Healthcare Professionals Views on Technology to Support Older Adults Transitioning from Hospital to Home

One of the challenges of an ageing population is the impact this has on healthcare systems, as living longer can potentially result in higher levels of frailty, chronic disease, dementia and other age-related illnesses. In turn, this may result in higher numbers of hospitalisations and longer hospital stays. Thus, understanding how to support safe and timely discharge of older adults from hospital to their home, and support a return to independence, is critical. Monitoring technology can play an important role in this. However, it is necessary to understand the key role of technology in transitional care as well as the facilitators and barriers to integrating such technology into practice. This paper explores these issues, by presenting a study that uses remote monitoring technology to support older adult patients transitioning from hospital to home. We present findings from evaluations with a range of healthcare professionals on the potential uses of such technology to support transitioning. We also highlight potential barriers and facilitators to integration within health systems.

Content

Author and article information

Contributors

Julie Doyle

Niamh Caprani

Andrea Kealy

Rodd Bond

Yusuke Komaba

Akihiro Inomata

Conference

Publication date: July 2016

Publication date (Print): July 2016

Pages: 1-11

Affiliations

[0001]NetwellCASALA, Dundalk Institute of Technology, Ireland

[0002]Fujitsu Ireland Ltd.

Ireland

[0003]Fujitsu Laboratories Ltd.

Japan

Article

DOI: 10.14236/ewic/HCI2016.34

SO-VID: 5f44d644-d3db-46a8-82e4-2880a5d11e9c

License:

This work is licensed under a Creative Commons Attribution 4.0 Unported License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/

Conference name: Proceedings of the 30th International BCS Human Computer Interaction Conference

Conference acronym: HCI

Conference number: 30

Conference location: Bournemouth University, Poole, UK

Conference date: 11 - 15 July 2016

Conference sponsor: Electronic Workshops in Computing (eWiC)

Conference theme: Fusion

History

Product

1477-9358 BCS Learning & Development

Self URI (article page): https://www.scienceopen.com/hosted-document?doi=10.14236/ewic/HCI2016.34

Self URI (journal page): https://ewic.bcs.org/

REFERENCES

E. O’Regan 2015 Half of ‘bed blockers’ needing nursing home caught in HSE red tape Irish Examiner http://www.independent.ie/irish-news/health/half-of-bed-blockers-needing-nursing-home-caught-in-hse-red-tape-31035460.html accessed Dec 2015
Age UK 2014 Nearly 2m NHS days lost from delayed discharge http://www.ageuk.org.uk/latest-news/archive/nearly-2m-nhs-days-lost-delayed-discharge/ (accessed December 2015
SF. JencksM.V. WilliamsEA. Coleman 2009 Rehospitalizations among patients in the Medicare fee-for-service program N Engl J Med 360 14 1418 1428
M. Sánchez 2014 BackHome: Technological assistance in the transition from hospital to home for patients with severe disabilities. Digital Agency for Europe. Retrieved 1st January 2016 from https://ec.europa.eu/digital-agenda/en/ blog/backhome-technological-assistance-transition-hospital-home-patients-severe-disabilities-0
G.R. HayesD.J. PattersonM SinghD. GravemJ. RichD. Cooper 2011 Supporting the transition from hospital to home for premature infants using integrated mobile computing and sensor support Pers Ubiquit Comput 15 871 885
A. OstrovskyM. RanneyS. DavidsonB. RothmanH. Liks 2014 Mobile technology selection to support care transitions HIMSS m Health Physician Task Force. Retrieved January 1st 2015 from http://www.himss.or
D. ClaudioM.A. VelazquezW. Bravo-LlerenaG.E OkudanA. Freivalds 2015 Perceived usefulness and ease of use of wearable sensor-based systems in emergency departments IIE Transactions on Occupational Ergonomics and Human Factors online first article
D.J. CookJ.E. ThomsonS.K. PrinsenJ.A. DearaniC. Deschamps 2013 Funcitonal recovery in the elderly after major surgery: Assessement of mobile recovery using wireless technology Ann Thorac Surg 96 3 1057 61
A. Mansfield et al 2015 Use of accelerometer-based feedback of walking activity for appraising progress with walking-related goals in inpatietn stroke rehabilitation: A randomised controlled trial Neurorehabil Neural Repair 29 9 847 857
G. Appelboom et al 2014 The promise of wearable activity sensors to define patient recovery J Clinical Neuroscience 21 1089 1093
E. ChiauzziC. RodarteP. DasMahapatra 2015 Patient-centred activity monitoring in the self-management of chronic health conditions BMC Medicine 13 77
J. DoyleL. WalshA SassuT McDonagh 2014 Designing a wellness self-management tool for older adults – Results from a field trial of YourWellness Pervasive Health 2014
L. KendallD. MorrisD. Tan 2015 Blood pressure beyond the clinic: Rethinking a health metric for everyone CHI 2015 1679 1688
N. AhujaE. OzdalgaA. Aaronson 2015 Integrating mobile fitness trackers into the practice of medicine American Journal of Lifestyle Medicine doi:10.1177/1559827615583643
B. VandenbergheD. Geerts 2015 Sleep monitoring tools at home and in the hospital: Bridging quantified self and clinical sleep research Pervasive Health 2015
A.P GlascockD.M. Kutzik 2006 The impact of behavioural monitoring technology on the provision of health care in the home Journal of Universal Computer Science 12 59 79
J. DoyleA. KealyJ. LoaneL Walsh et al An integrated home-based self-management system to support the wellbeing of older adults JAISE Journal of Ambient Intelligence and Smart Environments 6 4 359 383 2014
A. InomataY. Yaginuma 2014 Hassle-free Sensing Technologies for Monitoring Daily Health Changes FUJITSU Sci. Tech. J 50 1 78 83 2014 http://www.fujitsu.com/global/documents/about/resources/publications/f stj/archives/vol50-1/paper13.pdf
M. RijkenV. StruckmannM. DyakovaM.G. MelchiorreS. RissanenE. van Ginneken 2013 ICARE4EU Improving care for people with multiple chronic conditions in Europe Eurohealth 19 3 29 31
WHO report on ageing 2015 Geneva: World Health Organisation http://www.who.int/ageing/publications/world-report-2015/en/ accessed Dec 2015
N. GoodwinA. DixonG. AndersonW. Wodchis Providing integrated care for older people with complex needs: Lessons from seven international case studies The Kings Fund http://www.kingsfund.org.uk/publications/providing-integrated-care-older-people-complex-needs accessed Jan 2016 2014

