Week 11 Flashcards
gerontechnology
interdisciplinary field linking existing and developing technologies to the aspirations and needs of aging and aged adults
does gerontechnology support healthy aging?
YES
what is gerontechnology?
a response to the combination of the aging of society and rapidly emerging new technologies
3 subcategories to gerontechnology
- successful aging
- improve communication and mobility
- aging in place
gerontechnology and successful/healthy aging
gerontechnology may include any device or intervention that contributes to the person’s perception of or ability to successfully age
- helps ensure individuals actively engage in life
major function of gerontechnology
allows for more independence and freedom
(improves communication and mobility)
what might gerontechnology include?
- wearables
- mobility aids
- implants and replacements
- cognitive aids
wearables
apple watches, life alert and more
mobility aids
powerchairs, walkers and more
implants and replacements
cardiac implants (pacemakers), cochlear implants, and more
what do implants and replacements do?
reduce the impact of those negative changes
cognitive aids
brain communicative interfaces (BCIs)
what do congitive aids do?
assist with individuals using computers
ageing in place
living independently for as long as possible
formal definition of “age in place”
remaining living in the community with some level of independence rather than in residential care
2 ways gerontechnology affects aging in place
- traditional technologies
- non-traditional technologies
traditional technologies
technologies that facilitate human contact
- can be used to personally connect or for travel
- allows to communicate and remain independent at home
examples of traditional technologies
cell phone, computers, life alert buttons
non-traditional technologies
robots and voice-first technology can be used to connect with loved ones, assist in daily living, etc.
ex. alexa home
2 types of non-traditional technologies
- smart-home devices
- AAL systems
examples of smart-home devices
google home and amazon alexa
smart-home devices
voice-activated and can be linked to wifi-capable appliances to create a smart home system, providing autonomy for those facing challenges to independent
what do smart-home devices take place of?
caregiver for tasks like adjusting the thermostat, lights or setting reminders for things like taking medications
what do smart-home devices do?
- help with important tasks that allows aging in place
- help take away caregiver burnout
AAL systems
ambient assisted living (AAL) system sare compised of various sensors that use artificial intelligence (AI) to analyze behaviour and compare it to established patterns, identify divergences (changes) and call caregivers as needed
summary of what AAL does?
uses senses to determine if individual has fallen (ex) then calls ambulance or caregiver
google nest
- wifi routers
- security systems
- thermostats
- streaming devices
- smart displays
- smart speakers
- smoke detectors
RF-Pose (AAL systems)
provides accurate human pose estimation through walls and obstructions
- leverages the fact that wireless signals in WiFi frequencies traverse walls and reflect off the human body
ethical considerations - helpful
- constant vigilance and security
- know the location if fall/unconscious
- quick response time, response goes to appropriate people
ethical considerations - harmful
- personal life becomes known to their caregivers and even family members
- personal privacy: having to explain long times in bathroom, bedroom, etc.
- possible 24/7 surveillance and security risk/fears
considerations
- a fine line between wanting to help vs. relinquishing autonomy
- is the intervention sustainable? (depends on healthy + ability of older adults)
- does the intervention require more attention to detail?
goal of gerontechnology
improve mobility and independence
nike go flyease
hand free shoes
- remove problem with hair dexterity
pros of nike go flyease
reduces bending and eliminates the need for hand dexterity
cons of nike go flyease
require balance to remove; questionable support
nike go flyease and aging population
were marketed towards general population
- not older adults or specific populations
why did older people not buy the nike go flyease?
even though the shoes couldn’t benefit them, they still chose to not because they are targeted/marketed for a younger population
OrCam MyEye device
attaches to an individuals glasses
pros of OrCam MyEye device
improves QoL of people who are visually or hearing impaired
- increase difficulties with cognitive and visual impairments
cons of OrCam MyEye device
- requires dexterity, needs a 2. baseline level of hearing
- doesn’t eliminate the need for glasses
- cost
who couldn’t use OrCam MyEye device?
individuals with poor hearing couldn’t use these
cost of OrCam MyEye device
$4250
- not covered and not feasible
what is care predict aimed at doing?
