Alle Publikationen
2019
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(2019): On the perceptions and acceptance of artificially intelligent robotics and the psychology of the future elderly. In: Behaviour & Information Technology 14 (1), S. 1-20. DOI: 10.1080/0144929X.2019.1566499
DOI: https://doi.org/10.1080/0144929X.2019.1566499 Abstract: The demographic shift marks the beginning of a social transformation with far reaching implications, and differences in aging processes across individuals render one-size fits-all policies ineffective. An area of increasing importance is assistive technology, including physical and Social Assistance Robots (SARs) for elderly support. In order to increase the effectiveness of such technologies, their design, functionality, and acceptance by target users must be evaluated. This paper presents a study that examines SAR technology acceptance among the future elderly (aged 20–60) in a German-speaking population (N=188). In doing this, we investigated the relationships between personality, resilience, technology experience, expectations for technology, fulfilment of expectations for technology, and technology acceptance. The study found significant correlations between age, gender, education, personality, resilience, experience, expectations, and technology acceptance and its subdimensions. Of the personality dimensions, agreeableness and neuroticism were found most relevant. Small effects were found between resilience and acceptance, and highly significant ones between technology acceptance, technology experience, expectations for SARs, and fulfilment of expectations for SARs. In keeping with previous research, the findings suggest that personality plays a significant role in the acceptance of SAR technologies. This study may be one of the first that considers and evaluates resilience as a factor in technology acceptance.
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(2019): Social Robots and Seniors: A Comparative Study on the Influence of Dynamic Social Features on Human–Robot Interaction. In: International Journal of Social Robotics 11 (1), S. 5-24. DOI: 10.1007/s12369-018-0488-1
DOI: https://doi.org/10.1007/s12369-018-0488-1 Abstract: Due to the world’s aging demographics and declining caregiver-to-senior ratio, socially assistive robots are being designed to assist seniors with activities of daily living. Beyond functionality, the integration of such robots also depends on the quality of the interaction between the robot and senior, including the provision of social support. Our research investigates the effectiveness of robot social features on human–robot interaction (HRI) with seniors when providing assistance. Specifically, we investigate how the dynamic social features of a robot, such as facial expressions and gestures, affect the interaction experience of cognitively impaired seniors during an assistive activity. In this paper, we present a comparative HRI study of seniors living with mild cognitive impairments preparing a cup of tea with the assistance from three different embodiments with varying social features. In particular, the platforms considered were a human-like robot, a character-like robot, and a tablet display. Our results show that a human-like robot having an expressive face and arm gestures significantly increased levels of engagement, positive affect, and perceived social intelligence during the interaction when compared to the other two platforms. Furthermore, even though all platforms had the same activity assistance functionality, participants preferred the human-like robot, treated it like a companion, perceived it to be more useful, and were more inclined to keep it in social or private areas in their homes. No statistically significant differences were found between interactions with the character-like robot and the tablet. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
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(2019): Pro-active positioning of a social robot intervening upon behavioral disturbances of persons with dementia in a smart nursing home. In: COGNITIVE SYSTEMS RESEARCH, S. 160-174. DOI: 10.1016/j.cogsys.2019.03.002
DOI: https://doi.org/10.1016/j.cogsys.2019.03.002 Abstract: Behavioral disturbances of persons with dementia residing in a nursing home impose a significant burden on other residents and on the care staff. A social robot can provide an adequate technological support tool for the caregivers by approaching a resident that exhibits a behavioral disturbance. In this paper, we focus on how to position the robot in the nursing home, taking into account the profile and location of the residents. We minimize the time between the detection of a behavioral disturbance and the robot having arrived near the resident and starting an interaction scenario. Our algorithm is evaluated using realistic data that was collected during 3 months in two Belgian nursing homes. (PsycINFO Database Record (c) 2019 APA, all rights reserved)
2018
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(2018): Emotionale Roboter im Pflegekontext : Empirische Analyse des bisherigen Einsatzes und der Wirkungen von Paro und Pleo. In: Zeitschrift fur Gerontologie und Geriatrie 51 (1), S. 16-24. DOI: 10.1007/s00391-017-1346-8
DOI: http://www.ncbi.nlm.nih.gov/pubmed/29218400 Abstract: BACKGROUND It has been questioned by researchers in robotics as well in the general public to what extent companion-type robots can support the elderly with the fulfillment of their psychological and social needs. Although these robots have already been used in care settings in Germany, research has referred little to this practical experience in order to analyze their impact and benefit. To start to close this gap, the current article reports on the current use of companion-type robots in care settings, on the effects reported by professional caregivers as well as on the role of psychosocial needs in the acceptance and use of companion-type robots by the elderly. MATERIAL AND METHODS In the first study, 30 professional caregivers with experience in the use of the robot seal Paro in care settings were interviewed regarding Paro's application and the observed effects on their clients. In the second study, three case examples are presented from an interaction study in which vulnerable elderly persons had the robot dinosaur Pleo at their disposal for a maximum period of 15 days. RESULTS Paro is used very flexibly in a variety of settings and with a broad range of user groups (study 1). The reported psychosocial effects were mainly positive but short term. The case examples (study 2) show that psychosocial needs can both foster or hinder robot acceptance and use. They also emphasize the important role of caregivers in the interaction between the elderly and emotional robots in the context of eldercare. CONCLUSION The beneficial and ethical use of companion-type robots in care settings demands a high commitment on the part of the caregivers. Given this prerequisite, emotional robots can be a valuable therapeutic tool.
