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INNOVATEDIGNITY: Co-designing Digital Health Technologies With Older People in Homecare Settings.

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ClinicalTrials.gov Identifier: NCT04884711
Recruitment Status : Not yet recruiting
First Posted : May 13, 2021
Last Update Posted : May 14, 2021
Brighton & Hove Digital Health Living Lab
Nord University
Information provided by (Responsible Party):
Prof. Kathleen Galvin, University of Brighton

Brief Summary:

One of the crucial components of successful ageing is to live independently in old age. Yet in UK alone, nearly 300000 older people require assistance with 3 or more essential daily tasks like eating, bathing and mobility which compromises on their independent living. Additionally, in a crisis where health system in UK is already overstretched to its resources to combat the recent Coronavirus Disease 2019 (COVID-19) pandemic, allocating resources for regular homecare services has become challenging. In this situation, Digital Health Technologies (DHTs) can be a potential solution to promote healthy ageing, support psycho-social wellbeing and enhance independent living for older people. Such technologies comprise a wide range of products used in the health and care services including apps, software and online platforms to benefit people. Yet DHTs are barely adopted by older people as they do not reflect their actual user needs leading to poor appropriation of DHTs in homecare settings. The investigators aim to address this gap by involving older people living at the Leach Court, UK under the eco system of the Brighton & Hove Digital Health Living Lab (BHLL) to co-design with us DHTs that addresses the barriers & facilitators they face in adopting to DHTs. This participatory research approach has a qualitative study design which is sensitive to basic human values like 'dignity', appreciates that older people are 'expert of their experiences' and methodologically has phenomenological underpinnings gathering the researcher's understanding from the lived experiences of older people. This unique project, part of the European Union (EU) Horizon 2020 funded INNOVATEDIGNITY project, will be aiming to translate intangible human values like 'dignity' into tangible technology design through better understanding of the barriers & facilitators older people face to DHTs adoption. With global population of older people increasing faster than all other age groups currently, this project stands to meet the future demands of the ageing population through dignity sensitive better designed DHTs .

This project is part of the Marie Skłodowska-Curie Actions (MSCA) Innovative Training Networks (ITN). This project has received funding from the European Union's H2020-MSCA-ITN-2018 programme under grant agreement No 813928.

Condition or disease Intervention/treatment
Dignity Old Age; Debility Healthy Aging Digital Technology Other: No Interventions. Participants will be using their everyday digital health technologies. Other: In depth Interviews Other: Focus Group Discussions

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Study Type : Observational
Estimated Enrollment : 10 participants
Observational Model: Other
Time Perspective: Prospective
Official Title: Designing New Dignified Technologies for Care Settings in Participation With Older People.
Estimated Study Start Date : July 30, 2021
Estimated Primary Completion Date : September 15, 2021
Estimated Study Completion Date : September 15, 2021

Group/Cohort Intervention/treatment
Interviews: Older people living at the Leach Court (Brighton, UK).
Older adults who will be enrolled at the Leach Court (Brighton, UK) as a part of the INNOVATEDIGNITY project will be involved in 1:1 open ended interviews.
Other: No Interventions. Participants will be using their everyday digital health technologies.
The investigators will be involving older people to understand the barriers & facilitators of digital health technology adoption for homebound older people. In this process no interventions will be given by us.

Other: In depth Interviews
In-depth interviews will be conducted to gather lived experiences of homebound older people.

Focus Group Discussions: Older People Living at the Leach Court (Brighton, UK)
10 older people who have previously participated in the interview stage will be involved in two focus group discussions in a group of 5 participants each to co-design digital health technologies that are 'dignity' sensitive and aims to resolve the barriers older people face in technology adoption.
Other: Focus Group Discussions
Focus Group Discussions will be used to create avenues to enhance dignity and human perspectives in digital designs for older people.

Primary Outcome Measures :
  1. Participants Lived Experience with Digital Health Technologies [ Time Frame: 7 months ]
    Participants will be asked open ended questions about their everyday experience with Digital Health Technologies. Interviews will be transcribed verbatim and analysed to identify the barriers & facilitators to Digital Health Technologies.

