older adults, uptake of Telecare in the United Kingdom remains relatively low. Non-users of Telecare are an under-researched group in the Telecare field. We conducted 22 qualitative individual semi-structured interviews to explore the views and opinions of current non-users of Telecare regarding barriers and facilitators to its use, and explored considerations which may precede their decision to accept, or reject, Telecare. Framework analysis identified a number of themes which influence the outcome and timing of this decision, including peace of mind (for the individual and their family), the strength and composition of an individual's support network, the impact of changing personal and health circumstances, and lack of communication about Telecare (e.g. advertising). A cost–benefit decision process appears to take place for the potential user, whereby the benefit of peace of mind is weighed against perceived ‘costs’ of using Telecare. Telecare is often perceived as a last resort rather than a preventative measure. A number of barriers to Telecare use need to be addressed if individuals are to make fully informed decisions regarding their Telecare use, and to begin using Telecare at a time when it could provide them with optimal benefit. Although the study was set in England, the findings may be relevant for other countries where Telecare is used.

Keywords

Telecarebarrierscostbenefitawarenessdecision-making
Type
Article
Information
Ageing & Society , Volume 38 , Issue 5 , May 2018 , pp. 926 - 953
Copyright
Copyright © Cambridge University Press 2016 

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References

Aceros, J. C., Pols, J. and Domenech, M. 2015. Where is grandma? Home telecare, good aging and the domestication of later life. Technological Forecasting & Social Change, 93, 102–11.Google Scholar
AKTIVE Consortium 2013. The Role of Telecare in Meeting the Care Needs of Older People: Themes, Debates and Perspectives in the Literature on Ageing and Technology. Available online at http://www.aktive.org.uk/downloads/AKTIVE_Report_Vol_1_16.05.pdf [Accessed 6 July 2016].Google Scholar
Barlow, J., Bayer, S., Castleton, B. and Curry, R. 2005. Meeting government objectives for telecare in moving from local implementation to mainstream services. Journal of Telemedicine and Telecare, 11, supplement 1, 1, 49–51.Google Scholar
Barlow, J., Bayer, S. and Curry, R. 2006. Implementing complex innovations in fluid multi-stakeholder environments: experiences of ‘telecare’. Technovation, 26, 3, 396–406.Google Scholar
Barlow, J., Singh, D., Bayer, S. and Curry, R. 2007. A systematic review of the benefits of home telecare for frail elderly people and those with long-term conditions. Journal of Telemedicine and Telecare, 13, 4, 172–9.Google Scholar
Barrett, D., Thorpe, J. and Goodwin, N. 2015. Examining perspectives on telecare: factors influencing adoption, implementation, and usage. Smart Homecare Technology and TeleHealth, 3, 1–8.Google Scholar
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, 221–35.CrossRefGoogle Scholar
Bower, P., Cartwright, M., Hirani, S. P., Barlow, J., Hendy, J., Knapp, M., Henderson, C., Rogers, A., Sanders, C., Bardsley, M., Steventon, A., Fitzpatrick, R., Doll, H. and Newman, S. 2011. A comprehensive evaluation of the impact of telemonitoring in patients with long-term conditions and social care needs: protocol for the whole systems demonstrator cluster randomised trial. BMC Health Services Research, 11, 184.Google Scholar
Bowes, A. and McColgan, G. 2013. Telecare for older people: promoting independence, participation, and identity. Research on Aging, 35, 1, 32–49.CrossRefGoogle Scholar