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(2018): Helping older pedestrians navigate unknown environments through vibrotactile guidance instructions. In: Transportation Research Part F: Traffic Psychology and Behaviour 58, S. 816-830. DOI: 10.1016/j.trf.2018.07.017
DOI: https://doi.org/10.1016/j.trf.2018.07.017 Abstract: Many studies have consistently found evidence of aging-related navigation difficulties that lead to disorientation behaviors and/or reduced travel. Despite technological advances, older pedestrians mainly use paper maps to find their way in unknown environments while they have a lot of difficulties in using and interacting with them efficiently. In this context, the present study was aimed at assessing the effectiveness and acceptability and study older pedestrian’s behavior when wearing a vibrotactile instructions to help them finding their way in an unknown city as compared with visual instructions provided by a paper map. Fifty-eight participants (20 young adults ages 21–45, 20 younger-old adults ages 61–70, and 18 older-old adults ages 71–80) took part in a simulated navigation task where participants had to go from point A to point B in a virtual city. The task was performed either with a vibrotactile wristband delivering directional messages or with a standard paper map showing the visual instructions to follow. The data showed that vibrotactile guidance instructions improved the correct numbers of turns taken (left/right) at simple intersections. They also reduced travel time as compared with visual guidance instructions provided by a paper map. These benefits were greater among the older-old participants, who had trouble using the paper map and thus benefited greatly from the assistance provided by the vibrotactile guidance instructions. These findings suggest that such an assistance device using simple haptic guidance messages is able to improve older pedestrians’ mobility. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
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International Conference on Service Systems and Service Management; Institute of Electrical and Electronics Engineers; Icsssm (2018): 2018 15th International Conference on Service Systems and Service Management (ICSSSM). Location: Hangzhou, China, meeting date: July 21-22, 2018. 2018 15th International Conference on Service Systems and Service Management (ICSSSM). Hangzhou, 7/21/2018 - 7/22/2018. Piscataway, NJ: IEEE
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(2018) : Achieving Successful Aging in Assisted Living Facilities Through Person-Centered Services: 2018 15th International Conference on Service Systems and Service Management (ICSSSM): Location: Hangzhou, China, meeting date: July 21-22, 2018: 2018 15th International Conference on Service Systems and Service Management (ICSSSM): Hangzhou: 7/21/2018 - 7/22/2018. International Conference on Service Systems and Service Management; Institute of Electrical and Electronics Engineers; Icsssm: Piscataway, NJ: IEEE, S. 1-5
Abstract: The population of the older adult in China has been continuously increasing at a high speed. It is estimated that in 2020, the population of people above 60 years old will account for 17.8 % of the total population of China in 2020, and 25% in 2030. Because of business opportunities brought by such increase, aging community, an important component of the aging services industry, has developed unprecedentedly these years. According to “Healthy China 2030 Plan” issued by the Central Committee of the Communist Party and the State Council of China, a sound aging service system which benefits all the elderly people will be built in China in 2030. Thus, how to provide sound services in assisted living facilities to promote successful aging is an important social topic needing to be taken efforts on. This paper will discuss how to provide the aging people person-centered services, which means meeting their true needs. By constructing a theoretical model and investigating prior helpful experience, the paper proposes several practical suggestions for assisted living facilities on how to develop in China and how to achieve successful aging from the life-span perspective.
