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Ethnography, Technology, Design, and Independent Living: Shaping Ageing Cities

Explore the future of independent living for aging populations through ethnographic research, technology integration, and innovative design. Discover the challenges and opportunities of ageing in urban environments and the impact of technology on quality of life. This research-based approach aims to improve healthcare, social connection, and cognitive function for older adults.

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Ethnography, Technology, Design, and Independent Living: Shaping Ageing Cities

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  1. Ethnography, Technology Design and Independent LivingProfessor David Prendergast

  2. By 2050, 22% of the world’s population —nearly 2 billion people will be 60 or older 33% or higher in certain regions. Japan is already there – Italy, Germany, Switzerland, Finland & Belgium are close behind. From Shaping Ageing Cities report http://publications.arup.com/Publications/S/Shaping_Ageing_Cities.aspx

  3. The Future is Longer Lived • - mostly spent in good health! • 1 in every 2 females born today in developed countries will live to 100 • Over 80’s is the fastest growing demographic – expected to double from contemporary levels of 5.3% to 10.9% of the European population by 2050. • 6 million unpaid carers in the UK save the NHS £119 Billion per year • The 50+ group hold 80% of the wealth in the UK, US & Japan and 75% in EU

  4. Transdisciplinary Research Technology Research for Independent Living (TRIL) Centre • Intel, GE and IDA funded Centre - $36M over 5 years, 70 researchers • Community or Home Based, Early Assessment & Intervention • Focused three aspects of ageing: • Falls Prevention • Cognitive Function • Social Connection • TRIL Centre research is grounded in Ethnography, Clinically validated and built on components from the Technology Platform • Homelab network based on clinically characterised cohort www.trilcentre.org

  5. DAVID PRENDERGAST Technology Wayfaring through Living Lab Challenges Wayfaring [ˈweɪˌfɛːrɪŋ] ADJECTIVE (of a person) travelling on foot: "a wayfaring stranger" NOUN the action of travelling by foot. “Products alone have no value. They do so only when integrated into practice… and forms of competence and meaning.”1 1) Shove, E., Pantzer, M. (2005) ‘Consumers, producers and practices: understanding the invention and reinvention of nordic walking.’ J. Consum. Cult.5(1), 43–64.

  6. The Intel Global Ageing Experience Project • A global and local perspective on Ageing • Understand the myriad of social and cultural differences in people’s experiences of Ageing and health • Challenge prevailing assumptions about what it means to grow old • Identify strategic opportunities for appropriate technologies and services for older people • Themes • older people’s kith, kin, and care networks, • experiences and expectations of ageing; • health and housing histories, • older people’s relationships with their built, material and social environments, • perceived and actual availability of formal and informal support networks through the later life-course. • health information sources used by older people and their carers

  7. Giuseppe (77) Italy

  8. Mary (92) Cork, Ireland “I have to go somewhere, I won’t live forever. I was able to tell myself that much, and that I won’t be active forever. So I said if it is going to make it easier for Mary if I move down here and easy for the rest of them…” Moved from Dublin 92 25 53 65 80 87 73 1941 1969 1981 1996 2003 1989

  9. Trini’s Window, Spain

  10. Highlights in daily Schedule 4am – Wakes up, bad cramp, dresses and breakfast 5.30am – newspaper brought by neighbour 11am – coffee 12.30pm – meals on wheels arrive 3pm – Nurse visit 5.30pm – favourite show on radio, no TV as it hurts his eyes 7pm – bedtime ‘To work is important for a good life. Not just leisure. There is nothing better than work for good health.’ Erik (83), Sweden • Born in 1932, nine siblings, two surviving • Farmer & lumberjack - phased retirement • 1 hour into country • Lived there most of his life • Widowed in 1997 • Daughter with MS • Only three neighbouring households nearby • Can no longer drive • Confidence shattered by falls and eyesight • Health services are just part of the story • ‘During the day I get a lot of telephone calls and the nurses and carers visit, I also love my cat. Since being stuck indoors though, it can be lonely. It’s getting hopeless…’

  11. Opportunity Wheel – Deeper Dives

  12. Ageing Research Projects in Ireland Transportation & Mobility in Rural Ireland Pathways to Social Care: Southampton & Dublin Community Supports for Ageing: A Year in the Life of an Active Ageing Group in an Irish Village Human Computer Interaction Styles for Older Adults Reinventing Retirement Study Sleep, Activity and Social Life Peer Mentoring & Supports

  13. From Observation to Intervention to Evaluation Knowledge & Insights Product or Service Definition Interaction & Service Design Short Term ‘In the Wild’ Experiments IDEATION ITERATION CORRELATION FUSION PARTICIPANTS Research & Technical Questions Data Ethnography Stakeholder & Practices Mapping Requirements Gathering Prototyping Longitudinal Field Deployments Strategic & Roadmap Impact Impact & Publications Develop Result Evaluate Understand Implement • Prendergast, D. & Roberts, S. (2009) ‘Practice, Systems and Technology for Seniors’, Universal Access in the Information Society’ 8(1). • Prendergast, D. Somerville, C, Wherton, J. (2012) ‘Connecting Communities: The role of design ethnography in developing social care technologies for isolated older adults’, in J.C. Augusto et al, Handbook of Ambient Assisted Living: Technology for Healthcare, Rehabilitation and Well-being. Amsterdam: IOS Press.

  14. From Falls Detection to Prediction

  15. Risk / Condition Assessment Research Home Clinic/Community Cognition Voice Analysis Falls Risk Estimation Social Psychological Distress Chronic Disease Management • Develop understanding of cognitive function relationship to acoustic properties of speech • Develop at home cognitive assessments via the telephone. • Analysis of the participants’ speech to correlate key characteristics to cognitive function. • Telehealth & COPD Trial • Behaviour Change and Multimedia • Remote delivery of pyscho-social measures for mental and social health • Caregiver Burden assessment • Timely delivery of information • Low cost body sensor approach • Data and Statistical analysis to provide insight into patterns and trends • Algorithm development to extract new and meaningful parameters • Develop understanding of other processes and conditions that contribute to Falls Risk e.g. multisensory integration

  16. Risk / Condition Intervention Research Development of communication technology for older adults and carers to support social connection and reduce the risk of loneliness and social isolation Falls Exercise Social Connection Building Bridges Cognition Training for Focused Living • In-home delivery of exercise based on the clinical proven Otago exercise programme to improve strength and balance in fallers and potential fallers to reduce future falls risks • Development of a technology platform and training programme to support the improvement of attention alertness and focus in mature adults

  17. Two final thoughts: Technology can only augment. It should not replace humans.Home can be shelter, memory & prison. Ageing-in-Place needs to mean Ageing as part of a community.

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