Changing mobility patterns in the Netherlands during COVID-19 outbreak

BACKGROUND Understanding the mobility patterns and experiences of older adults with memory problems living at home has the potential to improve autonomy and inform shared decision making (SDM) about their housing options. OBJECTIVE We aim to (1) assess the mobility patterns and experiences of older adults with memory problems, (2) co-design an electronic decision support intervention (e-DSI) that integrates users’ mobility patterns and experiences, (3) explore their intention to use an e-DSI to support autonomy at home, and (4) inform future SDM processes about housing options. METHODS Informed by the Good Reporting of A Mixed Methods Study (GRAMMS) reporting guidelines, we will conduct a 3-year, multipronged mixed methods study in Canada, Sweden, and the Netherlands. For Phase 1, we will recruit a convenience sample of 20 older adults living at home with memory problems from clinical and community settings in each country, for a total of 60 participants. We will ask participants to record their mobility patterns outside their home for 14 days using a GPS tracker and a travel diary; in addition, we will conduct a walking interview and a final debrief interview after 14 days. For Phase 2, referring to results from the first phase, we will conduct one user-centered co-design process per country with older adults with memory issues, caregivers, health care professionals, and information technology representatives informed by the Double Diamond method. We will ask participants how personalized information about mobility patterns and experiences could be added to an existing e-DSI and how this information could inform SDM about housing options. For Phase 3, using online web-based surveys, we will invite 210 older adults with memory problems and/or their caregivers, split equally across the three countries, to use the e-DSI and provide feedback on its strengths and limitations. Finally, in Phase 4, we will triangulate and compare data from all phases and countries to inform a stakeholder meeting where an action plan will be developed. RESULTS The study opened for recruitment in the Netherlands in November 2018 and in Canada and Sweden in December 2019. Data collection will be completed by April 2021. CONCLUSIONS This project will explore how e-DSIs can integrate the mobility patterns and mobility experiences of older adults with memory problems in three countries, improve older adults’ autonomy, and, ultimately, inform SDM about housing options. CLINICALTRIAL ClinicalTrials.gov NCT04267484; https://clinicaltrials.gov/ct2/show/NCT04267484 INTERNATIONAL REGISTERED REPORT DERR1-10.2196/19244

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Technology to Improve Autonomy and Inform Housing Decisions for Older Adults With Memory Problems Who Live at Home in Canada, Sweden, and the Netherlands: Protocol for a Multipronged Mixed Methods Study

JMIR Research Protocols ◽

10.2196/19244 ◽

2021 ◽

Vol 10 (1) ◽

pp. e19244

Author(s):

Jodi Sturge ◽

Louise Meijering ◽

C Allyson Jones ◽

Mirjam Garvelink ◽

Danielle Caron ◽

...

Keyword(s):

Older Adults ◽

Mixed Methods ◽

The Netherlands ◽

Mixed Methods Study ◽

Mobility Patterns ◽

Convenience Sample ◽

Memory Problems ◽

Housing Options ◽

With Memory ◽

At Home

Background Understanding the mobility patterns and experiences of older adults with memory problems living at home has the potential to improve autonomy and inform shared decision making (SDM) about their housing options. Objective We aim to (1) assess the mobility patterns and experiences of older adults with memory problems, (2) co-design an electronic decision support intervention (e-DSI) that integrates users’ mobility patterns and experiences, (3) explore their intention to use an e-DSI to support autonomy at home, and (4) inform future SDM processes about housing options. Methods Informed by the Good Reporting of A Mixed Methods Study (GRAMMS) reporting guidelines, we will conduct a 3-year, multipronged mixed methods study in Canada, Sweden, and the Netherlands. For Phase 1, we will recruit a convenience sample of 20 older adults living at home with memory problems from clinical and community settings in each country, for a total of 60 participants. We will ask participants to record their mobility patterns outside their home for 14 days using a GPS tracker and a travel diary; in addition, we will conduct a walking interview and a final debrief interview after 14 days. For Phase 2, referring to results from the first phase, we will conduct one user-centered co-design process per country with older adults with memory issues, caregivers, health care professionals, and information technology representatives informed by the Double Diamond method. We will ask participants how personalized information about mobility patterns and experiences could be added to an existing e-DSI and how this information could inform SDM about housing options. For Phase 3, using online web-based surveys, we will invite 210 older adults with memory problems and/or their caregivers, split equally across the three countries, to use the e-DSI and provide feedback on its strengths and limitations. Finally, in Phase 4, we will triangulate and compare data from all phases and countries to inform a stakeholder meeting where an action plan will be developed. Results The study opened for recruitment in the Netherlands in November 2018 and in Canada and Sweden in December 2019. Data collection will be completed by April 2021. Conclusions This project will explore how e-DSIs can integrate the mobility patterns and mobility experiences of older adults with memory problems in three countries, improve older adults’ autonomy, and, ultimately, inform SDM about housing options. Trial Registration ClinicalTrials.gov NCT04267484; https://clinicaltrials.gov/ct2/show/NCT04267484 International Registered Report Identifier (IRRID) DERR1-10.2196/19244

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Building Educational Resilience Through Transnational Mobility Trajectories: Young People Between Ghana and The Netherlands

Young ◽

10.1177/1103308820940184 ◽

2020 ◽

pp. 110330882094018 ◽

Cited By ~ 1

Author(s):

Joan van Geel ◽

Valentina Mazzucato

Keyword(s):

Young People ◽

The Netherlands ◽

Ecological Model ◽

Educational Resilience ◽

Mobility Patterns ◽

Transnational Mobility ◽

School Year ◽

Migrant Youth ◽

Institutional Actors ◽

Old Friends

Trips by migrant youth to their origin country are seen by institutional actors such as teachers and social workers as disrupting youth’s educational progress, and some European countries have financial and legal consequences when these trips take place during the school year. We follow Ghanaian youth living in The Netherlands on their journeys to Ghana and study how they experience such trips and are affected by them. Trips allow young people to reconnect with family and old friends, recollect memories, and confront them with poverty in their country of origin, making them resilient and motivated when facing adversities in school in the Netherlands. This study investigates how young Ghanaians’ mobility between Ghana and The Netherlands relates to their educational resilience. Based on 20 months of multi-sited ethnographic research following 30 youths of 16–25 age group, we deploy a socio-ecological approach developed in social psychology to identify three resilience-building mechanisms: connection to motivational others, active recollection and comparative confrontation. These mechanisms have to date remained outside of the purview of resilience research and research on migration and education, as these fields focus on the nation-state rather than the transnational context in which young people operate. They thereby ignore mobility patterns that make other contexts relevant to young people’s educational resilience. As such, we expand the socio-ecological model of resilience to include transnational elements and show how mobility can positively relate to education and the resilience of migrant youth.

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