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(2018): Care staff perceptions of a social robot called Paro and a look-alike Plush Toy: a descriptive qualitative approach. In: Aging & mental health 22 (3), S. 330-335. DOI: 10.1080/13607863.2016.1262820
DOI: https://doi.org/10.1080/13607863.2016.1262820 Abstract: OBJECTIVES Social robots such as Paro, a therapeutic companion robot, have recently been introduced into dementia care as a means to reduce behavioural and psychological symptoms of dementia. The purpose of this study was to explore care staff perceptions of Paro and a look-alike non-robotic animal, including benefits and limitations in dementia care. METHODS The study assumed a descriptive qualitative approach, nested within a large cluster-randomised controlled trial. We interviewed a subsample of 20 facility care staff, from nine long-term care facilities in Southeast Queensland, Australia. Thematic analysis of the data, which was inductive and data-driven, was undertaken with the assistance of the qualitative software, ATLAS.ti®. RESULTS The findings refer to four categories: increasing excitement for Paro and decreasing enthusiasm for Plush Toy; value and function of Paro; opportunities for engagement; and alternatives vs. robustness. CONCLUSION Staff caring for people with dementia preferred Paro compared to a look-alike Plush Toy. Staff identified that Paro had the potential to improve quality of life for people with dementia, whereas the Plush Toy had limitations when compared to Paro. However, participants expressed concern that the cost of Paro could reduce opportunities for use within aged care.
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(2018): Views of nurses and other health and social care workers on the use of assistive humanoid and animal-like robots in health and social care: a scoping review. In: Contemporary nurse 54 (4-5), S. 425-442. DOI: 10.1080/10376178.2018.1519374
DOI: https://doi.org/10.1080/10376178.2018.1519374 Abstract: BACKGROUND Robots are introduced in many health and social care settings. OBJECTIVES To provide an overview of the existing evidence related to the views of nurses and other health and social care workers about the use of assistive humanoid and animal-like robots. METHODS Using the Joanna Briggs Institute guidelines we searched MEDLINE, PUBMED, CINHAL, EMBASE, PsycInfo, Web of Science, and IEEE Xplore digital library. Nineteen (19) articles met the criteria for inclusion. RESULTS Health care workers reported mixed views regarding the use of robots. They considered an array of tasks that robots could perform; they addressed the issue of patient safety and raised concerns about privacy. CONCLUSIONS A limited number of studies have explored the views of health care workers about the use of robots. Considering the fast pace with which technology is advancing in the care field, it is critical to conduct more research in this area. Impact Statement: Robots will increasingly have a role to play in nursing, health and social care. The potential impact will be challenging for the healthcare workforce. It is therefore important for nurses and other health and social care workers to engage in discussion regarding the contribution of robots and their impact not only on nursing care but also on future roles of health and social care workers.
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(2018): A Novel Artificial Organic Control System for Mobile Robot Navigation in Assisted Living Using Vision- and Neural-Based Strategies. In: Computational intelligence and neuroscience. DOI: 10.1155/2018/4189150
DOI: http://www.ncbi.nlm.nih.gov/pubmed/30627141 Abstract: Robots in assisted living (RAL) are an alternative to support families and professional caregivers with a wide range of possibilities to take care of elderly people. Navigation of mobile robots is a challenging problem due to the uncertainty and dynamics of environments found in the context of places for elderly. To accomplish this goal, the navigation system tries to replicate such a complicated process inspired on the perception and judgment of human beings. In this work, we propose a novel nature-inspired control system for mobile RAL navigation using an artificial organic controller enhanced with vision-based strategies such as Hermite optical flow (OF) and convolutional neural networks (CNNs). Particularly, the Hermite OF is employed for obstacle motion detection while CNNs are occupied for obstacle distance estimation. We train the CNN using OF visual features guided by ultrasonic sensor-based measures in a 3D scenario. Our application is oriented to avoid mobile and fixed obstacles using a monocular camera in a simulated environment. For the experiments, we use the robot simulator V-REP, which is an integrated development environment into a distributed control architecture. Security and smoothness metrics as well as quantitative evaluation are computed and analyzed. Results showed that the proposed method works successfully in simulation conditions.
