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Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
Technology and ageing david sinclair ilc
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Technology and ageing david sinclair ilc

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Presentation from David Sinclair of ILC setting out the key issues and context for the introduction of ICT solutions that support independence and active living at home for older and disabled people.

Presentation from David Sinclair of ILC setting out the key issues and context for the introduction of ICT solutions that support independence and active living at home for older and disabled people.

Published in: Health & Medicine
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  • 1. Technology and ageingHome Sweet HomeDavid Sinclair, International LongevityCentre – UK @ilcuk@sinclairda #nudgeorcompel The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 2. The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 3. Summary The world is changing Using technology can be good for us 10 years of digital inclusion policy. Why arent older people online (access, skills, behaviour). Tackling the barriers http://nudges.org/tag/urinals/The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 4. The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 5. A significant association between internet useand perceived control in one‟s life Uses the internet Yes No TotalStrongly agree 551 (39.6%) 840 (60.4%) 1391Moderately agree 1515 (51.6%) 1420 (48.4%) 2935Slightly agree 1545 (59.4%) 1058 (40.6%) 2603Slightly disagree 636 (68.2%) 296 (31.8%) 932Moderately 593 (77.3%) 174 (22.7%) 767disagreeStrongly disagree 268 (71.8%) 105 (28.2%) 373Chi-Sq= 422.074, df = 5, P=<0.000Table 1. Feels what happens in life is often determined by factors beyond controlThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 6. A strong association between the measure of internet use and measures of loneliness Uses the internet Yes No Total Hardly ever or 3764 (60.2%) 2489 (39.8%) 6253 never Some of the time 1091(51.3%) 1037 (48.7%) 2128 Often 272 (37.4%) 456 (62.6%) 728Chi-Sq= 166.556, df = 2, P=<0.000Table 5. How often respondent feels lonely The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 7. People who reported not using the internet were more likely to say that they „often‟ felt isolated Uses the internet Yes No Total Hardly ever or 3683 (59.5%) 2503 (40.5%) 6186 never Some of the time 1242 (52.6%) 1118 (47.4%) 2360 Often 198 (37.4%) 331 (62.6%) 529Chi-Sq= 115.871, df = 2, P=<0.000Table 6. How often respondent feels isolated from others The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 8. We found a weak association between the measure of internet use and anxiety Uses the internet Yes No Total Experiences anxiety 194 (44.5%) 242 436 (55.5%) Doesn‟t experience 216 (62.6%) 129 345 anxiety (37.4%)Chi-Sq= 4.008, df = 1, P=0.045Table 4. Respondent reports anxiety The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 9. Looking back to 2003Instructions, packaging, userexperience, hardware, software gavea relatively terrible user experiencefor manyAccessibility and the User Experiencehas vastly improved (hardware, http://www.adsavvy.org/amazoncoms-new-frustration-free-packaging-is-eco-and-software, ease of purchase, setup) customer-friendly/There are millions of fewer people notonlineBut there are millions more (over 7.5million) still offlineThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 10. The slow death of adult learning?Government had invested heavily in learning (UK Online Centres)We have failed to evaluate impact of learning and ACL struggles tojustify expenditure.Public sector spending on adult learning is likely to be squeezedfurther due to spending cuts.By 2014/15 the education budget will be reduce by 13%. Spending onschools will fall by 1%. But we will see 20% cuts to Further Educationand sixth-form colleges, and 40% to Higher Education institutions.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 11. And since 2003Technology has facilitated betterback office functions which hasmade service delivery better forall.But more private and publicservices are available exclusivelyonlineThe issue continues to be no-ones and everyonesresponsibility.Where are the Ministers? Anassumption remains that the http://www.glastonburyfestivals.co.uk/market will solve this problem.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 12. But much public discourse remains the same“This problem will go away. Thenext generation will be fine”Last quarter ONS Stats showedthat progress for 65+s is twothirds slower than for under 65s(4.36% improvement vs 14.22%)Still an obsession with assuming“my mum” knows the answerOffline groups are still more likelyto be older, have disabilities or befrom lower socio-economicgroups.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 13. From universal access to high speedbroadbandDelivering Digital Inclusion (2008): Recognised behaviouralissues and led to the creation of Race Online (but little else?)Digital Britain (2009) saw digital inclusion move to BIS andDCMS.Digital Britain conflated the issues of skills development andmotivation. No initiatives were proposed in either regard, althoughthe work of Race Online 2012 was referred to as a solution. Laterthat year actions legislative responsibility moved to the Treasuryrecognising economic imperative in relation to high speedbroadband.Britain’s Superfast Broadband Future (2010) abandons the UKGovernment‟s universal ambitions?The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 14. A move towards “digital by default”„We need to embrace newways of delivering services… We need to be digitalby default. Services thatcould be delivered onlineshould be delivered onlyonline … Digital by defaultwill become a reality, notjust a buzz phrase‟.Frances Maude MP http://www.ieg4.com/Universal Benefit – Heavyreliance of online access.