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  • 2018

  • Robillard, Julie M.; Cleland, Ian; Hoey, Jesse; Nugent, Chris (2018): Ethical adoption: A new imperative in the development of technology for dementia. In: Alzheimer’s & Dementia 14 (9), S. 1104-1113. DOI: 10.1016/j.jalz.2018.04.012

    DOI: http://www.sciencedirect.com/science/article/pii/S1552526018301390 

    Abstract: Introduction Technology interventions are showing promise to assist persons with dementia and their carers. However, low adoption rates for these technologies and ethical considerations have impeded the realization of their full potential. Methods Building on recent evidence and an iterative framework development process, we propose the concept of “ethical adoption”: the deep integration of ethical principles into the design, development, deployment, and usage of technology. Results Ethical adoption is founded on five pillars, supported by empirical evidence: (1) inclusive participatory design; (2) emotional alignment; (3) adoption modelling; (4) ethical standards assessment; and (5) education and training. To close the gap between adoption research, ethics and practice, we propose a set of 18 practical recommendations based on these ethical adoption pillars. Discussion Through the implementation of these recommendations, researchers and technology developers alike will benefit from evidence-informed guidance to ensure their solution is adopted in a way that maximizes the benefits to people with dementia and their carers while minimizing possible harm.

  • 2017

  • Fehling, Patrick; Dassen, Theo (2017): Motive und Hürden bei der Etablierung technischer Assistenzsysteme in Pflegeheimen: eine qualitative Studie. In: Klinische Pflegeforschung /klinische-pflegeforschung (3). Online verfügbar unter URL: https://ojs.ub.uni-freiburg.de/index.php

     

    Abstract: In einer qualitativen Studie wird analysiert, warum technische Assistenzsysteme (TAS) aus Sicht von Einrichtungsleitungen trotz wachsender Angebote und Akzeptanz in der Bevölkerung in bundesdeutschen Pflegeheimen selten zum Einsatz kommen. Im Rahmen der Untersuchung wurden Interviews mit 12 Einrichtungsleitungen geführt, die in Teilen TAS bereits einsetzten, und mittels einer qualitativen Inhaltsanalyse ausgewertet. Die Befragten beschrieben überwiegend ihre eigene Zurückhaltung und ihre moralischen Bedenken sowie die Ablehnung insbesondere älterer Mitarbeiter gegenüber TAS und die hohen Kosten als Barrieren. Um TAS in Pflegeheimen zu etablieren, erwarteten die Interviewten eine ausreichende Beratung und Partizipation der Einrichtungen von Seiten der Industrie, eine entsprechende Qualifizierung der künftigen Pflegenden und eine aktivere Beteiligung der Pflegewissenschaft.

  • 2016

  • Ienca, Marcello; Jotterand, Fabrice; Vică, Constantin; Elger, Bernice (2016): Social and assistive robotics in dementia care: Ethical recommendations for research and practice. In: International Journal of Social Robotics 8 (4), S. 565-573. DOI: 10.1007/s12369-016-0366-7

    DOI: https://doi.org/10.1007/s12369-016-0366-7 

    Abstract: The steadily growing number of older adults with dementia worldwide poses a major challenge for global public health. The integration of robotics into both formal and informal dementia care opens up new possibilities for improving the life of patients and alleviating the burden on caregivers and the healthcare services. However, ethical, legal and social implications should be considered early in the development of assistive and social robots for dementia to prevent slow adoption, incorrect implementation and inappropriate use. This paper delineates the ethical landscape and provides recommendations for design and use aimed at protecting users and maximizing the benefit in assisting such vulnerable population. (PsycINFO Database Record (c) 2017 APA, all rights reserved)

  • 2014

  • Steinke, F.; Bading, N.; Fritsch, T.; Simonsen, S. (2014): Factors influencing trust in Ambient Assisted Living Technology: A scenario-based analysis. In: Gerontechnology 12 (2), S. 81-100. DOI: 10.4017/gt.2013.12.2.002.00

    DOI: https://doi.org/10.4017/gt.2013.12.2.002.00 

    Abstract: Demographic aging in Germany and the related structural change in the health care sector enable a market for assistive technologies for elderly people in a home living environment. The objective of this study is a scenario-based analysis regarding trust in Ambient Assisted Living (AAL). A standardized questionnaire survey with 292 participants from 50 to 93 years of age was conducted in Germany. Two different interview groups, people who need support in daily life due to different kinds of impairment and people without need for care, have been considered. The analysis was using correlation and stepwise regression analysis. As an important finding, a strong relationship between trust in AAL and an intention to use AAL can be highlighted. The significant influencing factors on trust are expected reliability, perceived ease of use, and perceived usefulness of AAL. Information procurement, interest in technology, and perceived health status are further variables which directly influence the end-user intention to use. People with need for care showed lower trust and intention to use values than people without need for care. The analyses show additionally that younger as well as participants with better perceived health status have higher trust values and more intention to use AAL based on the two scenarios. In contrast to a former study in the AAL context, gender has no significant influence on trust. In the future, further experimental studies with focus on elderly persons’ trust in AAL will be performed. These experiments will include, on the one hand, personal remote assistance for the end-user and, on the other hand, variation of actual reliability of AAL technology. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

