29Developing a Questionnaire on User Needs and Decision-Making Regarding Home-Care Robots for Older People in Japan, Ireland and Finland

Home care arrangements for older people are coordinated via a client-centred assessment process. This article describes how storylines and discursive positioning are used among older people and their relatives when divergent opinions of care needs are expressed. Eleven assessment interviews were studied using discourse analysis. The results show that relatives and older people advanced three major storylines, and positioned themselves within them with respect to the need for help. These storylines were based on whether the persons viewed home care as an intrusion into daily routines and relationships, or as a complement and support in everyday life, or as a right. The content of the storylines and the ways in which positions were shaped within them illustrate how positioning is incorporated as part of the ongoing reflexive process in interaction in which participants form an image of the older person’s needs. Assessments clarify the views of the participants on home care, but they also reflect the discourses that are prevalent in the aged care community and in society in general. The article raises questions about strengthening older people’s participation in the decision making process and also whether a new communicative practice is needed for assessments, i.e., one that proceeds on the basis of a broader family perspective.

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49 Health and Social Care Professionals’ Perceptions Regarding Home-Care Robots for Older People in Ireland: A Questionnaire Study

Age and Ageing ◽

10.1093/ageing/afz102.09 ◽

2019 ◽

Vol 48 (Supplement_3) ◽

pp. iii1-iii16

Author(s):

Naonori Kodate ◽

Sarah Donnelly ◽

Mayuko Tsujimura ◽

Sayuri Suwa

Keyword(s):

Home Care ◽

Older People ◽

Online Survey ◽

Social Care ◽

Assistive Technologies ◽

Research Teams ◽

Care Robots ◽

Health And Social Care ◽

Human Care ◽

Access To Data

Abstract Background Home-care robots have been developed as one of the assistive technologies, and benefits and challenges of their use have been debated in many countries. Research teams in Japan, Finland and Ireland carried out a questionnaire to explore perceptions of potential users (older people, family caregivers, and health and social care professionals (HSCPs)) towards the use of home-care robots. As part of a larger tri-country comparative study, this paper reports preliminary findings from the data collected from the online survey of HSCPs in Ireland. Methods Questionnaire was developed iteratively among the research teams in three countries. Questions related to the use of advocates in deciding whether to use home-care robots, desirable functions in such robots, and perceptions of privacy protection. Based on networks of professional and advocacy groups, HSCPs were contacted and 123 respondents took part in the questionnaire, and 46 fully completed the questionnaire. Results Out of 46 respondents (44 female, 1 male and 1 did not wish to specify), 80% answered that they are open to the use of home-care robots. Safety monitoring and alert functions were considered to be most desirable in home-care robots. 76% of the respondents placed importance on the guarantee of entitlement to receiving human care, irrespective of the use of home-care robots. 30% answered that they have a negative impression of robots, to some extent. The overall majority (N=39, 85%) felt strongly that a decision as to whether to use home-care robots should be made by the user, and that the access to data collected in any form by robots requires extra care. Conclusion While there was generally a positive perception of the use of home-care robots among Irish HSCPs, cautious attitudes were evident in the areas of decision-making and privacy. This study was funded by the Pfizer Health Research Foundation.

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15What are the Key Criteria for Decision-Making Concerning the Use of Home-Care Robots? Findings from a Questionnaire Study in Japan

Age and Ageing ◽

10.1093/ageing/afy140.07 ◽

2018 ◽

Vol 47 (suppl_5) ◽

pp. v13-v60

Author(s):

Naonori Kodate ◽

Sayuri Suwa ◽

Mayuko Tsujimura ◽

Mina Ishimaru ◽

Atsuko Shimamura ◽

...

Keyword(s):

Decision Making ◽

Home Care ◽

Questionnaire Study ◽

Care Robots

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Exploring perceptions toward home-care robots for older people in Finland, Ireland, and Japan: A comparative questionnaire study

Archives of Gerontology and Geriatrics ◽

10.1016/j.archger.2020.104178 ◽

2020 ◽

Vol 91 ◽

pp. 104178

Author(s):

Sayuri Suwa ◽

Mayuko Tsujimura ◽

Naonori Kodate ◽

Sarah Donnelly ◽

Helli Kitinoja ◽

...

Keyword(s):

Home Care ◽

Older People ◽

Questionnaire Study ◽

Care Robots

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Bridging the gap between end user needs and science capability: decision making under uncertainty

Climate Research ◽

10.3354/cr01243 ◽

2014 ◽

Vol 61 (1) ◽

pp. 57-74 ◽

Cited By ~ 16

Author(s):

AS Kiem ◽

DC Verdon-Kidd ◽

EK Austin

Keyword(s):

Decision Making ◽

User Needs ◽

Decision Making Under Uncertainty ◽

End User

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Interest of Functional Neuroimaging in Assessing Decision-making Capacity of Older People With Neurocognitive Disorders

Case Medical Research ◽

10.31525/ct1-nct03931148 ◽

2019 ◽

Author(s):

Keyword(s):

Decision Making ◽

Older People ◽

Functional Neuroimaging ◽

Neurocognitive Disorders ◽

Decision Making Capacity

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Person-centered dementia care in home care services – highly recommended but still challenging to obtain: a qualitative interview study

BMC Health Services Research ◽

10.1186/s12913-021-06722-8 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Kari-Anne Hoel ◽

Anne Marie Mork Rokstad ◽

Ingvild Hjorth Feiring ◽

Bjørn Lichtwarck ◽

Geir Selbæk ◽

...

Keyword(s):

Decision Making ◽

Home Care ◽

Shared Decision Making ◽

Care Service ◽

Home Care Services ◽

Shared Decision ◽

Care Services ◽

Person Centered Care ◽

People With Dementia ◽

Centered Care

Abstract Background Dementia is one of the main causes of disability and dependence in older people, and people with dementia need comprehensive healthcare services, preferably in their own homes. A well-organized home care service designed for people with dementia is necessary to meet their needs for health- and social care. Therefore, it is important to gain knowledge about how people with dementia experience the home care service and if the service responds to their wishes and needs. The aim of this study was to explore the experience of home care services among people with dementia, to understand the continuity in services, how the service was adapted to people with dementia, and how the patient experienced person-centered care and shared decision-making. Methods We used a qualitative, exploratory design based on a phenomenological-hermeneutic approach and performed individual in-depth interviews with persons with dementia. A convenience sample of 12 persons with moderate to severe degrees of dementia from four Norwegian municipalities participated in the study. The interviews were conducted in February 2019. Results The findings identified that the participants appreciated the possibility to stay safely in their own homes and mostly experienced good support from staff. They expressed various views and understanding of the service and experienced limited opportunities for user involvement and individualized, tailored service. The overall theme summarizing the findings was: “It is difficult for people with dementia to understand and influence home care services, but the services facilitate the possibility to stay at home and feel safe with support from staff.” Conclusion The participants did not fully understand the organization of the care and support they received from the home care services, but they adapted to the service without asking for changes based on their needs or desires. Although person-centered care is recommended both nationally and internationally, the participants experienced little inclusion in defining the service they received, and it was perceived as unclear how they could participate in shared decision-making.

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