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Older powered chair users’ perceptions on and attitudes towards mixed reality and modern facilitating technologies, such as tablets and smartphones, was explored to inform the design of mixed reality games that involve power mobility. Eleven older powered chair users (aged 55 and over) were interviewed in focus groups about their knowledge of, adop...
Contexts in source publication
Context 1
... objectives and research questions are presented by topic in Table 1. See Table 2 for the focus group questions associated with each topic area. ...Similar publications
Skate of the Union:
The intrinsic value of co-designing skateparks
Master’s Research Project Proposal
Written by Jaicyea Smith Inclusive Design MD
Presented to Research Project Advisor and Professor Gayle Nicoll OCAD University
February 7 2018
Back pain is a very common health problem and affects people across the world. This study applies an Inclusive Design approach to a community-based back pain service to understand the challenges, in relation to patients' capabilities, that can affect their access to the service. It consisted of three steps: i) online surveys and interviews with phy...
Citations
... The game does not need other control devices such as a mouse, since applications whose interaction is based on body movements may be friendlier to older people [14]. ...
... Only old so and so's use sticks. (Gooberman-Hill and Ebrahim, 2007: 572) Being stigmatised or discriminated against was an actualised fear for participants in many of the studies (Hirsch et al., 2000;Cohen-Mansfield et al., 2005;Southall et al., 2006;Courtney et al., 2007;Gooberman-Hill and Ebrahim, 2007;Demiris et al., 2008;Karlsson et al., 2011;Davenport et al., 2012;Long, 2012;Bowes and McColgan, 2013;Chen and Chan, 2013;Frennert et al., 2013;Wu et al., 2014aWu et al., , 2014bWu et al., , 2015Claes et al., 2015;Giesbrecht et al., 2015;Pino et al., 2015;Orellano-Colón et al., 2016;Seaborn et al., 2016). This fear strongly impacted older adults' willingness to adopt assistive technologies, whereby devices that could stigmatise older adults as 'different', 'lonely', 'frail', 'dependent' or 'old' were not popular. ...
... Participants across multiple studies also described experiences where they felt embarrassed about wearing or using assistive devices in public spaces (Cohen-Mansfield et al., 2005;Gooberman-Hill and Ebrahim, 2007;Karlsson et al., 2011;Chen and Chan, 2013;Coventry and Briggs, 2016;McGrath and Astell, 2016;Orellano-Colón et al., 2016). For example, powered wheelchair users avoided going to quiet public places such as movie theatres and libraries due to the embarrassment they felt when their mobility aids made loud noises (Seaborn et al., 2016). Unsurprisingly, embarrassment deterred participants in several studies from wearing or using assistive devices in public spaces. ...
The role of identity in older adults’ decision-making about assistive technology adoption has been suggested but not fully explored. This scoping review was conducted to understand better how older adults’ self-image and their desire to maintain this influence their decision-making processes regarding assistive technology adoption. Using the five-stage scoping review framework by Arksey and O'Malley, a total of 416 search combinations were run across nine databases, resulting in a final yield of 49 articles. From these 49 articles, five themes emerged: (a) resisting the negative reality of an ageing and/or disabled identity; (b) independence and control are key; (c) the aesthetic dimension of usability; (d) assistive technology as a last resort; and (e) privacy versus pragmatics. The findings highlight the importance of older adults’ desire to portray an identity consistent with independence, self-reliance and competence, and how this desire directly impacts their assistive technology decision-making adoption patterns. These findings aim to support the adoption of assistive technologies by older adults to facilitate engagement in meaningful activities, enable social participation within the community, and promote health and wellbeing in later life.
... The intersection of interaction design and games for older adults and people with disabilities is rapidly gaining attention in HCI and related fields. Older adults are increasingly tech-savvy and receptive to new technologies (Kane, Jayant, Wobbrock, & Ladner, 2009;Naftali & Findlater, 2014;Pew Research Center, 2014;Seaborn, Fels, & Pennefather, 2016). Explorations of their gaming experiences and preferences are growing in number, especially in terms of social experiences (e.g., De Schutter & Vanden Abeele, 2010;Gajadhar, Nap, de Kort, & IJsselsteijn, 2010;Rice et al., 2013) and health and well-being (e.g., Aarhus, Grönvall, Larsen, & Wollsen, 2011;Cuzzort & Starner, 2008;Jung, Li, Janissa, Gladys, & Lee, 2009;Rosenberg et al., 2010). ...
An extended design and evaluation framework of eudaimonia (personal growth, expressiveness) and hedonia (pleasure, comfort) was applied to a cooperative game for older adults who rely on power mobility. The purpose was to address two psychosocial well-being needs (perceptions of performance mastery and empathy enhancement) through a game with an interaction format that augments the experience of powered chair use: mixed reality with power mobility-based interaction and movement. Two versions of the game—one in a mixed reality format and one without—were created to evaluate the efficacy of using this framework and explore relevant user experience factors. Qualitative findings suggest that the mixed reality version of the game elicited eudaimonic experiences, where the older adult participants who were typically reliant on power mobility perceived a positive change in performance mastery while their partners, who were not reliant on power mobility developed a greater appreciation for everyday powered chair use. Further, a role reversal, where the elders took on a ‘caregiving’ role in the context of powered chair expertise, was observed. Moreover, inferential findings showed evidence of a predictive relationship between hedonic and eudaimonic orientations, psychological well-being, and game engagement, regardless of age, disability status, and game version.
Purpose:
There is growing interest in intelligent assistive technologies (IATs) in the rehabilitation and support of older adults, however, the factors contributing to or preventing their use in practice are not well understood. This study aimed to develop an overview of current knowledge on barriers and facilitators to the use of smart technologies in rehabilitative practice with older adults.
Materials and methods:
We undertook a scoping review following guidelines proposed by Arksey and O'Malley (2005) and Levac et al. (2010). A computerised literature search was conducted using the Scopus and Ovid databases, yielding 7995 citations. Of these, 94 studies met inclusion criteria. Analysis of extracted data identified themes which were explored in semi-structured interviews with a purposefully selected sample of seven clinical rehabilitation practitioners (three physical therapists, two occupational therapists, and two speech-language pathologists).
Results:
Barriers and facilitators to using these technologies were associated with accessibility, reported effectiveness, usability, patient-centred considerations, and staff considerations.
Conclusions:
Collaborative efforts of policy-makers, researchers, manufacturers, rehabilitation professionals, and older persons are needed to improve the design of technologies, develop appropriate funding and reimbursement strategies, and minimise barriers to their appropriate use to support independence and quality of life. Any strategies to improve upon barriers to prescribing smart technologies for older people should leverage the expertise of rehabilitation professionals operating at the interface between older people; their health/mobility; their families; and technology-based solutions.Implications for rehabilitationThere is growing interest in intelligent assistive technologies (IATs) in the rehabilitation of older adults, as well as barriers to their use in practice.Rehabilitation professionals can play a key role in enabling access to IATs by recommending or prescribing their use to their older clients. Strategies to address barriers to the use of IATs for older people should leverage the expertise of rehabilitation professionals operating at the interface between older people, their families, and technology-based solutions.Older people and their families require technical support to initiate and continue to use IATs for rehabilitation. While rehabilitation providers may be well-placed to offer this support, they may require time and organizational support to build and maintain expertise in the fast-advancing field of smart technologies for rehabilitation.Cost and usability are universal challenges across the types of smart technologies considered in this review. Participatory approaches to involving older people in the design and development of smart assistive technologies contribute to better usability of these technologies. Devices and interventions that leverage more readily available devices and lower-cost components may overcome cost barriers to accessibility.