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 15. The role for new technologies 135 years ago– first two way phone call made In 2000 – ½ world had never owned a phone By 2007 ½ the world had a mobile phone It took 75 years for telephones to reach 50 million users It took 4 years for the internet to reach 50 million The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 16. Care Home Sweet Home  Tablet computers  Smartphones  GPS monitoring  Epilepsy monitors  Lifestyle/behavoural monitoring  Medication remindersThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 17. Google knows! Location Based ServicesThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 18. My Society/Fixmystreet.comThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 19. Tripadvisor for Care HomesThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 20. Ocado for careThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 21. Technology to facilitate active ageing Volunteering Gradual Retirement (slithers of time) Opportunities for fun Opportunities to http://www.flickr.com/photos/richardstubbs/59336799 participate in 19/sizes/m/in/photostream/The International Longevity Centre-UK is an independent, non-partisan think-tank society dedicated to addressing issues of longevity, ageing and population change.
  • 22. Web facilitating access to Information andAdvice• More confident consumers of care with raising expectations rather than patients• More tests available online/instant response (telehealth/care/monitoring)• Greater access to information about conditions (accuracy?)• Expectations to become more focused on “fix it”, prevent it, cure it?• Growth in health tourism. What about care tourism? (Travelodge/recuperation in Spain)The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 23. Barriers to going technology use Barriers to going online can be categorised as: Access, Skills and Behavioural choice The disproportionally under-researched topic of behaviour and attitudes seem to play just as great, if not a greater role as access and skillsThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 24. Digital Exclusion still a problem Seven in ten 16-24s now using a smartphone. Under one in ten 65-74s and just 3% of over-75s do so. In the last year there has been a small drop in the percentage of those aged over 75 with broadband at home (26% to 23%). 1/4 aged 75+ use the internet, the same figure as 2011. 15% of 25-44 year olds have a tablet PC, just 4% of 65-74 and 1% of over 75s do. “involuntary non-ownership of internet has risen significantly among those aged over 75″. 54% over 75s have difficulty using PC compared with 3% 16-24 year olds. Whilst disabled people aged 15 -34 have comparable internet access to non disabled people, those aged over 35 with visual or mobility impairment fall behind those without an impairment of the same age group. Over 65s with a visual impairment are significantly less likely than other over 65s to have a mobile.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 25. But firstly, take care with Age AssumptionsThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 26. Usability The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 27. Motivating and inspiring the older population“But how much smaller do we want a phone?”Some/many do want new technology but: “I don’t want to live in a smart- home – I’d rather be dead” http://www.flickr.com/photos/un_photo/58 32685007/sizes/z/in/photostream/ The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 28. Can‟t continue to ignore the ethical issuesMoral and ethical debates – cant afford to ignore themMust help older people choose technology when it is right for them (tagging/urine tests)PrivacyThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 29. Technology wont tackle the fundamentalproblemsThe first rule of any technology used in a business is that automation applied to an efficient operation will magnify the efficiency. The second is that automation applied to an inefficient operation will magnify the inefficiency. Bill Gates(Let‟s get the basics right first!)The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 30. Limited culture of private purchase ofhealth/care technologies Personalisation? Access to information and advice? But Health Apps are biggest growth area http://www.flickr.com/photos/thousandshipz/4679235/sizes/m/in/photo stream/ for Iphone.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 31. Policy implicationsUsability: Perhaps we need a legislative approach?Or would this constrain innovation?Inspiring and engaging the older consumer: Howcan we tackle “its not for me”Addressing ethics: Need to be more up front withconsumers about the use of technologyThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 32. Complacency about technology: Technology is atool. But not a magic bullet.Digital Exclusion: Do we need compulsion? Canwe nudge?Creating a culture of private purchase: Needhealthcare technology on the BBC breakfast sofa.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 33. Can we nudge?  Service providers could attract older customers by finding ways of discounted installation and connection deals, and initial periods of free internet access.  Companies advertising technology and opportunities to learn technology should use imagery of both older and younger people.  Government and the private sector should support local digital champions to make the case at a community level for the use of new technology.  Government and the private should invest more in adult learning, particularly if certain services are going to be made available exclusively online.  The technology sector should place more emphasis on co-design.The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 34. Should we go further? Compulsion?“By switching services, like what we havedone with analogue TV, there is a realopportunity to carry people on [to theinternet],... I think that shutting downservices would be the best way ofcarrying through the most amount ofpeople, as long as it is carried throughwith training”“the acid test for Directgov is whether itcan empower, and make life simpler for,citizens and at the same time allowgovernment to turn other things off” Martha Lane FoxThe International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.
  • 35. Many thanksDavid SinclairHead of Policy and ResearchInternational Longevity CentreDavid.sinclair@ilcuk.org.uk02073400440Twitter: @ilcuk and @sinclairda The International Longevity Centre-UK is an independent, non-partisan think-tank dedicated to addressing issues of longevity, ageing and population change.

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