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Where ergonomics meets geriatrics: the connection between comprehensive geriatric assessment and design for ageing

  • Tischa J. M. van der CammenEmail author
  • Gubing Wang
  • Armagan Albayrak
Editorial

Keywords

Ageing Ergonomics Human factors Comprehensive geriatric assessment Capability consideration Technology 

Ageing is a multidimensional process of change in the physical, mental, and social domains, leading to functional decline.

Comprehensive geriatric assessment (CGA) is the core technology for assessing older complex patients, and is defined as a multidimensional, multidisciplinary process which identifies medical, social and functional needs, and the development of an integrated care plan to meet those needs [1, 2]. The purpose of CGA is to identify treatable diseases, improve diagnostic accuracy, optimize medical treatment, improve medical outcomes, optimize living location, minimize unnecessary service use, and arrange long-term case management.

Ageing ergonomics is design driven and studies the age-related changes in physical, cognitive and organizational capabilities, with a focus on studying and reinforcing the remaining capabilities of older persons.

There are many similarities between the principles of geriatric medicine and ergonomics (see Table 1). Ergonomics studies “the interactions between humans and other elements of a system, and applies theories, principles, data, and methods to design for optimizing human well-being and system performance” [3]. The domain of ergonomics in ageing has investigated the age-related capability changes in the aspects of sensory, cognition and movement capability [4]. The age-related capability changes explored in the sensory aspect are visual, auditory, olfactory, and somatosensory capabilities. The capability changes studied in the cognition aspect are memory, attention, and executive control. The capability changes investigated in the movement aspect are muscular strength, movement speed, balance and locomotion [4]. Some capabilities (e.g., vision, working memory) have been found to decrease with age [5, 6], while some have been reported to remain relatively stable (e.g., semantic memory) [7]. These discoveries have been transformed into design principles and applied into the adaptation of working place, products and services for older adults, with reported enhancement in both their performance and well-being [8]. Recently, the application of these discoveries has expanded into the medical field, specifically, for developing and evaluating non-pharmacological interventions and their clinical trials for behavioural and psychological symptoms of dementia [9]. In the Agile Co-Creation for Robots and Aging (ACCRA) Project ‘New technological solutions for older people’, the development of advanced ICT robotics-based solutions for extending active and healthy ageing in daily life is explored by defining, developing and demonstrating an agile co-creation development process [10].
Table 1

Hallmarks of and similarities between CGA and ergonomics in design

Design for Ageing is closely related to ageing ergonomics and applies a user-centred approach. It aims to support the older adults in their remaining capabilities and compensate for the limitations which they experience in daily life by means of products and services. To develop useful products and services for older adults, their needs, preferences and desires for technology in their lives should be identified and they should be involved in the design process [11]. The focus areas of Design for Ageing should be the so-called geriatric giants, the traditional challenges of ageing such as design for falls prevention, design for dementia care, design for integrated as opposed to fragmented care [12]. The shifting healthcare delivery from the hospital to home has the potential to deliver more personalised care to older adults which makes a user-centred design approach even more important. Tackling these challenges in a ‘’home-based healthcare setting’’ where the quality of professional care is integrated with the social care will be one of the main topics of the near future.

Considering the principles of geriatric medicine and ageing ergonomics (HF), remarkable similarities can be found between the two disciplines. The fact that both disciplines apply the same multidisciplinary approach to ageing and ageing individuals opens a broad perspective for successful interventions. These interventions can only be successful by following a user-centred design approach as a bridge between the two disciplines. In the White Paper Human Factors for Health and Social Care, the authors describe how human factors and ergonomics can bring depth and clarity of understanding to health and social care issues [13]. In this regard, ergonomics (HF) has a critical and fundamental part to play in patient safety by providing methods and approaches which address known issues of integration, impact and sustainability of change [13].

The European Institute of Innovation & Technology (EIT) Health has recently published their 2020 Business Plan Calls and one of the focus areas is ‘Bringing Care Home’ [14]. The aim is to deliver optimal home-based healthcare to older citizens, and consequent financial benefits to society, by designing and demonstrating innovation in home care services and systems. These kind of challenges can only be addressed by integrating geriatric medicine and ageing ergonomics (HF) by following a human-centred design approach.

Notes

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed consent

For this type of study, formal consent is not required.

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Copyright information

© European Geriatric Medicine Society 2019

Authors and Affiliations

  1. 1.Faculty of Industrial Design EngineeringDelft University of TechnologyDelftThe Netherlands
  2. 2.Section of Geriatric Medicine, Department of Internal MedicineErasmus University Medical CenterRotterdamThe Netherlands

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