  2. Strategies to enhance dignity and address barriers to Digital Health Technology adoption [ Time Frame: 1 day ]
    Focus group discussions will be held with 5 participants in each group lasting around 3 hours per focus group discussion to strategise solutions to digital health technology adoption for older people.

Information from the National Library of Medicine

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Ages Eligible for Study:   65 Years to 90 Years   (Older Adult)
Sexes Eligible for Study:   All
Gender Based Eligibility:   Yes
Gender Eligibility Description:   The investigators will welcome an inclusive approach to technology design by involving people from all gender based on their self-identification.
Accepts Healthy Volunteers:   Yes
Sampling Method:   Non-Probability Sample
Study Population

Older adults meeting the inclusion criteria and living in the Leach Court (Brighton, UK). There will be 10 older participants in this study and if many more people volunteers, the investigators will invite a maximum of 20 participants.

Participants will be selected based on age range, gender, existing disabilities, and exposure to digital health technologies. The research plans for at least 2 participants per chronologically advancing age group inter spaced at a 5 years interval starting from 65- 70 years & ending at 85-90 years. The participants will be gradually recruited as responses arrive with the research investigator. The study group is vulnerable especially in the light of current COVID 19 crisis with multiple underlying co-morbid conditions.


Inclusion Criteria:

  • Age should be at least 65 years.
  • Participants who are able to read & write in English.
  • Older people living in the Leach Court (Brighton, UK) for at least the past one year.
  • Participants of all gender will be entertained.

Exclusion Criteria:

  • People who are unable to communicate in english.
  • Older People with terminal illness and profound cognitive disabilities will be excluded as their inclusion might be challenged by age related frailty, poor communication and life threatening medical conditions. However, benefits of the research will be extended to them by sharing the research outcomes.

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT04884711

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Contact: Shuvarthi Bhattacharjee, M.Sc. +441273644025 S.Bhattacharjee@brighton.ac.uk
Contact: Prof.Kathleen Galvin, PhD +441273644028 K.Galvin@brighton.ac.uk