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(2018): The use of assistive technologies after stroke is debunking the myths about the elderly. In: Topics in stroke rehabilitation 25 (1), S. 28-36. DOI: 10.1080/10749357.2017.1376845
DOI: https://doi.org/10.1080/10749357.2017.1376845 Abstract: Background Through the concept of ageism, we highlight and explain how the society prejudices the elderly. WHO classifies 12 most common stereotypes pertaining to old age. Elderly people are being excluded from social life due to their chronological age rather than any actual reduced physical and/or mental ability. Some of these stereotypes are directly related to the (un)willingness and the ability of the elderly to use technology in everyday life. Objectives The study presented in this article aims to explain the phenomenon of technology use among elderly people who had had a stroke. Method A qualitative study, namely a qualitative content analysis, was performed. Six in-depth interviews with older people who have suffered a stroke were conducted and explored their views on the daily use of technology. Results All older people included in this study used different technologies, which have been divided into technologies that support mobility, technologies for personal care, technologies that support household chores, and technologies for maintaining a social network. An elderly person's attitude toward the use of technology is connected to their social network and assistance from professional staff, as well as the severity of their physical disability. We have found that using various technologies, elderly people are developing various coping strategies. Conclusions After a stroke, a certain degree of physical deterioration can be expected. Nonetheless, our participants managed to compensate for this also with the help of assistive devices and technologies, which negates the myth of simply "surrendering" to the aging process.
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(2018): The use of care robots in aged care: A systematic review of argument-based ethics literature. In: Archives of gerontology and geriatrics 74, S. 15-25. DOI: 10.1016/j.archger.2017.08.014
DOI: https://doi.org/10.1016/j.archger.2017.08.014 Abstract: BACKGROUND As care robots become more commonplace in aged-care settings, the ethical debate on their use becomes increasingly important. Our objective was to examine the ethical arguments and underlying concepts used in the ethical debate on care robot use in aged care. METHODS We conducted a systematic literature search for argument-based ethics publications focusing on care robot use in aged-care practices. We used an innovative methodology that consisted of three steps: (a) identifying conceptual-ethical questions, (b) conducting a literature search, and (c) identifying, describing and analyzing the ethical arguments in connection with the conceptual-ethical questions. RESULTS Twenty-eight appropriate publications were identified. All were published between 2002 and 2016. Four primary ethical approaches were distinguished: (a) a deontological, (b) a principlist, (c) an objective-list, and (d) a care-ethical. All approaches were equally represented across the articles, and all used similar concepts that grounded their diverse ethical arguments. A small group of publications could not be linked to an ethical approach. CONCLUSIONS All included publications presented a strong ethical rationale based on fully elaborated normative arguments. Although the reviewed studies used similar grounding concepts, the studies' arguments were very diverse and sometimes diametrically opposed. Our analysis shows how one envisions care robot use in aged-care settings is influenced by how one views the traditional boundaries of the ethical landscape in aged care. We suggest that an ethical analysis of care robot use employs "democratic spaces," in which all stakeholders in aged care, especially care recipients, have a voice in the ethical debate.
2017
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(2017): A population study of correlates of social participation in older adults with age-related vision loss. In: Clinical rehabilitation 31 (1), S. 115-125. DOI: 10.1177/0269215515624479
DOI: http://journals.sagepub.com/doi/pdf/10.1177/0269215515624479 Abstract: OBJECTIVE To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. DESIGN Baseline data of a larger longitudinal study. SETTING Community-based vision rehabilitation agency. SUBJECTS A total of 364 older adults with significant vision impairment due to age-related macular degeneration. MAIN MEASURES In-person interviews assessing social participation (i.e. frequency of social support contacts, social/leisure challenges faced due to vision loss, and of social support provided to others) and hypothesized correlates (e.g. visual acuity test, Functional Vision Screening Questionnaire, ratings of attachment to house and neighborhood, environmental modifications in home). RESULTS Regression analyses showed that indicators of physical, social, and mental functioning (e.g. better visual function, fewer difficulties with instrumental activities of daily living, fewer depressive symptoms) were positively related to social participation indicators (greater social contacts, less challenges in social/leisure domains, and providing more support to others). Environmental factors also emerged as independent correlates of social participation indicators when functional variables were controlled. That is, participants reporting higher attachment to their neighborhood and better income adequacy reported having more social contacts; and those implementing more environmental strategies were more likely to report greater challenges in social and leisure domains. Better income adequacy and living with more people were related to providing more social support to others. CONCLUSION Environmental variables may play a role in the social participation of older adults with age-related macular degeneration.