Comments

Comment on this article

[1] E. O’Regan 2015 Half of ‘bed blockers’ needing nursing home caught in HSE red tape Irish Examiner http://www.independent.ie/irish-news/health/half-of-bed-blockers-needing-nursing-home-caught-in-hse-red-tape-31035460.html accessed Dec 2015

[2] Age UK 2014 Nearly 2m NHS days lost from delayed discharge http://www.ageuk.org.uk/latest-news/archive/nearly-2m-nhs-days-lost-delayed-discharge/ (accessed December 2015

[3] SF. JencksM.V. WilliamsEA. Coleman 2009 Rehospitalizations among patients in the Medicare fee-for-service program N Engl J Med 360 14 1418 1428

[4] M. Sánchez 2014 BackHome: Technological assistance in the transition from hospital to home for patients with severe disabilities. Digital Agency for Europe. Retrieved 1st January 2016 from https://ec.europa.eu/digital-agenda/en/ blog/backhome-technological-assistance-transition-hospital-home-patients-severe-disabilities-0

[5] G.R. HayesD.J. PattersonM SinghD. GravemJ. RichD. Cooper 2011 Supporting the transition from hospital to home for premature infants using integrated mobile computing and sensor support Pers Ubiquit Comput 15 871 885

[6] A. OstrovskyM. RanneyS. DavidsonB. RothmanH. Liks 2014 Mobile technology selection to support care transitions HIMSS m Health Physician Task Force. Retrieved January 1st 2015 from http://www.himss.or

[7] D. ClaudioM.A. VelazquezW. Bravo-LlerenaG.E OkudanA. Freivalds 2015 Perceived usefulness and ease of use of wearable sensor-based systems in emergency departments IIE Transactions on Occupational Ergonomics and Human Factors online first article

[8] D.J. CookJ.E. ThomsonS.K. PrinsenJ.A. DearaniC. Deschamps 2013 Funcitonal recovery in the elderly after major surgery: Assessement of mobile recovery using wireless technology Ann Thorac Surg 96 3 1057 61

[9] A. Mansfield et al 2015 Use of accelerometer-based feedback of walking activity for appraising progress with walking-related goals in inpatietn stroke rehabilitation: A randomised controlled trial Neurorehabil Neural Repair 29 9 847 857

[10] G. Appelboom et al 2014 The promise of wearable activity sensors to define patient recovery J Clinical Neuroscience 21 1089 1093

[11] E. ChiauzziC. RodarteP. DasMahapatra 2015 Patient-centred activity monitoring in the self-management of chronic health conditions BMC Medicine 13 77

[12] J. DoyleL. WalshA SassuT McDonagh 2014 Designing a wellness self-management tool for older adults – Results from a field trial of YourWellness Pervasive Health 2014

[13] L. KendallD. MorrisD. Tan 2015 Blood pressure beyond the clinic: Rethinking a health metric for everyone CHI 2015 1679 1688

[14] N. AhujaE. OzdalgaA. Aaronson 2015 Integrating mobile fitness trackers into the practice of medicine American Journal of Lifestyle Medicine doi:10.1177/1559827615583643

[15] B. VandenbergheD. Geerts 2015 Sleep monitoring tools at home and in the hospital: Bridging quantified self and clinical sleep research Pervasive Health 2015

[16] A.P GlascockD.M. Kutzik 2006 The impact of behavioural monitoring technology on the provision of health care in the home Journal of Universal Computer Science 12 59 79

[17] J. DoyleA. KealyJ. LoaneL Walsh et al An integrated home-based self-management system to support the wellbeing of older adults JAISE Journal of Ambient Intelligence and Smart Environments 6 4 359 383 2014

[18] A. InomataY. Yaginuma 2014 Hassle-free Sensing Technologies for Monitoring Daily Health Changes FUJITSU Sci. Tech. J 50 1 78 83 2014 http://www.fujitsu.com/global/documents/about/resources/publications/f stj/archives/vol50-1/paper13.pdf

[19] M. RijkenV. StruckmannM. DyakovaM.G. MelchiorreS. RissanenE. van Ginneken 2013 ICARE4EU Improving care for people with multiple chronic conditions in Europe Eurohealth 19 3 29 31

[20] WHO report on ageing 2015 Geneva: World Health Organisation http://www.who.int/ageing/publications/world-report-2015/en/ accessed Dec 2015

[21] N. GoodwinA. DixonG. AndersonW. Wodchis Providing integrated care for older people with complex needs: Lessons from seven international case studies The Kings Fund http://www.kingsfund.org.uk/publications/providing-integrated-care-older-people-complex-needs accessed Jan 2016 2014

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