PDF(Pubmed)
Abstract：
Telecare is claimed to support people to live in their own homes for longer by providing monitoring services that enable responses to emergencies at home. Although most telecare technologies commissioned in the United Kingdom predominantly supply reactive services, there has been recent interest among policy makers to develop proactive telecare services to provide additional understanding of older adults\' health and well-being needs to provide a means for more preventive interventions. Proactive telecare refers to providing regular well-being calls or encouraging users to regularly confirm their well-being to anticipate and prevent crises through an increased understanding of individuals\' needs and by building social relationships with older adults. Such technologies have already begun to be introduced, yet little research has explored the potential value of proactive telecare.
This study explores the perceptions of different interest groups to understand the extent to which using a proactive telecare service can support older adults to live independently, what potential health and well-being benefits may be elicited from its use, and what the limitations are.
Semistructured interviews were conducted with older people (those with experience in using proactive telecare and those without), family members of proactive telecare users, and proactive telecare staff regarding their perceptions and opinions about the value of a proactive telecare service. Data were analyzed using inductive thematic analysis.
A total of 30 individuals participated in this study. Older adults described the value of proactive telecare in feeling safe and in control and appreciated feeling connected. Family members and staff valued the potential to detect early health deterioration in older adults, and all participants highlighted the benefit of strengthening access to social networks, particularly for socially isolated older people. However, telecare is often viewed as a last resort, and therefore, anticipatory care may not suit all populations, as demonstrated by the mixed acceptance of the technology among older adults who did not have experience using it. Participants also reported limitations, including the requirement for family, friends, or neighbors to assist older adults during an emergency and the need for financial resources to fund the service.
This study presents the first known qualitative inquiry about a proactive telecare system, which provides rich and detailed insights from different perspectives into the potential benefits of this intervention. Proactive telecare may promote and facilitate the accumulation of social and technological resources as individuals prepare to cope with age-related challenges, thus helping to avoid negative outcomes prematurely. However, similar to reactive telecare, proactive telecare must be matched to individual preferences and existing financial and social resources.
This study explores the perceptions of different interest groups to understand the extent to which using a proactive telecare service can support older adults to live independently, what potential health and well-being benefits may be elicited from its use, and what the limitations are.
Semistructured interviews were conducted with older people (those with experience in using proactive telecare and those without), family members of proactive telecare users, and proactive telecare staff regarding their perceptions and opinions about the value of a proactive telecare service. Data were analyzed using inductive thematic analysis.
A total of 30 individuals participated in this study. Older adults described the value of proactive telecare in feeling safe and in control and appreciated feeling connected. Family members and staff valued the potential to detect early health deterioration in older adults, and all participants highlighted the benefit of strengthening access to social networks, particularly for socially isolated older people. However, telecare is often viewed as a last resort, and therefore, anticipatory care may not suit all populations, as demonstrated by the mixed acceptance of the technology among older adults who did not have experience using it. Participants also reported limitations, including the requirement for family, friends, or neighbors to assist older adults during an emergency and the need for financial resources to fund the service.
This study presents the first known qualitative inquiry about a proactive telecare system, which provides rich and detailed insights from different perspectives into the potential benefits of this intervention. Proactive telecare may promote and facilitate the accumulation of social and technological resources as individuals prepare to cope with age-related challenges, thus helping to avoid negative outcomes prematurely. However, similar to reactive telecare, proactive telecare must be matched to individual preferences and existing financial and social resources.
摘要：
背景：据称，Telecare通过提供监视服务来支持人们在自己的家中居住更长时间，从而能够对家中的紧急情况做出响应。尽管在英国委托使用的大多数电信技术主要提供被动服务，最近，政策制定者有兴趣开发主动远程医疗服务，以提供对老年人健康和福祉需求的更多了解，从而提供更多预防性干预措施。主动电话是指通过增加对个人需求的了解以及与老年人建立社会关系，提供定期的福祉电话或鼓励用户定期确认其福祉以预测和预防危机。这样的技术已经开始引进,然而，很少有研究探索主动远程医疗的潜在价值。
目的：本研究探讨了不同利益集团的看法，以了解使用主动远程医疗服务可以在多大程度上支持老年人独立生活，它的使用可能会带来什么潜在的健康和福祉益处，以及限制是什么。
方法：对老年人（有使用主动远程照护经验的人和没有使用主动远程照护的人）进行了半结构化访谈，主动电信用户的家庭成员，和积极主动的电信工作人员关于他们对积极主动的电信服务的价值的看法和意见。采用归纳主题分析法对数据进行分析。
结果：共有30人参与了这项研究。老年人描述了主动远程护理在感觉安全，控制和欣赏联系方面的价值。家庭成员和工作人员重视发现老年人早期健康恶化的潜力，所有与会者都强调了加强社交网络访问的好处，特别是社会孤立的老年人。然而,远程医疗通常被视为最后的手段，因此,预期护理可能不适合所有人群，没有使用该技术经验的老年人对该技术的接受度参差不齐。参与者还报告了局限性，包括对家庭的要求，朋友,或邻居在紧急情况下帮助老年人，以及需要财政资源来资助这项服务。
结论：这项研究提出了关于主动远程照护系统的第一个已知的定性调查，它从不同的角度提供了丰富而详细的见解，以了解这种干预的潜在好处。当个人准备应对与年龄有关的挑战时，积极的远程护理可以促进和促进社会和技术资源的积累，从而帮助避免过早的负面结果。然而,类似于反应式电信，积极的远程通信必须与个人偏好以及现有的财政和社会资源相匹配。
目的：本研究探讨了不同利益集团的看法，以了解使用主动远程医疗服务可以在多大程度上支持老年人独立生活，它的使用可能会带来什么潜在的健康和福祉益处，以及限制是什么。
方法：对老年人（有使用主动远程照护经验的人和没有使用主动远程照护的人）进行了半结构化访谈，主动电信用户的家庭成员，和积极主动的电信工作人员关于他们对积极主动的电信服务的价值的看法和意见。采用归纳主题分析法对数据进行分析。
结果：共有30人参与了这项研究。老年人描述了主动远程护理在感觉安全，控制和欣赏联系方面的价值。家庭成员和工作人员重视发现老年人早期健康恶化的潜力，所有与会者都强调了加强社交网络访问的好处，特别是社会孤立的老年人。然而,远程医疗通常被视为最后的手段，因此,预期护理可能不适合所有人群，没有使用该技术经验的老年人对该技术的接受度参差不齐。参与者还报告了局限性，包括对家庭的要求，朋友,或邻居在紧急情况下帮助老年人，以及需要财政资源来资助这项服务。
结论：这项研究提出了关于主动远程照护系统的第一个已知的定性调查，它从不同的角度提供了丰富而详细的见解，以了解这种干预的潜在好处。当个人准备应对与年龄有关的挑战时，积极的远程护理可以促进和促进社会和技术资源的积累，从而帮助避免过早的负面结果。然而,类似于反应式电信，积极的远程通信必须与个人偏好以及现有的财政和社会资源相匹配。