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(2017) : Gerontologie und Geriatrie: Leitfaden Physiotherapie (Siebte Ausgabe): München: Urban & Fischer, S. 679-694
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(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.
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IEEE Life Sciences Conference; Institute of Electrical and Electronics Engineers; International IEEE Life Sciences Conference; Lsc (2017): 2017 IEEE Life Sciences Conference (LSC). 13-15 Dec. 2017. 2017 IEEE Life Sciences Conference (LSC). Sydney, Australia, 12/13/2017 - 12/15/2017. Piscataway, NJ: IEEE
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(2017): Isms and schisms. A meta-analysis of the prejudice-discrimination relationship across racism, sexism, and ageism. In: Journal of Organizational Behavior 38 (7), S. 1076-1110. DOI: 10.1002/job.2187
DOI: https://doi.org/10.1002/job.2187 Abstract: Racism, sexism, and ageism persist in modern day organizations and may translate into workplace discrimination, which can undermine organizational effectiveness. We provide the first meta-analysis comparing the relationships between these three types of prejudice (racism, sexism, and ageism) and three types of workplace discrimination (selection, performance evaluation, and opposition to diversity-supportive policies). Across outcomes, racism was associated with workplace discrimination, whereas sexism was not. Ageism was associated with discriminatory selection and opposition to organizational policies supporting older workers; however, ageism was not related to discriminatory performance evaluation. Consistent with prior research and theory, Implicit Association Test measures were related to subtle discrimination (opposition to diversity-supportive policies) but not deliberate discrimination (selection and performance evaluation). Finally, prejudice was more strongly as sociated with discrimination against real as compared with hypothetical targets. Implications for organizational researchers and practitioners are discussed. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
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(2017): Toward an intelligent long-term assistance for people with dementia in the context of navigation in indoor environments : Intelligente Langzeit-Unterstützung für Menschen mit Demenz im Kontext der Navigation in Gebäuden. In: Universität Würzburg, Graduate School of Science and Technology
Abstract: Designed and examined a system for indoor environments for people with moderate to severe dementia, who are unable or reluctant to use smartphone technology. To this end, a series of 10 studies was conducted with total of 35 adults with dementia. In the first step, a user-centered design approach was adopted to gather context and requirements of people with dementia in order to understand needs and difficulties (especially in spatial disorientation and wayfinding problems) experienced in dementia care facilities. Then, an "Implicit Interactive Intelligent (III) Environment" for people with dementia was proposed emphasizing implicit interaction and natural interface. The backbone of this III Environment is based on supporting orientation and navigation tasks with three systems: a monitoring system, an intelligent system, and a guiding system. The monitoring system and intelligent system automatically detect and interpret the locations and activities performed by the users i.e. people with dementia. This approach (implicit input) reduces cognitive workload as well as physical workload on the user to provide input. The intelligent system is also aware of context, predicts next situations (location, activity), and decides when to provide an appropriate service to the users. The guiding system with intuitive and dynamic environmental cues (lighting with color) has the responsibility for guiding the users to the places they need to be. Overall, three types of a monitoring system with Ultra-Wideband and iBeacon technologies, different techniques and algorithms were implemented for different contexts of use. They showed a high user acceptance with a reasonable price as well as decent accuracy and precision. In the intelligent system, models were built to recognize the users' current activity, detect the erroneous activity, predict the next location and activity, and analyze the history data, detect issues, notify them and suggest solutions to caregivers via visualized web interfaces. Regarding the guiding systems, five studies were conducted to test and evaluate the effect of lighting with color on people with dementia. The results were promising. Although several components of III Environment in general and three systems, in particular, are in place (implemented and tested separately), integrating them all together and employing this as a fully properly evaluation with formal stakeholders (people with dementia and caregivers) need to be examined in future research.
