Codevelopment and Deployment of a System for the Telemonitoring of Activities of Daily Living Among Older Adults Receiving Home Care Services: Protocol for an Action Design Research Study

• DOI: 10.2196/52284
• Publication Date: 2024-01-24T05:48:28Z
• Authors: Maxime Lussier; Mélanie Couture; Sylvain Giroux; Aline Aboujaoudé; Hubert Kenfack Ng...; Hélène Pigot; Sébastien Gaboury; Kevin Bouchard; Carolina Bottari; Patricia Belchior; Guy Paré; Nathalie Bier
• Keywords: Research Design

Background Telemonitoring of activities daily living (ADLs) offers significant potential for gaining a deeper insight into the home care needs older adults experiencing cognitive decline, particularly those alone. In 2016, our team and health institution in Montreal, Quebec, Canada, sought to test this technology enhance support provided by clinical teams residing alone facing deficits. The Support Seniors’ Autonomy program (SAPA [Soutien à l’autonomie des personnes âgées]) project was initiated within context, embracing an innovative research approach that combines action design science. Objective This paper presents protocol SAPA project, with aim facilitating replication similar initiatives future. primary objectives were (1) codevelop ADL telemonitoring system aligned requirements key stakeholders, (2) deploy real environment identify specific use cases, (3) factors conducive its sustained real-world setting. Given context adoption (ADR) deemed crucial. ADR is framework crafting practical solutions intricate problems encountered organizational context. Methods consisted 2 cycles development (alpha beta) involved cyclical repetitions stages 3 develop ADLs. Stakeholders, such as managers, clinicians, adults, their families, included each codevelopment cycle. Qualitative quantitative data collected throughout project. Results first iterative cycle, alpha took place from early 2016 mid 2018. prototype deployed homes 4 individuals receiving services through public institution. used collect about recipients’ routines. Clinicians intervention plan, results are presented here. successfully perceived useful, although obstacles encountered. Similarly, second cycle (beta cycle) institutions late 2018 2022. installed 31 homes, detailed will be future papers. Conclusions To knowledge, reported includes deployment embedded settings system. We discuss artifacts, generalization learning, dissemination generated hope providing concrete replicable example partnerships field digital aging. International Registered Report Identifier (IRRID) RR1-10.2196/52284