Detangling experiences of agency in welfare technology use by home care recipients and their staff.
Welfare technology (WT), defined as digital technology enabling individuals to live securely, actively and independently at home, is often viewed as a solution to care resource shortages. This solution discourse has increasingly been problematised, and ethical issues specifically connected to WT hav...
| Publicado en: | Disability & Rehabilitation: Assistive Technology Vol. 20; no. 4; pp. 1104 - 1117 |
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| Autores principales: | , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Taylor & Francis Ltd
May2025
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=185198493&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 185198493 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 17483107 1X04 jtl: Disability & Rehabilitation: Assistive Technology issn: 17483107 maglogo: Y pubinfo: dt: May2025 vid: 20 iid: 4 pid: 377 pub: Taylor & Francis Ltd place: Philadelphia, Pennsylvania artinfo: ui: 185198493 181564312 185198493 185198493 10.1080/17483107.2024.2435566 185198493 ppf: 1104 ppct: 13 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Detangling experiences of agency in welfare technology use by home care recipients and their staff. aug: au: Svärdh, Samantha A. Lorenzini, Giana Carli Siverskog, Anna Schmidt, Steven M. Iwarsson, Susanne Fristedt, Sofi affil: Department of Health Sciences, Lund University, Lund, Sweden sug: subj: Digital Technology Home Health Care Social Welfare Patient Attitudes In Old Age Attitude of Health Personnel Diffusion of Innovation Funding Source Human Male Female Aged Aged, 80 and Over Qualitative Studies Semi-Structured Interview Interview Guides Thematic Analysis Aged: 65+ years Aged, 80 & over Male Female ab: Welfare technology (WT), defined as digital technology enabling individuals to live securely, actively and independently at home, is often viewed as a solution to care resource shortages. This solution discourse has increasingly been problematised, and ethical issues specifically connected to WT have emerged, e.g., regarding quality of care. The existing array of WT is developed with limited user involvement; primary user perspectives are thus inadequately voiced in research. This study aimed to disentangle how older adults and their homecare staff experience and influence WT use in homecare situations. The qualitative approach encompassed individual semi-structured interviews with homecare staff (n = 26) and older adults (n = 26) receiving homecare as well as utilising WT. Interviews were conducted in five Swedish municipalities, transcribed verbatim and analysed using thematic analysis. Three main themes were developed: (1) Lack of agency in WT obtainment, in which a lack of influence in the receiving of WT is illustrated. (2) Contradictory user perspectives regarding WT and agency, in which staffs' perceptions of specific WT are contrasted to older adults', highlighting how WT perceived positively by staff often detract from older adults' agency. (3) Agency and WT use inextricably linked with time, in which it is illustrated how influence over time is intricately connected to experienced agency in WT use. Our findings demonstrate a problematic lack of agency in WT use. Further improvements to current WT, aided by stronger user involvement, as well as certain municipal routines, are necessary if user agency is to be strengthened in relation to WT use. IMPLICATIONS FOR REHABILITATION: As current WT are largely developed and implemented with limited or even wholly without user involvement, there is a risk of mismatch between what WT are available and what WT the users' need and find relevant to use. This study provides crucial information about the importance of taking human agency into account when designing WT. At the very least, WT and the municipal routines regarding these technologies should not hinder user agency, as that would be counterproductive to person-centred approaches important in care and rehabilitation. WT additionally do not currently seem to match their purpose of increasing independence and participation, and again that is problematic for rehabilitation purposes. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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