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United Kingdom
Leach Court
Brighton, East Sussex, United Kingdom, BN20DJ
Contact: Dr. Theofanis Fotis    +441273644512    T.Fotis@brighton.ac.uk   
Contact: Tony Wilford       Tony.Wilford@brighton-hove.gov.uk   
Sub-Investigator: Shuvarthi Bhattacharjee, M.Sc.         
Principal Investigator: Dr.Theofanis Fotis, PhD         
Principal Investigator: Prof.Kathleen Galvin, PhD         
Principal Investigator: Prof.Lisbeth Uhrendfeldt, PhD         
Sponsors and Collaborators
University of Brighton
Brighton & Hove Digital Health Living Lab
Nord University
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Principal Investigator: Prof.Kathleen Galvin, PhD University of Brighton
Principal Investigator: Dr. Theofanis Fotis, PhD University of Brighton
Principal Investigator: Prof.Lisbeth Uhrendfeldt, PhD Nord University
Additional Information:
Lawton MP. Competence, environmental press, and the adaptation of older people. In: Lawton MP, Windley PG, Byerts TO, editors. Aging and the environment: Theoretical approaches. New York: Springer. 1982.pp. 33-59.
Wilkinson C. Evaluating the role of prior experience in inclusive design. Engineering Department. University of Cambridge.2011.
Sleeswijk V.F., Stappers, P.J., van der Lugt, R., and Sanders, E.B.N. Contextmapping: experiences from practice. CoDesign.2005. 1 (2), 119-149. DOI: 10.1080/15710880500135987
Hahn J. Structure of a Dissertation for a Participatory Phenomenology Design. In: Strang K.D. (eds) The Palgrave Handbook of Research Design in Business and Management. 2015.Palgrave Macmillan, New York.
Stoecker R.Three crucial turns on the road to an adequate understanding of human dignity. In Humiliation, degradation, dehumanization. 2011; pp. 7-17. Springer, Dordrecht.
National Institute for Health and Care Excellence. Evidence standards framework for digital health technologies.2019. https://www.nice.org.uk/Media/Default/About/what-we-do/our-programmes/evidence-standards-framework/user-guide.pdf
University of Brighton. Brighton and Hove Digital Health Living Lab. 2018.Retrieved September 28, 2020, from https://www.brighton.ac.uk/research-and-enterprise/enterprise/enterprise-projects/brighton-and-hove-digital-health-living-lab.aspx
United Nations. Ageing. 2019.Retrieved September 28, 2020, from https://www.un.org/en/sections/issues-depth/ageing/
Renaud, K.; Karen, B.J. Judy Predicting technology acceptance and adoption by the elderly: A qualitative study. In Proceedings of the ACM International Conference Proceeding Series, Wilderness, South Africa, 6-8 October 2008; Volume 338.
Chiu, C.-J.; Hu, Y.-H.; Lin, D.-C.; Chang, F.-Y.; Chang, C.-S.; Lai, C.-F. The attitudes, impact, and learning needs of older adults using apps on touchscreen mobile devices: Results from a pilot study. Computer Human Behaviour 2016, 63,189-197.
Helal S, Mann W, El-Zabadani, King J, Kaddoura J, Jansen E. The gator tech smart house: a programmable pervasive space. Computer in Computer 2005;38(3):50-60.
Sanders, E. B.-N., Generative Tools for CoDesigning in Scrivener, Ball and Woodcock, eds. Collaborative Design (London Limited: Springer-Verlag, 2000).
Conboy-Hill, Informed Consent & Virtual Worlds, 2009. Available Online: https://www.economist.com/node/13899038
Dahlberg, K., Dahlberg, H., & Nyström, M. Reflective lifeworld research (2nd ed.). 2008 Lund: Studentlitteratur.
Personal Data Protection Commission, Guide to Basic Data Anonymisation Techniques. Singapore: 2018. Available Online: https://www.pdpc.gov.sg/-/media/Files/PDPC/PDF-Files/Other-Guides/Guide-to-Anonymisation_v1-(250118).pdf
El Emam K. Guide to the De-Identification of Personal Health Information. CRC Press, 2013.
European Commission (EC). Open Research Data and Data Management Plans. Brussels: ERC Scientific Council 2019. Available Online: https://erc.europa.eu/sites/default/files/document/file/ERC_info_document-Open_Research_Data_and_Data_Management_Plans.pdf

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Responsible Party: Prof. Kathleen Galvin, Professor of Nursing Practice, University of Brighton
ClinicalTrials.gov Identifier: NCT04884711    
Other Study ID Numbers: 2020-5669
813928 ( Other Grant/Funding Number: European Commission )
First Posted: May 13, 2021    Key Record Dates
Last Update Posted: May 14, 2021
Last Verified: May 2021
Individual Participant Data (IPD) Sharing Statement:
Plan to Share IPD: Yes
Plan Description: The investigators will follow guidelines of the European Commission on General Data Protection Regulation (GDPR), data management plan of the INNOVATEDIGNITY project and guidelines of the University of Brighton to make sure that privacy and confidentiality of the participants are retained while sharing Individual Patient Data (IPD).
Supporting Materials: Study Protocol
Time Frame: Anonymised and relabelled IPD will be available at the earliest at least 1 year post publication of study results in scientific journals.
Access Criteria: Anonymised & relabelled data will be converted into metadata format by the UK Open Access Data Archive which can be accessed by other researchers for secondary analysis.
URL: http://data-archive.ac.uk

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Studies a U.S. FDA-regulated Drug Product: No
Studies a U.S. FDA-regulated Device Product: No
Keywords provided by Prof. Kathleen Galvin, University of Brighton:
wearable electronic devices
self-help devices
biomedical technology
disruptive technology
Healthy Ageing
homes for the aged
Human Centered Design
Digital Technology
Additional relevant MeSH terms:
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Pathologic Processes