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Smart home technologies, such as Internet of Things devices have great potential to support older people to live for longer in their own homes. Yet individuals with communication, memory and dexterity problems often cannot use such technologies. Through a co-design, participatory approach the needs and problems experienced by older people and their supporters were explored to ascertain how they could be enabled to use Smart home technologies. The solution that was developed, IntraVox, is a virtual hub that enables connectivity from different resources and devices based on the sensor data that is being collected in the house. IntraVox sends various commands to a voice-enabled personal assistant which in return controls smart home devices. This approach can improve the usability of voice-enabled personal assistants by removing the necessity for the user to remember and pronounce specific commands whilst also reinforcing the syntax and the usefulness of those commands. This discussion describes the development process and user-feedback of the IntraVox solution.
The ageing population demands designing environments while considering their functional needs, desires and wishes. The ICF framework together with the gerontechnological principles can help to have focus on how to adjust or to (re)design the environment for this population. This paper focuses on building-related environmental factors including eHealth solutions. Knowledge and understanding of how the environment is perceived by older people help to set the building performance requirements and gives direction to Improve our research to create healthy environments for future users.
Soziale Intervention findet meist als personenbezogene Dienstleistung in einem organisatorischen Rahmen statt. Da Intervention als eine Form von „Steuerung“ begriffen werden kann, stellt sich dabei das Problem der „doppelten Steuerung“, d.h. die (steuernde) Intervention wird ihrerseits innerhalb der Organisation gesteuert. Dabei treten regelmäßig Verwerfungen auf, die Gegenstand von Forschung sein müssen, soll „Intervention“ nicht eindimensional gefasst werden. Die Erforschung sozialer Interventionen steht zudem häufig vor dem Problem der Vermittlung zwischen Theorie und Praxis, das im Sinne „kritischer Theorie“ anzugehen ist.
Connected ambient assistance systems support elderly people - or people in need of care - for a self-determined, healthy and safe living in their familiar home until very old age. The systems typically communicate with nursing relatives or remote professional caregiving providers. The basic functions of stationary assistance systems include the detection of a) falls and b) deviant behavior indicating a health hazard. These kernel tasks of assistance have been amended in the course of time by a plenitude of more general assistant functions. Wearable devices, like programmable smartwatches, extend the reach of stationary assistance beyond the spatial boundaries of the familiar home. They extend the scope of wellbeing monitoring by analyzing the wearer’s heart rate in relation to the current physical activity and can also verify sufficient liquid ingestion, drinking, thus compensating the diminishing natural sensation of thirst at increasing age. Home robots also extend the scope of wellbeing monitoring within the home and relieve from the necessity of a comprehensive sensoric instrumentation of the home. So far, ambient assistant systems can primarily provide assistance only in the physiological dimension. Cognitive ambient assistance, which allows the participation in the social communication on an equal footing, today is beyond their abilities. The advances in artificial intelligence are about to change the picture. From an economic point of view, the dissemination and success of assistance systems has been slowed down within the last decade by lacking wide-spread interaction standards as well as the shortage of necessary multivalent utility of such systems. In contrast, the smart home concept offering increased comfort and sustainability has gained a lot of attractivity in the same time. Therefore, commercially successful assistance systems must provide their utility in all three dimensions: assistance, but also simultaneously in comfort/safety and sustainability.
Objective: This best-practice example shows the positive effect on the behavior of a mentally disabled client with significant behavioral problems after the custom-made change in his built environment. Background: Healthcare organizations are often faced with the difficulty of creating a built environment that has a positive effect on the mental well-being of the users. Ipse de Bruggen is a healthcare organization that offers care and support for the mentally handicapped. They look after clients who need additional individual support due to their behavioral problems and have developed new care concepts for this over the years. With regard to the built environment, however, they found in individual cases that the living environment does not suit the client. The rooms are bare and devoid of atmosphere. It seems that in many cases this has led to even more aggression and destruction. A negative spiral. The organization saw the need to change this and in 2011 commissioned Andrea Möhn Architects, formerly Möhn + Bouman Architects, to examine the built environment and the needs of individual users with major behavioral problems. Methods: The findings are based on the architects’ many years of experience with regard to the target group, a precise observation of the behavior of the user in his personal space as well as interviews with the staff from November 2011 to April 2012. Results: Based on the observations the architects created a tailor-made environment that had a very positive effect on the behavior of the user and thus also on his family, the care staff and the organization. Conclusions: The best practice example shows that for clients with severe behavioral problems a personalized and humanized approach seemed to be the right approach, rather than a flexible spatial solution. The redesigned space gave the client a sense of control, pride, dignity and a sense of well-being. Inspired by this success, the organization started the project "Physical environment, a fixed value in our care” in 2020. Within four years, twelve rooms will be redesigned and their effects on users will be scientifically researched.