improving the quality of life for our aging parents, grandparents and loved ones
what is care predict mainly focused on?
identifying patterns in the daily lives of seniors that can predict declines in their health and enable early intervention
care predict with senior living
- resident call button with 2-way voice
- fall detection
- wander management
- predictive insights
- touchpoint and pinpoint
- keyless door entry
- precise real-time location tracking system (RTLS)
care predict on homecare
- predictive insights
- smart location awareness
- customizable data collection
- information healthcare people can individualize cares
care predict at home
- proactive alerts
- location insights
- attention on demand
- care circle (app where families access data)
- carevoice (families send voice reminders) - social aspect
care predict cost
lower cost than most technologies
does care predict work?
yes - positive improvements
results of care predict?
- 39% lower hospitalization rate
- 69% lower fall rate
- 67% greater length of stay
- the staff alert acknowledgement and reach resident times also improved in the CP communities by 37% and 40%
staff and care predict showing it works
- both staff and older persons who wore the device used it effectively for two-way communication, resulting in immediate response
- staff were able to quickly learn about activities and behaviours in their population
response times for staff
difficult to ascertain the reasons for differences in improved response times as staff used CP for multiple functions (acknowledge and response to resident alerts, communicate to residents and other staff members, and collect resident activity and behaviour data)
2 main takeaways of care predict
- important the user knows how to properly used device before implemented
- need more research on this device
effects of gerontechnology
- improve patient-centered care
- lower treatment risk
- improve quality of life
- alleviate symptoms
steps to gerontechnology
- identify goals of care
- assess barriers to digital health use
- optimize patient technology match (what will benefit the individual the most)
- support participant and caregivers (staff need education + support)
- reassess impact (make sure is used to it’s best
important to consider for gerontechnology
- the population in question
- the accessibility and sustainability of the intervention
- cost to benefit
global age-friendly cities
promote policies, services, settings, and structures that enable older adults to actively age-in-place
domains of age-friendly communities
- physical environment
- social environment
- personal well-being
physical environment
- outdoor places
- housing
- transportation
social environment
- respect and social inclusion
- social participation
- civic participation end employment
personal well-being
- communication and information
- community support and health services
outdoor spaces and public buildings
safe and accessible neighbourhoods encourage outdoor activities and engagement with the community
ex strategies of outdoor spaces and public buildings
- stop gap ramps
- extending time of cross-walk signals
- age-friendly parks checklist, benches with extra support, signage in london
transportation
- the condition and design of transportation-related infrastructure affect personal mobility
- access to public transit becomes increasingly important when driving becomes challenging or when privilege of driving is no longer available as an option
example strategies for transportation
- cycling safety workshops
- training for older adults on how to use public transit
- driving safety clinics
housing
the availability of a range of appropriate, affordable and supportive housing option that incorporate flexibility through adaptive features and offer a choice of styles are essential for an AFC
example strategies of housing
1, homesharing programs
2. housing directories
3. home safety programs
homesharing programs
older adults rent out housing to students
what does homesharing programs allow
companionship and security for older adults
- powerful intergenerational relationships
social participation
involves the level of interactions that older adults have with other members of their community
example strategies of social participation
- physical activity programs
- arts-based programming
- tea and talk educational and social sessions
respect and social inclusion
community attitudes, such as general feeling of respect and recognizing the role that older adults play in our society, are critical factors for establishing an inclusive and age-friendly community
example strategies of respect and social inclusion
- senior of the year award
- intergenerational programming
- age-friendly business programs
civic participation and employment
- civic engagement
- the ability of an older adult to remain employed or find new employment provides economic security
civic engagement
older adult’s desire to be involved in aspects of community life
example strategies of civic participation and employment
- support for voting
- volunteer fairs
- age-friendly employment programs
communication and information
age-friendly communities provide information about community events and services in accessible forms
- make sure people have access to the information needed
example strategies of communication and information
- newsletter
- resource guides
- fairs or expos (very successful)
community support and health services
access to and awareness of services and mental and physical health programs contribute to quality of life and age-friendliness
example strategies of community support and health services
- fall prevention classes
- cooking programs
- community paramedicine
community paramedicine
paramedics go to lobby to do checkups on older adults
what do you think is the biggest priority for age-friendly communities ?
