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In-home monitoring of older adults with vision impairment: exploring patients', caregivers' and professionals' views

Larizza, Melanie Frances, Zukerman, Ingrid, Bohnert, Fabian, Busija, Lucy, Bentley, Sharon Ann, Russell, R Andrew and Rees, Gwyneth 2014, In-home monitoring of older adults with vision impairment: exploring patients', caregivers' and professionals' views, Journal of the American Medical Informatics Association, vol. 21, no. 1, pp. 56-63, doi: 10.1136/amiajnl-2012-001586.

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Title In-home monitoring of older adults with vision impairment: exploring patients', caregivers' and professionals' views
Author(s) Larizza, Melanie Frances
Zukerman, Ingrid
Bohnert, Fabian
Busija, Lucy
Bentley, Sharon Ann
Russell, R Andrew
Rees, Gwyneth
Journal name Journal of the American Medical Informatics Association
Volume number 21
Issue number 1
Start page 56
End page 63
Total pages 8
Publisher BMJ Publishing Group
Place of publication London, UK
Publication date 2014
ISSN 1067-5027
1527-974X
Summary Objective
To develop a conceptual framework for the design of an in-home monitoring system (IMS) based on the requirements of older adults with vision impairment (VI), informal caregivers and eye-care rehabilitation professionals.

Materials and Methods
Concept mapping, a mixed-methods statistical research tool, was used in the construction of the framework. Overall, 40 participants brainstormed or sorted and rated 83 statements concerning an IMS for older adults with VI. Multidimensional scaling and hierarchical cluster analysis were employed to construct the framework. A questionnaire yielded further insights into the views of a wider sample of older adults with VI (n=78) and caregivers (n=25) regarding IMS.

Results
Concept mapping revealed a nine-cluster model of IMS-related aspects including affordability, awareness of system capabilities, simplicity of installation, operation and maintenance, system integrity and reliability, fall detection and safe movement, user customization, user preferences regarding information delivery, and safety alerts for patients and caregivers. From the questionnaire, independence, safety and fall detection were the most commonly reported reasons for older adults and caregivers to accept an IMS. Concerns included cost, privacy, security of the information obtained through monitoring, system accuracy, and ease of use.

Discussion
Older adults with VI, caregivers and professionals are receptive to in-home monitoring, mainly for fall detection and safety monitoring, but have concerns that must be addressed when developing an IMS.

Conclusion
Our study provides a novel conceptual framework for the design of an IMS that will be maximally acceptable and beneficial to our ageing and vision-impaired population.
Language eng
DOI 10.1136/amiajnl-2012-001586
Field of Research 111718 Residential Client Care
Socio Economic Objective 920299 Health and Support Services not elsewhere classified
HERDC Research category C1 Refereed article in a scholarly journal
Persistent URL http://hdl.handle.net/10536/DRO/DU:30061481

Document type: Journal Article
Collection: PVC's Office - Health
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Created: Mon, 10 Mar 2014, 13:26:49 EST by Lucy Busija

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