Brownsell, S., Blackburn, S. and Hawley, M. S. 2008. An evaluation of second and third generation telecare services in older people's housing. Journal of Telemedicine and Telecare, 14, 1, 8–12.Google Scholar
Buckle, P. 2014. Human Factors That Influence the Performance of the Telecare System. Available online at http://circle.leeds.ac.uk/files/2014/05/AKTIVE-PAPER-7.pdf [Accessed 6 July 2016].Google Scholar
Clark, J. S. and McGee-Lennon, M. 2011. A stakeholder centered exploration of the current barriers to the uptake of home care technology in the UK. Journal of Assistive Technologies, 5, 1, 12–25.CrossRefGoogle Scholar
Department of Health 2010. A Vision for Adult Social Care: Capable Communites and Active Citizens. Available online at http://webarchive.nationalarchives.gov.uk/+/www.dh.gov.uk/en/Publicationsandstatistics/Publications/PublicationsPolicyAndGuidance/DH_121508 [Accessed 6 July 2016].Google Scholar
Department of Health 2012. A Concordat Between the Department of Health and the Telehealth and Telecare Industry. Available online at https://www.gov.uk/government/publications/concordat-between-the-department-of-health-and-the-telehealth-and-telecare-industry [Accessed 6 July 2016].Google Scholar
Fry, G. 2014. Coping with Change: Frail Bodies and Daily Activities in Later Life. Available online at http://circle.leeds.ac.uk/files/2014/04/AKTIVE-Paper-4 [Accessed 6 July 2016].Google Scholar
Ganyo, M., Dunn, M. and Hope, T. 2011. Ethical issues in the use of fall detectors. Ageing & Society, 31, 8, 1350–67.Google Scholar
Greenhalgh, T., Wherton, J., Sugarhood, P., Hinder, S., Procter, R. and Stones, R. 2013. What matters to older people with assisted living needs? A phenomenological analysis of the use and non-use of telehealth and telecare. Social Science & Medicine, 93, 86–94.Google Scholar
Hamblin, K. 2014. Risk, Freedom and Control in Older People's Lives: The Relevance of Telecare. Availabable online at http://circle.leeds.ac.uk/files/2014/05/AKTIVE-PAPER-6.pdf [Accessed 6 July 2016].Google Scholar
Hanson, J., Percival, J., Aldred, H., Brownsell, S. and Hawley, M. 2007. Attitudes to telecare among older people, professional care workers and informal carers: a preventative strategy or crisis management? Universal Access in the Information Society, 6, 2, 193–205.Google Scholar
Henderson, C., Knapp, M., Fernandez, J. L., Beecham, J., Hirani, S. P., Beynon, M., Cartwright, M., Rixon, L., Doll, H., Bower, P., Steventon, A., Rogers, A., Fitzpatrick, R., Barlow, J., Bardsley, M. and Newman, S. P. 2014. Cost-effectiveness of telecare for people with social care needs: the Whole Systems Demonstrator cluster randomised trial. Age and Ageing, 43, 6, 794–800.Google Scholar
Hendy, J., Chrysanthaki, T., Barlow, J., Knapp, M., Rogers, A., Sanders, C., Bower, P., Bowen, R., Fitzpatrick, R., Bardsley, M. and Newman, S. 2012. An organisational analysis of the implementation of telecare and telehealth: the whole systems demonstrator. BMC Health Services Research, 12, 403.Google Scholar
Hirani, S. P., Beynon, M., Cartwright, M., Rixon, L., Doll, H., Henderson, C., Bardsley, M., Steventon, A., Knapp, M., Rogers, A., Bower, P., Sanders, C., Fitzpatrick, R., Hendy, J. and Newman, S. P. 2014. The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: the Whole Systems Demonstrator cluster randomised trial. Age and Ageing, 43, 3, 334–41.Google Scholar
Katzman, R., Brown, T., Fuld, P., Peck, A., Schechter, R. and Schimmel, H. 1983. Validation of a short orientation–memory–concentration test of cognitive impairment. American Journal of Psychiatry, 40, 6, 734–9.Google Scholar
Koivunen, E. 2014. Telecare and Older People's Social Relations. Available online at http://circle.leeds.ac.uk/files/2014/04/AKTIVE-Paper-3.pdf [Accessed 6 July 2016].Google Scholar