housing and transportation
- but most communities don’t tackle this first because they’re very complex
individual benefits of age-friendly communities
- increased healthy behaviours
- support aging-in-place
- increased opportunities for social interaction and connection
- improved awareness of community and health services
community benefits of age-friendly communities
- economic (retention, tourism, retirement)
- volunteerism
- fosters intergenerational connections
- increased housing options
- improved accessibility
(accessible
what is the percentage of municipalities that have an age-friendly communities initiative in onatario?
18%
4 interconnected steps in the ontario AFC planning guide
- define local principles
- assess needs
- develop action plan
- implement
what are the 2 integral and ongoing activity that occurs throughout the ontario AFC planning guide?
- evaluation
- sustainability
ontario AFC outreach program
provincial knowledge translation and exchange program designed to support AFC development in ontario
3 effects of ontario AFC
- strengthen community capacity
- increase collaboration
- raise awareness
strengthen community capacity
strengthen community capacity to implement, evaluate and sustain age-friendly activities
increase collaboration
increase collaboration by connecting people, ideas, and resources
raise awareness
raise awareness about AFC benefits, promising practices and planning principles
core facilitation strategies
- people-based
- web-based
- monitoring and evaluation
people-based facilitation strategies
- collaborative networks
- knowledge broker
web-based facilitation strategies
- monthly e-newsletter
- webinars
- website
- interactive maps
- community profiles
monitoring and evaluation facilitation strategies
annual survey
- asks communities what their government structure is and if they’re benefitting
what a knowledge broker actually does
- identify, engage and connect stakeholders
- facilitate collaboration
- build capacity
- create tailored products and exchange strategies
- support communication and information sharing
- facilitate and evaluate change
- support sustainability
- network development and facilitation
- identify and appraise information
major role of a knowledge broker?
know where to go for answers in a way thats of interest to people
knowledge brokering
act of linking people to people or people to information in order to share learning, better understand each other’s goals or professional cultures, influence each other’s work and forge new partnerships
purpose of knowledge brokering
helps to bridge the “know-do” gaps and promote evidence-informed decision-making
- helps move research into practice based chains
how to think like a knowledge broker?
- be the helper
- integrate the evidence
- build and maintain relationships
- lead, listen and facilitate
- avoid one-size fits-all strategies
- be open to collaboration
- draw on big ideas
- macro-micro mindset
- today’s effort is tomorrow’s advantage
- think like a knowledge broker
be the helper
enable others to do great things
integrate the evidence
- research-based evidence
- practice-based evidence
- lived experience
- integrate evidence into the new guide
build and maintain relationships
- be curious
- follow-up and stay connected
- authentic relationships lead to people you can draw on, new ideas, opportunities
BE HUMAN, WE ARE NOT ROBOTS
lead, listen and facilitate
- set the purpose (keep people anchored)
- listen to people (do a checkin)
- facilitation - ask them questions to move forward
avoid on-size fits-all strategies
consider the evidence, the audience and the context and choose passive and active strategies that work best
be open to collaboration
- look at your team and your network
- embrace different ways of thinking (be comfortable with saying IDK but i can find out)
- you don’t have to have the answers… you need to know where to go to get them
draw on big ideas
example 7 Ps of knowledge exchange
- outcomes of people working together
7 Ps of knowledge
- people (network of)
- perceptions
- policy
- products
- policy
- problems
- practice
macro-micro mindset
- macro mind
- micro mind
macro mind
- draw on big ideas (lesson 7)
- what else is happening politically? in other sectors? in the lives of target audience?
- helps you see what is happening and plan in a strategic way
micro mind
take macro ideas and narrow the scope of mind to the details
- detailed-oriented
- what will the realities mean on a day to day
todays effort is tomorrows advantage
do things in a way you can easily refer back
- what have i heard? what does this mean? what will be helpful for me to know later?