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Hidden work and the challenges of scalability and sustainability in ambulatory assisted living

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Procter, Rob, Wherton, Joe and Greenhalgh, Trisha (2018) Hidden work and the challenges of scalability and sustainability in ambulatory assisted living. ACM Transactions on Computer-Human Interaction (TOCHI), 25 (2). 11. doi:10.1145/3185591 ISSN 1073-0516.

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Official URL: https://doi.org/10.1145/3185591

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Abstract

Assisted living technologies may help people live independently while also—potentially—reducing health and care costs. But they are notoriously difficult to implement at scale and many devices are abandoned following initial adoption.We report findings from a study of global positioning system (GPS) tracking devices intended to support the independent living of people with cognitive impairment. Our aims were threefold: to understand (through ethnography) such individuals’ lived experience of GPS tracking; to facilitate (through action research) the customization and adaptation of technologies and care services to provide effective, ongoing support; and to explore the possibilities for a co-production methodology that would enable people with cognitive impairment and their families to work with professionals and technical designers to shape these devices and services to meet their particular needs in a sustainable way.We found that the articulation work needed for maintaining the GPS technology in “working order” was extensive and ongoing. This articulation work does not merely supplement formal procedures, a lot of it is needed to get round them, but it is also often invisible and thus its importance goes largely unrecognized. If GPS technologies are to be implemented at scale and sustainably, methods must be found to capitalize on the skills and tacit knowledge held within the care network (professional and lay) to resolve problems, improve device design, devise new service solutions, and foster organizational learning.

Item Type: Journal Article
Alternative Title:
Subjects: G Geography. Anthropology. Recreation > G Geography (General)
R Medicine > RC Internal medicine
Divisions: Faculty of Science, Engineering and Medicine > Science > Computer Science
Library of Congress Subject Headings (LCSH): Mild cognitive impairment -- Treatment, Global Positioning System, Congregate housing -- Technological innovations, Medical care -- Cost effectiveness
Journal or Publication Title: ACM Transactions on Computer-Human Interaction (TOCHI)
Publisher: ACM
ISSN: 1073-0516
Official Date: 10 April 2018
Dates:
DateEvent
10 April 2018Published
23 January 2018Accepted
Volume: 25
Number: 2
Number of Pages: 26
Article Number: 11
DOI: 10.1145/3185591
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Restricted or Subscription Access
Date of first compliant deposit: 18 April 2018
Date of first compliant Open Access: 8 May 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RP-DG-1213-10003National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272

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