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Abstract
Home health monitoring systems (HHMS) are presented as a cost-effective solution that will assist with collaborative care of older adults. However, instead of care recipients feeling like collaborators, such systems often disempower them. In this paper, we examine the dissemination, onboarding, and initial use of an HHMS to see how the discourse used by developers and participants affects users' collaborative care efforts. We found that the textual information provided often contrasted with how our participants managed their care. Instead of providing participants with 'independence,' 'safety,' and 'peace of mind,' care recipients were placed in a more dependent, less proactive role, and care providers were pressured to take on more responsibilities. We position HHMS, as they are currently marketed and onboarded, as normalizing pseudo-institutionalization. As an alternative we advocate that the discourse and design of such systems should reflect and re-enforce the varied roles care recipients take in managing their care.
| Original language | English |
|---|---|
| Title of host publication | CHI 2023 |
| Subtitle of host publication | Proceedings of the 2023 CHI Conference on Human Factors in Computing Systems |
| Publisher | Association for Computing Machinery (ACM) |
| Number of pages | 15 |
| ISBN (Electronic) | 9781450394215 |
| DOIs | |
| Publication status | Published - 19 Apr 2023 |
| Event | 2023 CHI Conference on Human Factors in Computing Systems, CHI 2023 - Hamburg, Germany Duration: 23 Apr 2023 → 28 Apr 2023 |
Publication series
| Name | Conference on Human Factors in Computing Systems - Proceedings |
|---|---|
| ISSN (Print) | 2159-6468 |
Conference
| Conference | 2023 CHI Conference on Human Factors in Computing Systems, CHI 2023 |
|---|---|
| Country/Territory | Germany |
| City | Hamburg |
| Period | 23/04/23 → 28/04/23 |
Bibliographical note
Funding Information:The authors would like to thank Ian Craddock and Rachael Gooberman-Hill for their guidance. We would also like to thank SPHERE and ESRC Centre for Sociodigital Futures (EP/K031910/1 and EP/R005273/1) and EPSRC DTP (EP/T617872/1) for helping fund this research. Finally, we would like to thank Ollie Hanton for his assistance.
Publisher Copyright:
© 2023 ACM.
Research Groups and Themes
- ESRC Centre for Sociodigital Futures
- Bristol Interaction Group
Keywords
- accessibility
- critical discourse analysis
- older adults
- onboarding
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CenSoF: ESRC Centre for Sociodigital Futures
Halford, S. (Principal Investigator), Southerton, D. (Co-Investigator), Manchester, H. (Co-Investigator), Evans, D. M. (Co-Investigator), Watson, D. L. (Co-Investigator), Anderson, B. (Co-Investigator), Cater, K. F. (Co-Investigator), Carver, N. (Co-Investigator), Clarke, P. H. (Co-Investigator), Dermott, E. (Co-Investigator), Facer, K. (Co-Investigator), Hauert, S. (Co-Investigator), Liu, W. (Co-Investigator), Liveley, G. (Co-Investigator), McQuillan, D. (Co-Investigator), O'Kane, A. A. (Co-Investigator), Owen, R. (Co-Investigator), Parker, M. (Co-Investigator), Preist, C. W. (Co-Investigator), Schien, D. (Co-Investigator), Sriprakash, A. (Co-Investigator), Milivojevic, S. (Co-Investigator), Hussain, R. (Co-Investigator), Gutierrez Lopez, M. (Researcher), Cheilan, L. (Researcher), Thomas, L. M. (Researcher), Van Isacker, T. (Researcher), Valladares Celis, C. (Researcher), Atkins, E. (Student), Knight, E. W. (Student), Pykett, J. (Co-Investigator), Pitts, H. (Co-Investigator), Williamson, B. (Co-Investigator), Lagedamont, M. (Co-Investigator), Dowse, M. (Researcher), Brand, J. F. (Student), James, R. (Student), Okafo, D. (Student), Horsley, N. (Researcher), Jansen, A. H. (Administrator), Stevenson, T. P. (Other ), Hill, J. M. (Manager), Abu-Aisheh, R. (Researcher), Bo, H. (Researcher), Hemming, R. (Researcher), Huang, L. Z. (Researcher) & Ward, K. J. (Other )
1/05/22 → 30/04/27
Project: Research, Parent
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SPHERE2
Craddock, I. J. (Principal Investigator), Mirmehdi, M. (Co-Investigator), Piechocki, R. J. (Co-Investigator), Flach, P. A. (Co-Investigator), Oikonomou, G. (Co-Investigator), Burghardt, T. (Co-Investigator), Damen, D. (Co-Investigator), Santos-Rodriguez, R. (Co-Investigator), O'Kane, A. A. (Co-Investigator), McConville, R. (Co-Investigator), Masullo, A. (Co-Investigator) & Gooberman-Hill, R. (Co-Investigator)
1/10/18 → 31/01/23
Project: Research, Parent