Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach

Abstract Background There is growing interest in developing sensing solutions for remote health monitoring to support the safety and independence of older adults. To ensure these technologies are practical and relevant, people-centred design is essential. This study aims to explore the involvement o...

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Main Authors: Jenny Sharma, Nazia Gillani, Imran Saied, Aaesha Alzaabi, Tughrul Arslan
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Geriatrics
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Online Access:https://doi.org/10.1186/s12877-024-05674-y
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author Jenny Sharma
Nazia Gillani
Imran Saied
Aaesha Alzaabi
Tughrul Arslan
author_facet Jenny Sharma
Nazia Gillani
Imran Saied
Aaesha Alzaabi
Tughrul Arslan
author_sort Jenny Sharma
collection DOAJ
description Abstract Background There is growing interest in developing sensing solutions for remote health monitoring to support the safety and independence of older adults. To ensure these technologies are practical and relevant, people-centred design is essential. This study aims to explore the involvement of various stakeholders across different developmental stages to inform the design and assess the capabilities of unobtrusive sensing solutions being developed as part of the Advanced Care Research Centre (ACRC), Edinburgh, UK. Methods This study was conducted in two phases. In Phase I (Ideation), discussions were held with stakeholders (n = 19), including senior geriatricians (n = 2), healthcare and care home professionals (n = 4), PPI experts (n = 2), researchers (n = 4) and public members aged 65 and above from the ACRC Patient and Public Involvement (PPI) Network (n = 7). The goal was to identify clinically significant health parameters and design preferences. Based on this, prototypes of unobtrusive sensors for monitoring movement, hydration, and respiration were developed. In Phase II (Development and Co-Design), an in-person PPI workshop was conducted with PPI experts (n = 2), researchers (n = 4) and PPI members (n = 8). The developed prototypes were demonstrated, and qualitative feedback was collected through focus group discussions on themes such as acceptability, usability, privacy, data sharing, and functionality enhancement. Results Stakeholder input from Phase I emphasized the importance of non-contact sensing technologies that maintain privacy. Movement, hydration, and respiration were identified as critical health parameters. In Phase II, PPI members were optimistic about the prototypes, valuing their unobtrusive design and privacy-preserving features. Key themes identified included (1) the need for user-customized alarms, (2) clear data-sharing protocols, and (3) the importance of embedding sensors into familiar household objects. Suggestions for refining the prototypes included adding functionality for detecting deviations in daily routines and integrating feedback mechanisms for caregivers. Conclusions Involving diverse stakeholders from the early stages of technology development enhanced the relevance and acceptability of unobtrusive sensing solutions. This study highlights the importance of integrating public perspectives into the design process. For successful implementation, developers of healthcare technologies should prioritize privacy, usability, and clear communication with end-users and caregivers.
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spelling doaj-art-ce96fc6ac2b64a339a2021e503e8c5312025-01-26T12:51:24ZengBMCBMC Geriatrics1471-23182025-01-0125111410.1186/s12877-024-05674-yPatient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approachJenny Sharma0Nazia Gillani1Imran Saied2Aaesha Alzaabi3Tughrul Arslan4Advanced Care Research Centre (ACRC), University of EdinburghSchool of Engineering, The University of EdinburghAdvanced Care Research Centre (ACRC), University of EdinburghSchool of Engineering, The University of EdinburghAdvanced Care Research Centre (ACRC), University of EdinburghAbstract Background There is growing interest in developing sensing solutions for remote health monitoring to support the safety and independence of older adults. To ensure these technologies are practical and relevant, people-centred design is essential. This study aims to explore the involvement of various stakeholders across different developmental stages to inform the design and assess the capabilities of unobtrusive sensing solutions being developed as part of the Advanced Care Research Centre (ACRC), Edinburgh, UK. Methods This study was conducted in two phases. In Phase I (Ideation), discussions were held with stakeholders (n = 19), including senior geriatricians (n = 2), healthcare and care home professionals (n = 4), PPI experts (n = 2), researchers (n = 4) and public members aged 65 and above from the ACRC Patient and Public Involvement (PPI) Network (n = 7). The goal was to identify clinically significant health parameters and design preferences. Based on this, prototypes of unobtrusive sensors for monitoring movement, hydration, and respiration were developed. In Phase II (Development and Co-Design), an in-person PPI workshop was conducted with PPI experts (n = 2), researchers (n = 4) and PPI members (n = 8). The developed prototypes were demonstrated, and qualitative feedback was collected through focus group discussions on themes such as acceptability, usability, privacy, data sharing, and functionality enhancement. Results Stakeholder input from Phase I emphasized the importance of non-contact sensing technologies that maintain privacy. Movement, hydration, and respiration were identified as critical health parameters. In Phase II, PPI members were optimistic about the prototypes, valuing their unobtrusive design and privacy-preserving features. Key themes identified included (1) the need for user-customized alarms, (2) clear data-sharing protocols, and (3) the importance of embedding sensors into familiar household objects. Suggestions for refining the prototypes included adding functionality for detecting deviations in daily routines and integrating feedback mechanisms for caregivers. Conclusions Involving diverse stakeholders from the early stages of technology development enhanced the relevance and acceptability of unobtrusive sensing solutions. This study highlights the importance of integrating public perspectives into the design process. For successful implementation, developers of healthcare technologies should prioritize privacy, usability, and clear communication with end-users and caregivers.https://doi.org/10.1186/s12877-024-05674-yPatient and public involvementUser-centred designHome-based careUnobtrusive assistive technologyAging in placeWi-Fi and radar sensors
spellingShingle Jenny Sharma
Nazia Gillani
Imran Saied
Aaesha Alzaabi
Tughrul Arslan
Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
BMC Geriatrics
Patient and public involvement
User-centred design
Home-based care
Unobtrusive assistive technology
Aging in place
Wi-Fi and radar sensors
title Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
title_full Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
title_fullStr Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
title_full_unstemmed Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
title_short Patient and public involvement in the co-design and assessment of unobtrusive sensing technologies for care at home: a user-centric design approach
title_sort patient and public involvement in the co design and assessment of unobtrusive sensing technologies for care at home a user centric design approach
topic Patient and public involvement
User-centred design
Home-based care
Unobtrusive assistive technology
Aging in place
Wi-Fi and radar sensors
url https://doi.org/10.1186/s12877-024-05674-y
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