  • 2012

  • Wu, Ya-Huei; Fassert, Christine; Rigaud, Anne-Sophie (2012): Designing robots for the elderly: Appearance issue and beyond. In: Archives of gerontology and geriatrics 54 (1), S. 121-126. DOI: 10.1016/j.archger.2011.02.003

    DOI: https://doi.org/10.1016/j.archger.2011.02.003 

    Abstract: This paper provides the results of three focus groups organized in the framework of the ROBADOM project, aiming at designing a service type assistive robot for the elderly with mild cognitive impairment living at home. The main objective of these focus groups was to give some recommendations to engineers in charge of the design of the robot’s appearance. Results showed that although many humanoid robots were criticized by most participants, some small creative humanoid robots were appreciated. However, beyond the issue of the robot appearance, many ethical and social issues were raised. These focus groups offered an opportunity for participants to discuss the very idea of an assistive robot and to challenge some implicit preconceptions of the roboticists. Finally, we discuss how assistive robots could be designed considering the social context of the elderly and how to implicate the elderly as future end-users in the design process. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

  • 2011

  • Das, Priti; Röcker, Carsten; Ziefle, Martina (2011): E-Health, Assistive Technologies and Applications for Assisted Living. Philadelphia, PA: IGI Global

    DOI: https://doi.org/10.4018/978-1-60960-469-1 

    Abstract: E-health technologies will play an increasingly important role in the coming years, as more and more older people will require medical care and support. Due to the prevalent demographic changes and the continuously decreasing number of nursing staff and caregivers, there is an increased need for intelligent medical technologies, which enable people to live independently at home. E-Health, Assistive Technologies and Applications for Assisted Living: Challenges and Solutions reviews existing literature in assistive technologies and provides suggestions and solutions for improving the quality of assisted living facilities and residences through the use of e-health systems and services.

  • Oesterreich, Detlef; Schulze, Eva (2011): Vom Nutzen intelligenter Technik im Alter : Akzeptanz von Assistenzsystemen für Gesundheit und Sicherheit. In: Archiv für Wissenschaft und Praxis der sozialen Arbeit 42 (3). Online verfügbar unter Archiv für Wissenschaft und Praxis der sozialen Arbeit, 42, (3), pp. 40-50. 2011. URL: http://verlag.deutscher-verein.de/index.php?main

     

    Abstract: Die neue Generation von intelligenten Technologien unterstützt die selbstständige Lebensführung im Alter. Besonders wichtig werden solche Lösungen und Systeme, die Gesundheit, Sicherheit und "Home Care" unterstützen, da es immer mehr ältere Menschen mit gesundheitlichen Einschränkungen geben wird. Die Frage ist jedoch, ob ältere Menschen diese Technologien akzeptieren. In der Studie "Akzeptanz von Ambient Assisted Living (AAL) - Technologien zur Unterstützung der Gesundheit und Sicherheit" wurde untersucht, ob moderne Technik von älteren, kranken oder auch behinderten Menschen, also den potenziellen Nutzern, akzeptiert und gewünscht wird. (Autorenreferat)

  • Ziefle, Martina; Rocker, Carsten; Holzinger, Andreas (2011) : Medical Technology in Smart Homes: Exploring the User's Perspective on Privacy, Intimacy and Trust: IEEE 35th Annual Computer Software and Applications Conference workshops (COMPSACW), 2011: 18 - 22 July 2011, Munich, Germany ; proceedings: 2011 IEEE 35th IEEE Annual Computer Software and Applications Conference Workshops (COMPSACW): Munich, Germany: 7/18/2011 - 7/22/2011. Institute of Electrical and Electronics Engineers; IEEE Computer Society; IEEE Annual Computer Software and Applications Conference (COMPSAC); Annual IEEE International Computer Software and Applications Conference; IEEE Annual Computer Software and Applications Conference; Compsacw; IEEE International Workshop on Software Cybernetics (IWSC); IEEE International Workshop on Open NGN and IMS Testbeds (ONIT); IEEE International Workshop on Security, Trust, and Privacy for Software Applications (STPSA); IEEE International Workshop on Software Test Automation (STA); IEEE International Workshop on Component-Based Design of Resource-Constrained Systems (CORCS); IEEE International Workshop on Industrial Experience in Embedded System Design (IEESD); IEEE International Workshop on Applied Cloud Computing (CloudApp); IEEE International Workshop on Quality Oriented Reuse of Software (QUORS); IEEE International Workshop on Computer Forensics in Software Engineering (CFSE); IEEE International Workshop on Engineering Semantic Agent Systems (ESAS); IEEE International Workshop on Security Aspects of Process and Services Engineering (SAPSE); IEEE International Workshop on Service Science and Systems (SSS); IEEE International Workshop on Requirements Engineering for Services (REFS); IEEE International Workshop on Program Debugging (IWPD): Piscataway, NJ: IEEE, S. 410-415