López, D. and Domènech, M. 2009. Embodying autonomy in a home telecare service. Sociological Review, 56, 181–95.Google Scholar
Milligan, C., Roberts, C. and Mort, M. 2011. Telecare and older people: who cares where? Social Science & Medicine, 72, 3, 347–54.Google Scholar
Mort, M., Roberts, C. and Callén, B. 2013. Ageing with telecare: care or coercion in austerity? Sociology of Health & Illness, 35, 6, 799–812.Google Scholar
Peine, A., Rollwagen, I. and Neven, L. 2014. The rise of the ‘innosumer’ – rethinking older technology users. Technological Forecasting & Social Change, 82, 199–214.Google Scholar
Percival, J. and Hanson, J. 2006. Big brother or brave new world? Telecare and its implications for older people's independence and social inclusion. Critical Social Policy, 26, 4, 888–909.Google Scholar
Pols, J. 2012. Care at a Distance: On the Closeness of Technology. Amsterdam University Press, Amsterdam.Google Scholar
Ritchie, J. and Spencer, L. 1994. Qualitative data analysis for applied policy research. In Bryman, A. and Burgess, R. (eds), Analysing Qualitative Data. Routledge, London, 173–94.Google Scholar
Royal College of Nursing 2012. Using Telehealth to Monitor Patients Remotely: An RCN Guide on Using Technology to Complement Nursing Practice. Available online at https:// www2.rcn.org.uk/data/assets/pdf_file/0018/450252/004_232_Using_telehealth_V3.pdf [Accessed 6 July 2016].Google Scholar
Sanders, C., Rogers, A., Bowen, R., Bower, P., Hirani, S., Cartwright, M., Fitzpatrick, R., Knapp, M., Barlow, J., Hendy, J., Chrysanthaki, T., Bardsley, M. and Newman, S. P. 2012. Exploring barriers to participation and adoption of telehealth and telecare within the Whole System Demonstrator trial: a qualitative study. BMC Health Services Research, 12, 220.Google Scholar
Social Care Institute for Excellence 2013. Fair Access to Care Services (FACS): Prioritising Eligibility for Care and Support. Available online at http://www.scie.org.uk/publications/guides/guide33/files/guide33.pdf [Accessed 6 July 2016].Google Scholar
Steventon, A., Bardsley, M., Billings, J., Dixon, J., Doll, H., Beynon, M., Hirani, S., Cartwright, M., Rixon, L., Knapp, M., Henderson, C., Rogers, A., Hendy, J., Fitzpatrick, R. and Newman, S. 2013. Effect of telecare on use of health and social care services: findings from the Whole Systems Demonstrator cluster randomised trial. Age and Ageing, 42, 4, 501–8.Google Scholar
Stowe, S. and Harding, S. 2010. Telecare, telehealth and telemedicine. European Geriatric Medicine, 1, 3, 193–7.Google Scholar
Telecare Services Association 2010. Telecare Code of Practice: Executive Summary. Available online at http://www.telecare.org.uk/sites/default/files/file-directory/Secure_COP_Documents/Telecare%20Code%20of%20Practice%20Executive%20Summary.pdf [Accessed 6 July 2016].Google Scholar
Telehealth Forum 2012. Research Indicates Public Has No Idea What Telehealth Is. Available online at http://www.telehealthforum.org/wp-content/uploads/2012/07/Salix-TF-You-Gov-Research-Release-FINAL-16-07-12.pdf [Accessed 6 July 2016].Google Scholar
Turner, K. J. and McGee-Lennon, M. R. 2013. Advances in telecare over the past 10 years. Smart Homecare Technology and TeleHealth, 1, 21–34.Google Scholar
Yeandle, S. 2014 a. Frail Older People and Their Networks of Support: How Does Telecare Fit In? Available online at http://circle.leeds.ac.uk/files/2014/04/AKTIVE-Paper-2.pdf [Accessed 6 July 2016].Google Scholar
Yeandle, S. 2014 b. Researching Telecare Use Using Everyday Life Analysis: Introducing the AKTIVE Working Papers. Available online at http://circle.leeds.ac.uk/files/2014/04/AKTIVE-Paper-1.pdf [Accessed 6 July 2016].Google Scholar