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(2017) : Barriers in acceptance of Ambient Assisted Living technologies among older Australians: 2017 IEEE Life Sciences Conference (LSC): 13-15 Dec. 2017: 2017 IEEE Life Sciences Conference (LSC): Sydney, Australia: 12/13/2017 - 12/15/2017. IEEE Life Sciences Conference; Institute of Electrical and Electronics Engineers; International IEEE Life Sciences Conference; Lsc: Piscataway, NJ: IEEE, S. 222-225
Abstract: One of the great challenges facing Australian society is the ageing population. Amongst various issues involved in this drastic demographic change, the most significant aspect is the demand for older Australians to be able to live independently at home. One of the things done to address these issues is the development of Ambient Assisted Living (AAL) technologies. However, the optimum uptake of these technologies among the end-users (the elderly Australians) still remains a big concern. This aim of this study is to investigate the barriers and perceptions in the use of AAL applications amongst older Australians. Focus groups, and quantitative surveys have been conducted to provide the detailed analysis of these impediments. The results show that there are different factors that restrict the use of these technologies and elderly people have certain preferences when using the technology. An understanding of these barriers is gained to provide solutions according to user needs.
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(2017): Grandparent education for assisted living facilities. In: Educational Gerontology 43 (1), S. 11-20. DOI: 10.1080/03601277.2016.1231518
DOI: https://doi.org/10.1080/03601277.2016.1231518 Abstract: The assisted living population is forecast to increase at a rapid rate. Quality of life for residents should be improved by giving greater attention to their cognitive, emotional, and social needs. A university lifespan development team provided a grandparent education course at a large assisted living facility with the assistance of 20 resident volunteers (ages 77–91). The volunteers were trained to guide small classes. Scheduling allowed participants to attend 90-minute sessions; average weekly attendance was 65 residents. Cooperative learning principles were introduced to govern the processes used for class instruction and ensure mental stimulation. The guidebook lessons included grandparents giving and seeking advice, understanding child and adolescent development, goals and expectations of modern families, recognizing parent success, managing family conflicts, learning in later life, drugs and sex, living in single and blended families, and the influence of media and technology. Participants also volunteered as teacher assistants in elementary schools because they wanted to help children and better understand changes taking place in schools. Most participants reported that the major benefits were developing a supportive social network in the facility and acquiring group communication skills. Performance on the Teamwork Skills Inventory confirmed learning in the social context. The year-long program demonstrated that people in the oldest age group can benefit from a cost-free strategy for education about family development. (PsycINFO Database Record (c) 2017 APA, all rights reserved)
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(2017): Social exclusion of older persons. A scoping review and conceptual framework. In: European journal of ageing 14 (1), S. 81-98. DOI: 10.1007/s10433-016-0398-8
DOI: http://www.ncbi.nlm.nih.gov/pubmed/28804395 Abstract: As a concept, social exclusion has considerable potential to explain and respond to disadvantage in later life. However, in the context of ageing populations, the construct remains ambiguous. A disjointed evidence-base, spread across disparate disciplines, compounds the challenge of developing a coherent understanding of exclusion in older age. This article addresses this research deficit by presenting the findings of a two-stage scoping review encompassing seven separate reviews of the international literature pertaining to old-age social exclusion. Stage one involved a review of conceptual frameworks on old-age exclusion, identifying conceptual understandings and key domains of later-life exclusion. Stage two involved scoping reviews on each domain (six in all). Stage one identified six conceptual frameworks on old-age exclusion and six common domains across these frameworks: neighbourhood and community; services, amenities and mobility; social relations; material and financial resources; socio-cultural aspects; and civic participation. International literature concentrated on the first four domains, but indicated a general lack of research knowledge and of theoretical development. Drawing on all seven scoping reviews and a knowledge synthesis, the article presents a new definition and conceptual framework relating to old-age exclusion.