    Abstract: This paper reports on a study exploring the attitudes of users towards video-based monitoring systems for long-term care of elderly or disabled people in smart home environments. The focus of the study was on investigating the willingness of users to accept medical technology in their homes and the specific conditions under which continuous monitoring would be acceptable. Using the questionnaire method, a total of 165 users (17-95 years) were examined regarding privacy, intimacy and trust issues for medical technology in homes. The results highlight trust and privacy as central requirements, especially when implemented within private spaces. The reported concerns were mostly insensitive to gender and age. Overall, it was revealed that acceptance issues and users' needs and wants should be seriously considered in order to successfully design new medical technologies.

  • Steinke, Frederick (2015): Influence of trust in Ambient Assisted Living technologies Humboldt-Universität zu Berlin

    DOI: https://doi.org/10.18452/17167 

    Abstract: Zwischenmenschliches Vertrauen spielt in Beziehungen eine wichtige Rolle und beinhaltet die Erwartung, dass auf das Wort des Anderen Verlass ist (Rotter, 1967). Auch im Zusammenhang mit Automation und Mensch-Maschine-Systemen erlangt die Betrachtung von Vertrauen in den vergangenen Jahren immer größere Bedeutung. In den Bereichen automatisierte Fahrzeugsteuerung oder militärische Freund-Feind-Erkennung wurde bereits eine Vielzahl von Erhebungen durchgeführt. Einen Forschungsgegenstand, der bislang jedoch weitestgehend unbeachtet geblieben ist, stellen Heim-Automatisierungen und Unterstützungstechnologien für ältere Personen dar. Die vorliegende Dissertation möchte einen Anstoß für die Forschungsaktivitäten im Kontext von Vertrauen in Ambient Assisted Living (AAL) Systeme geben und gleichzeitig die Möglichkeiten von Unterstützungs-technologien (für beeinträchtigte Personen) im Wohnumfeld aufzeigen. Im Fokus der Untersuchung steht dabei das Vertrauen älterer Personen, als potentielle Endnutzer, in AAL Systeme. Nach Durchführung der Literaturanalyse, wurden mittels einer Fragebogenstudie zunächst verschiedene Einflussfaktoren auf das Vertrauen in AAL sowie die Nutzungsabsicht der senioren Zielgruppe erforscht. Unter Einbeziehung der Variablen des Technology Acceptance Modells (TAM) (Davis, 1989) werden Personen mit und ohne täglichem Unterstützungsbedarf befragt. Basierend auf den dadurch gewonnenen Erkenntnissen wurden zwei Experimente durchgeführt. Die Probanden der beiden Experimente, die jeweils eine seniore Testgruppe und eine junge Kontrollgruppe umfassten, sollten mittels eines Mock-Ups auf einem Tablet-Computer verschiedene Aufgaben im Wohnumfeld bearbeiten. Im ersten Experiment wurde zusätzlich zu der Standard-Bedienoberfläche der AAL Technologie, entweder persönliche Unterstützung via Operateur oder eine technische Unterstützung zur Verfügung gestellt. Das zweite Experiment untersuchte drei unterschiedliche Stufen von Zuverlässigkeit einer AAL Applikation. Interpersonal trust as “expectancy that the verbal statements of others can be relied upon” (Rotter, 1967; p. 651) plays an important role in human relationships. But even in the context of automation and man-machine systems, the consideration of trust has acquired even greater importance in recent years. In the field of automated vehicle control systems or military friend-or-foe recognition, a large number of surveys relating to trust have been conducted. An area of research that, to date, has not been well-investigated is home automation, such as smart home and assistive technologies for older people. The present thesis aims to initiate such research activities in the context of trust in Ambient Assisted Living (AAL) systems, as well as to demonstrate the opportunities that assistive technologies present for impaired persons in the living environment. The focus of the present survey is on the trust of older people, as potential end-users, in AAL systems. To establish an understanding of the state of this research field, a literature review has been conducted. Subsequently, the various factors influencing trust in AAL and usage intention of the elderly target group are examined via a written questionnaire study. Taking into account the variables of the Technology Acceptance Model (TAM) (Davis, 1989), persons with and without need for daily support are interviewed. Based on the obtained results, two subsequent experiments were carried out. The participants in the two experiments, each including a senior test group and a young control group, worked on various tasks through a mock-up on a tablet-computer in the living environment. In the first experiment, in addition to the standard user interface of the AAL technology, either personal support via operator or a technical embedded support was provided to test the differential impact on the trust of the participants in AAL. The second experiment included three different levels of reliability of an AAL application.

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