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How technology (robots, virtual reality) is transforming aged care – the promise and the peril

Tracks
Harbour View 1
Architecture
Augmented / Virtual Reality
Design
Formal caregivers
Innovation
Meaningful engagement
Minority Groups
Residential
Technology
Thursday, November 14, 2024
9:00 AM - 10:30 AM

Speaker

Prof Evonne Miller
Professor
Qut

How technology (robots, virtual reality) is transforming aged care – the promise and the peril

Abstract

INTRODUCTION
The symposium will reflect on the current rhetorics around technologies ‘fixing’ the perceived ‘problem’ of ageing in aged care and in ageing in place discourses. Drawing on examples from our research in Australia and the United Kingdom, the presenters will explore the benefits and challenges of diverse technological design processes, and the adoption and integration of technologies in care and community settings – from co-designing a chore robot, deploying and testing an automated showering system, introducing virtual reality in aged care, to co-designing digital cultural experiences.

PURPOSE
After reflecting on the benefits and challenges of technological design, adoption and integration, the speakers will discuss the enabling factors, the importance of culture, engagement, communication and governance models, and the changes needed at individual, organisational, system, and sector levels for innovative technologies to move from trial to adoption.

OVERVIEW
After an introduction from the chair, 4 papers (of 15 minutes) will discuss experiences deploying technology (immersive virtual reality, social robots, automated showering technologies, video calling) in care homes, ending with a reflection on the value of a feminist posthuman praxis. For the last 30 minutes, a discussant will open up some provocations for the audience to discuss together.

LEARNING OUTCOMES
Audience members will learn about the promise and perils of digital innovation for older adults, drawing on real-world examples of attempts to co-design technologies for older adults. Audience members will understand the factors that can support or hinder the design, adoption and integration of digital technologies as we age.

Biography

Evonne Miller is Professor of Design Psychology at Queensland University of Technology and Director of the QUT Design Lab. She is the inaugural Queensland Health Research Chair in Healthcare Design, based at Clinical Excellence Queensland’s Healthcare Improvement Unit where she engages with consumers, clinicians, and community to collaboratively co-design creative solutions to improve healthcare. Evonne is a recognised international thought leader in design for health, with expertise in design thinking, participatory co-design, co-production, futures thinking, and qualitative arts-based research and knowledge translation.
Prof Evonne Miller
Professor
Qut

Co-designing a chore robot for aged care

Abstract

Service robots interact with humans in real-world settings, and in the aged care context, can offer companionship, clinical monitoring, chores, care, and civic activities. To date, research in aged care has focused on robots designed for companionship (e.g., limited conversations, playing bingo, quizzes, collaborative singing) and basic care monitoring and activities (e.g., monitoring health vitals, exercise, movement), with limited research on chore robots which are designed to assist by transporting linen or meals, fetching items or clearing tables. In this presentation, we share recent research where we have co-designed and trialled a chore robot, documenting the design processes, learnings and concepts, which have informed the development of a working robot prototype.
Ten senior sector stakeholders based in Brisbane explored the robot value proposition of a real-life prototype of a chore robot (with a mobile base, hand and ability to converse), developed by a university research team. Participants experienced a robot demo, and then engaged in a 90-minute co-design/design thinking sprint to redesign. chore robot – three teams focused on cleaning robots and one on food. Overall, participants had very low levels of knowledge, awareness, and practical experience of robotics. Two organisations had direct experience with a service robot, a chore robot (a Lamson) and a humanoid robot (Pepper), with both returning them after 2 months: the initial wow” factor becoming “so what”. This presentation reflects on co-design processes and the value proposition for a chore robot in aged care. ,