Keywords: Alter, Gerontologie 2016
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(2016) : Zur Bedeutung des Wohnens für die soziale Teilhabe älterer Menschen In: Schirra-Weirich, Liane; Wiegelmann, Henrik (Hg.): Alter und Altern als (Teilhabe-)Herausforderung für Individuum und Gesellschaft: 1. Auflage: Leverkusen: Budrich, Barbara (Schriften der KatHO NRW), S. 121-133
Abstract: Die wichtige Bedeutung des Wohnens für die Lebensqualität und die soziale Teilhabe älterer Menschen wird herausgearbeitet. Der Fokus liegt dabei auf Menschen, die durch altersbedingte gesundheitliche Beeinträchtigungen oder Behinderungen eingeschränkt sind und deswegen spezifische Anforderungen bewältigen müssen. Repräsentative Studien haben gezeigt, dass mehr als zwei Drittel der körperlich und kognitiv eingeschränkten älteren Menschen in der eigenen häuslichen Umgebung leben wollen. Unter den Bedingungen von Mobilitätseinschränkungen und nachlassender Leistungs- und Anpassungsfähigkeit wird das Wohnen besonders bedeutsam für das Wohlbefinden, die subjektive Lebensqualität und die selbständige Lebensführung älterer Menschen. Vor diesem Hintergrund werden wohnraumbezogene Möglichkeiten und Lösungen speziell für diese Personengruppe dargestellt. So werden etwa die Wohnungsanpassung sowie die ambulanten Wohnformen skizziert, die sich in den letzten Jahren als Wohnungen mit und ohne Hilfesystem entwickelt haben. Weiterhin werden Möglichkeiten und Grenzen unterschiedlicher Wohnformangebote im Hinblick auf Inklusion und Teilhabe betrachtet. Abschließend wird das Beratungskonzept "KoWo inklusiv" vorgestellt, das in der StädteRegion Aachen als inklusionsorientiertes wohnraumbezogenes Angebot für behinderte und pflegebedürftige Menschen entwickelt wurde.
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(2016): Positive and Negative Ageism. In: Affilia 31 (2), S. 207-218. DOI: 10.1177/0886109915595839
DOI: https://doi.org/10.1177/0886109915595839 Abstract: Addressing social injustice is an integral aspect to social work; however, the challenge lies in the fact that society is stratified by sociodemographic characteristics creating power and privilege for some and oppression for many. Understanding how biases that support this social structure are interrelated further elucidates the systemic nature of biases. This study examined the extent to which sexist beliefs would help explain ageism. Results indicated that benevolent sexism was associated with positive ageism, and hostile sexism helped explain negative ageism. These findings contribute to theory development on interlocking prejudices and inform pedagogical approaches that help address biases. (PsycINFO Database Record (c) 2018 APA, all rights reserved)
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(2016): Self determination-based design to achieve acceptance of assisted living technologies for older adults. In: Computers in Human Behavior 65, S. 508-521. DOI: 10.1016/j.chb.2016.07.042
DOI: https://doi.org/10.1016/j.chb.2016.07.042 Abstract: Providing technological support to assist older adults in their daily activities is a promising approach to aging in place. However, acceptance is critical when technologies are embedded in the user's life. Recently, Lee et al. established a connection between acceptance and motivation. They approached motivation via the Self-Determination Theory (SDT): the capacity to make choices and to take decisions. This paper leverages SDT to promote a new design style for gerontechnologies that consists of principles and requirements. We applied our approach to develop an assisted living platform, which was used to conduct a six-month field study with 34 older adults. We show that self-determination is a determining factor of technology acceptance. Furthermore, our platform improved the self-determination of equipped participants, compared to the control group, suggesting that our approach is effective. As such, SDT opens up new opportunities for improving the design process of gerontechnologies. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
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(2016): Enhancing the wellbeing of the elderly: Social use of digital technologies in aged care. In: Educational Gerontology 42 (11), S. 749-757. DOI: 10.1080/03601277.2016.1205425
DOI: https://doi.org/10.1080/03601277.2016.1205425 Abstract: As developed countries struggle to find suitable living arrangements for their ageing populations, many elderly citizens are becoming increasingly marginalized and isolated. In similar circumstances, younger people would use digital technologies to stay occupied and connected, but few elderly citizens have this capability. Our research investigates the ways that the social wellbeing of elderly citizens, wherever they reside, can be enhanced by their use of information and communications technologies (ICT), particularly digital technologies. A 2-year action research study of the social use of ICT by residents in aged-care facilities was conducted in order to determine how developing digital capabilities could enhance their wellbeing. Research interventions included the establishment of computer kiosks in aged-care facilities and weekly classes for developing ICT skills. As their digital capability improved, many of the elderly residents were observed to engage in meaningful computer-based activities of their own choosing. A set of themes among these activities was identified: connection, self-worth/esteem and personal development, productivity, occupation, self-sufficiency, being in control, and enjoyment. Our results are consistent with recently reported domains of social wellbeing among recipients of community-based aged-care services: (a) social participation and involvement, (b) occupation, (c) control over daily life and (d) dignity. (PsycINFO Database Record (c) 2019 APA, all rights reserved)