Socio-Technical Challenges in Implementation of Monitoring Technologies in Elderly Care

  • Ella KolkowskaEmail author
  • Anneli Avatare Nöu
  • Marie Sjölinder
  • Isabella Scandurra
Conference paper
Part of the Lecture Notes in Computer Science book series (LNCS, volume 9755)


Although new monitoring technologies (MT) supporting aging in place are continuously developed and introduced on the market, attempts to implement these technologies as an integrated part of elderly care often fail. According to the literature, the reason for that may be the prevailing technical focus applied during development and implementation of monitoring technologies in real settings. The aim of this paper was to investigate the socio-technical challenges that arise during implementation of monitoring technologies in elderly care. We used a qualitative case study and semi-structured interviews to investigate socio-technical (S/T) challenges in implementation of monitoring technologies generally and social alarms especially. Based on our findings we suggest a framework for classification of S/T challenges arising during implementation of monitoring technologies in elderly care and in this way this paper contributes to a better understanding of these challenges.


Monitoring technologies Social alarms Assistive technologies Socio-technical aspects Elderly Security Safety 


  1. 1.
    McKenna, A.C., Kloseck, M., Crilly, R., Polgar, J.: Purchasing and Using Personal Emergency Response Systems (PERS): how decisions are made by community-dwelling seniors in Canada. BMC Geriatr. 15, 1 (2015)CrossRefGoogle Scholar
  2. 2.
    Bowes, A., Dawson, A., Bell, D.: Implications of lifestyle monitoring data in ageing research. Inf. Commun. Soc. 15, 5–22 (2012)CrossRefGoogle Scholar
  3. 3.
    Koch, S., Marschollek, M., Wolf, K.H., Plischke, M., Haux, R.: On health-enabling and ambient-assistive technologies. What has been achieved and where do we have to go? Methods Inf. Med. 48, 29–37 (2009)Google Scholar
  4. 4.
    Gruenerbl, A., Bahle, G., Weppner, J., Lukowicz, P.: Ubiquitous context aware monitoring systems in psychiatric and mental care: challenges and issues of real life deployments. In: 3rd International Conference on Context-Aware Systems and Applications, 15–16 October. ACM (2014)Google Scholar
  5. 5.
    Eason, K., Waterson, P., Davda, P.: The sociotechnical challenge of integrating telehealth and telecare into health and social care for the elderly. In: I.R.M.A. (ed.) Healthcare Administration: Concepts, Methodologies, Tools, and Applications, USA, pp. 1177–1190. IGI Global (2015)Google Scholar
  6. 6.
    Oishi, M.M.K., Mitchell, I.M., Van der Loos, H.F.M.: Design and Use of Assistive Technology Social, Technical, Ethical, and Economic Challenges. Springer, New York (2010)CrossRefGoogle Scholar
  7. 7.
    Baxter, G., Sommerville, I.: Socio-technical systems: from design methods to systems engineering. Interact. Comput. 23, 4–17 (2011)CrossRefGoogle Scholar
  8. 8.
    Vichitvanichphong, S., Talaei-Khoei, A., Kerr, D., Ghapanchi, A.: Adoption of assistive technologies for aged care: a realist review of recent studies. In: 47th Hawaii International Conference on System Sciences (HICSS), pp. 2706–2715 (2014)Google Scholar
  9. 9.
    Peek, S.T.M., Wouters, E.J.M., van Hoof, J., Luijkx, K.G., Boeije, H.R., Vrijhoef, H.J.M.: Factors influencing acceptance of technology for aging inplace: a systematic review. Int. J. Med. Inform. 8, 235–248 (2014)CrossRefGoogle Scholar
  10. 10.
    Mumford, E.: Redesigning Human Systems. Information Science Publishing, Hershey (2003)CrossRefGoogle Scholar
  11. 11.
    Ivari, J., Hirschheim, R.: Analyzing information systems development: a comparison and analysis of eight development approaches. Inf. Syst. J. 21, 551–575 (1996)CrossRefGoogle Scholar
  12. 12.
    Mumford, E.: Systems design and human needs. In: Andersen, N.-B., Hedberg, B., Mercer, D., Mumford, E., Solé, A. (eds.) The Impact of Systems Change in Organisations. Results and Conclusions from a Multinational Study of Information Systems Development in Banks. Sijthoff & Noordhoff, Alphen aan den Rijn (1979)Google Scholar
  13. 13.
    Patton, M.Q.: Qualitative Research & Evaluation Methods. Sage Publications, Inc., Thousand Oaks (2002)Google Scholar
  14. 14.
    Stewart, D.W., Shamdasani, P.N., Rook, D.W.: Focus Groups: Theory and Practice. Sage Publications, Thousand Oaks (2007). 2 upplCrossRefGoogle Scholar
  15. 15.
    Zwijsen, S.A., Niemeijer, A.R., Hertogh, C.M.P.M.: Ethics of using assistive technology in the care for community-dwelling elderly people: an overview of the literature. Aging Ment. Health 15, 419–427 (2011)CrossRefGoogle Scholar
  16. 16.
    Sjölinder, M., Avatare Nöu, A.: Indoor and outdoor social alarms: understanding users’ perspectives. JMIR Mhealth Uhealth 2, e9 (2014)CrossRefGoogle Scholar
  17. 17.
    Schreier, M.: Qualitative Content Analysis in Practice. SAGE, Los Angeles (2012)Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  • Ella Kolkowska
    • 1
    Email author
  • Anneli Avatare Nöu
    • 2
  • Marie Sjölinder
    • 2
  • Isabella Scandurra
    • 1
  1. 1.Örebro University School of BusinessÖrebroSweden
  2. 2.SICS Swedish ICTKistaSweden

Personalised recommendations