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Wandering as a sociomaterial practice : extending the theorization of GPS tracking in cognitive impairment

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Wherton, Joseph, Greenhalgh, Trisha, Procter, Rob, Shaw, Sara and Shaw, James (2018) Wandering as a sociomaterial practice : extending the theorization of GPS tracking in cognitive impairment. Qualitative Health Research . doi:10.1177/1049732318798358 ISSN 1049-7323.

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Official URL: http://doi.org/10.1177/1049732318798358

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Abstract

Electronic tracking through global positioning systems (GPSs) is used to monitor people with cognitive impairment who “wander” outside the home. This ethnographic study explored how GPS-monitored wandering was experienced by individuals, lay carers, and professional staff. Seven in-depth case studies revealed that wandering was often an enjoyable and worthwhile activity and helped deal with uncertainty and threats to identity. In what were typically very complex care contexts, GPS devices were useful to the extent that they aligned with a wider sociomaterial care network that included lay carers, call centers, and health and social care professionals.

In this context, “safe” wandering was a collaborative accomplishment that depended on the technology’s materiality, affordances, and aesthetic properties; a distributed knowledge of the individual and the places they wandered through, and a collective and dynamic interpretation of risk. Implications for design and delivery of GPS devices and services for cognitive impairment are discussed.

Item Type: Journal Article
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, Global Positioning System
Journal or Publication Title: Qualitative Health Research
Publisher: Sage Publications, Inc.
ISSN: 1049-7323
Official Date: 14 September 2018
Dates:
DateEvent
14 September 2018Published
10 August 2018Accepted
DOI: 10.1177/1049732318798358
Status: Peer Reviewed
Publication Status: Published
Access rights to Published version: Open Access (Creative Commons)
Date of first compliant deposit: 19 September 2018
Date of first compliant Open Access: 19 September 2018
RIOXX Funder/Project Grant:
Project/Grant IDRIOXX Funder NameFunder ID
RP-DG-1213-10003[NIHR] National Institute for Health Researchhttp://dx.doi.org/10.13039/501100000272
WT104830MAWellcome Trusthttp://dx.doi.org/10.13039/100010269

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