Biography

Dr Glenda Amayo Caldwell is a Professor in Architecture and the Academic Lead Research in the School of Architecture & Built Environment, Faculty of Engineering at the Queensland University of Technology. Glenda is the Associate Director Research Training for the ARC Australian Cobotics Centre and a Chief investigator in the centre’s Designing Socio-Technical Robotic Systems program of research. She is an architecture and design scholar with internationally recognised expertise in physical, digital, and robotic fabrication, leading Industry 4.0 innovation through human-centred research in human-robot collaboration, design robotics, media architecture, and human-building interaction. Her research sits at the cross section of architecture and interaction design where she: (1) integrates human, social, and technical considerations into robotic processes and industrial manufacturing; and, (2) uses a ‘Research-through-Design’ approach to engage industry and communities in a reflexive conversation about creativity, architectural innovation and how we might collaboratively solve societal and environmental challenges and harness future opportunities.
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Prof Marianella Chamorro-Koc
Professor Industrial Design
Queensland University Of Technology

From Manual to Automated: Evaluating the usability and acceptance of an automated shower system in residential aged care facilities.

Abstract

The WHO states that the construct of dignity is foundational to human rights and the preservation of human dignity is an integral part of successful residential aged care. Beyond simply being a sanitation task, intimate care and its delivery is essential for mental health outcomes and particularly in making a patient feel dignified in a care home. Difficulties in bathing have also been linked with increased safety concerns, lower quality of life, higher care costs, further disability and loss of autonomy. Implementing automated showering systems could (1) reduce the need for direct assistance from carers, (2) promote the dignity, privacy, and independence of older people, and (3) shift a carers’ main workload from being of a physical nature (doing the ‘dirty job’) to freeing time for higher quality care tasks. The value of the technology seems evident, however carers and older people themselves must see value in the process and in the implementation of such technology in their daily lives. In this project, we assessed the impact of automated technology on the showering experience in a care facility, documenting the benefits and challenges associated with adoption; deployment; areas for improvement; and what (if any) training is needed to assist in its ongoing operation. This is an in-progress ARIIA (Aged Care Research and Industry Innovation) project, encompassing qualitative and quantitative data collection occurring throughout 2024. This presentation explores how caregivers and residents perceive the technology’s impact on workload and quality of care, in caregiver-resident interactions, and on the overall care indicators.

Biography

Marianella Chamorro-Koc (BA, MA, PhD), is Professor in Industrial Design at Queensland University of Technology, Australia. She is a design educator and researcher. Her research projects in Design for Health are driven to enhance people interactions with personal technologies to manage their health, and her projects focus on consumer grade health tech devices enabling person-centred care at home by addressing the uniqueness of a person’s health journey over their lifespan. She investigates how people interact with technologies at point of care and employ early prototyping to involve all stakeholders as part of the Human-Centred Design process. She is the School of Design Academic Lead Research Training and she is a member of Design Research Society (DRS). Professor Lisa Scharoun is a multi-award winning teacher, researcher and designer with expertise in Visual Communications and Cross-cultural design. She received a Master of Arts in Design Studies from Central Saint Martins (University of Arts London) and subsequently worked in London as a graphic and interior designer before taking on a role as a Senior Lecturer in Visual Communications at Raffles Design Institute in Shanghai, China. Prior to her appointment at QUT, Dr. Scharoun spent eight years at the University of Canberra where she was Program Director for Design and the founder of the Cross-cultural Design Lab. Professor Scharoun is the Head of School of QUT School of Design. Evonne Miller is Professor of Design Psychology at Queensland University of Technology and Director of the QUT Design Lab, where we reimagine and redesign the future. She is the inaugural Queensland Health Research Chair in Healthcare Design, based at Clinical Excellence Queensland’s Healthcare Improvement Unit where she engages with consumers, clinicians, and community to collaboratively co-design creative solutions to improve healthcare.
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Prof Helen Manchester
Professor Of Participatory Sociodigital Futures
University Of Bristol

