Integrating an Ambient Assisted Living monitoring system into clinical decision-making in home care: An embedded case study.

Background In Quebec, home care administrators are increasingly open to using Ambient Assisted Living (AAL) technologies as part of services to better support care recipient with a major loss of autonomy. However, little information is available about how these technologies are integrated into clini...

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Publicado en:Gerontechnology Vol. 19; no. 1; pp. 77 - 93
Autores principales: Lussier, Maxime, Couture, Mélanie, Moreau, Maxime, Laliberté, Catherine, Giroux, Sylvain, Pigot, Hélène, Gaboury, Sébastien, Bouchard, Kevin, Belchior, Patricia, Bottari, Carolina, Paré, Guy, Consel, Charles, Bier, Nathalie
Formato: case study research tables/charts Journal Article
Publicado: International Society for Gerontechnology 2020
Acceso en línea:Ver este registro en EBSCOhost
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      pub: International Society for Gerontechnology
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        atl: Integrating an Ambient Assisted Living monitoring system into clinical decision-making in home care: An embedded case study.
      aug:
        au:
          Lussier, Maxime
          Couture, Mélanie
          Moreau, Maxime
          Laliberté, Catherine
          Giroux, Sylvain
          Pigot, Hélène
          Gaboury, Sébastien
          Bouchard, Kevin
          Belchior, Patricia
          Bottari, Carolina
          Paré, Guy
          Consel, Charles
          Bier, Nathalie
        affil: Centre de recherche de l'Institut universitaire de gériatrie de Montréal, Montréal, Québec, Canada
      sug:
        subj:
          Assisted Living
          Home Health Care
          Monitoring, Physiologic
          Decision Making, Clinical
          User-Computer Interface
          Technology
          Systems Integration
          Social Workers
          Self Neglect Risk Factors
          Human
          Female
          Aged, 80 and Over
          Patient Autonomy
          Support, Psychosocial
          Triangulation
          Semi-Structured Interview
          Electronic Health Records
          Cognition Evaluation
          Functional Assessment
          Activities of Daily Living
          Patient Care Plans
          Data Security
          Health Services Needs and Demand
          Aging
          Aged, 80 & over
          Female
      ab: Background In Quebec, home care administrators are increasingly open to using Ambient Assisted Living (AAL) technologies as part of services to better support care recipient with a major loss of autonomy. However, little information is available about how these technologies are integrated into clinical practice. Research aim The present revelatory embedded single-case study aimed to understand how AAL monitoring technologies were integrated in the clinical decision-making process of social and health care professionals to maintain older adults at risk of self-neglect at home (n = 3). Methods Multiple data collection methods were used for triangulation purposes: semi-structured individual and group interviews, encrypted data from monitoring technologies, medical records, and cognitive and functional evaluations. Data was analyzed using the approach of Miles, Huberman and Saldana (2004). Results Results show that AAL monitoring technologies were used by social and health care professionals as a means to collect additional and reliable continudata about home care recipients' life habits, such as daily patterns related to eating, sleeping, personal care, inactivity and going outside. Professionals wanted to confirm or refute their own hypotheses before developing a comprehensive intervention plan. This information was then used to attribute home care services that correspond to the needs of the care recipient to optimise autonomy and security. Conclusion Results showed that AAL monitoring technologies provide the professionals with information that would otherwise be inaccessible and are conceptualized as a means of using social and health care resources wisely in a context where resources are scarce.
      pubtype: Academic Journal
      doctype:
        case study
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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