Towards care-full co-design with older adults: a feminist posthuman praxis 

Abstract

Gerontechnology design is often rooted in deficit imaginaries of frail ageing bodies, with little consideration given to the socio-materiality of older adults’ everyday lives, as shaped by complex social, political, historical and cultural forces. While co-design approaches have supported the participation of older adults, little attention has been given to how design processes can be responsive to the more than human lived materialities of older adults’ everyday lives. There is also a need for deeper ethical engagement with the more than human assemblages that shape the politics and practices of co-design. In response, this article sketches out a feminist posthuman praxis of care-full co-design, grounding it in our work co-designing digital cultural experiences with older adults who live along multiple axes of inequality in community settings. 
Drawing on the radically deconstructive and re-constructive commitments of posthuman feminism, we tentatively present three interconnected threads of care-full co-design. These threads explore our attempts to design in the ‘thick present’,  ground design in older adult’s more than human everyday lives, and negotiate care-full (re)arrangements in the collective doing of design. Woven together, the threads call for responsiveness to expansive timescales and structural injustices, and to the situated knowledges and multi-sensual lifeworlds of older adults. Design is understood here as an emergent process of attentive experimentation and adjustment in a bid to find a suitable arrangement of bodies, knowledges, technologies, emotions, languages, and design sites and objects. We focus in on particular practice-ings, tensions and challenges that emerged as we negotiated our care-full praxis. 

Biography

Helen Manchester has just completed a UKRI Healthy Ageing funded research project ‘Connecting through Culture as we Age’. She is Co-investigator on the ESRC Centre for Sociodigital Futures. The Centre is a five year programme of work bringing together world-leading interdisciplinary expertise to explore sociodigital futures in the making to support fair and sustainable ways of life. Helen is particularly interested in feminist and post human approaches to researching ageing and digital technologies, just futures, and participatory methods. She develops methodologically innovative approaches to researching with minoritised communities, often working in collaboration with artists, technologists, civil society organisations and policy-makers. She has published widely in the field of ageing and technologies, in particular on participatory methods and co-designing technologies with older adults.
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Assoc Prof Jenny Waycott
Associate Professor
The University Of Melbourne

Deploying Technology with Care: Creating Enriching Person-Centred Experiences in Aged Care Homes

Abstract

INTRODUCTION
Older adults living in aged care homes often experience isolation and may have limited opportunities to engage in meaningful activities. In some care homes, technologies such as virtual reality and interactive games are being introduced into the social programs to provide opportunities for older adults to engage in new experiences without leaving the home. While research suggests that these new forms of enrichment in aged care can provide moments of joy for older adults, they need to be carefully deployed and facilitated for the benefits to be realised.

METHOD
This presentation draws on a program of research in which we have interviewed staff members about their experiences of facilitating technology-based experiences for personal enrichment in aged care. We have examined experiences with technologies such as immersive virtual reality, video calling, social robots, and others.

RESULTS & CONCLUSION
Our findings demonstrate that the introduction of new technologies is embedded within larger social and cultural systems, which both support and challenge their implementation. In particular, within these social systems, care providers play an essential role in facilitating the implementation of technology-based experiences. Drawing on insights across multiple studies, we highlight the care our participants demonstrated when using new technologies to create person-centred experiences for people living in aged care homes.

Biography

Jenny Waycott is an Associate Professor in the School of Computing and Information Systems, The University of Melbourne, working in the interdisciplinary field of human-computer interaction. Much of her research aims to understand how new technologies can be designed and used to foster social wellbeing in later life. A/Prof Waycott leads a program of research that is examining how emerging technologies, such as virtual reality and social robots, are used by caregivers and older adults to provide social and emotional enrichment in later life, especially for people living in aged care. More broadly, A/Prof Waycott is interested in ethical issues associated with designing and evaluating new technologies, including AI, for use in sensitive settings such as aged care, where a respectful and empathetic approach is critical to ensure new technologies provide benefit without causing harm. Professor Raelene Wilding is a Professor and Head of the Department of Social Inquiry at La Trobe University. She conducts social research exploring the intersections of care, technology and migration. She leads the Multilingual Inclusive Emergency Alerts project, which examines the important question of how migrants in Australia access essential emergency and health information if they speak languages other than English. Her other projects include investigations of the impact of new technologies on the wellbeing and care of older adults from diverse cultural backgrounds, the role of new media in the lives of migrants and older adults, and the complex issue of identities in later life.
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