Abstract
Passive monitoring systems have been proposed as a way to revolutionize home healthcare. This study examines specific techniques social workers employ to urge older adults to adopt the QuietCare sensor-based passive monitoring system that monitors movements in residents’ apartments. Data were gathered from 49 in-depth semi-structured interviews in six low-income independent living residence apartment buildings where QuietCare had been offered for six years and where 98% of residents who were offered the system declined it. This study reveals how frontline staff members navigate the task of encouraging reluctant independent living residents to subject themselves to continuous sensor-based monitoring. Social workers employed a variety of techniques to pressure adoption and residents made constrained choices. Having to navigate this practice put these workers in a bind, caught between values of independence and risk management . This research suggests that it is important to understand what is at stake in negotiations over passive monitoring adoption and the potential for conflict between values of independence and risk management.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsReferences
Barlow, J., Singh, D., Bayer, S., Curry, R. (2007). A systematic review of the benefits of home telecare for frail elderly people and those with long-term conditions. Journal of Telemedicine and Telecare, 13, 172-179.
Beck U (2006) Living in the world risk society. Economy and Society 35(3):329–345
Berridge C (2012) Envisioning a gerontology-enriched theory of care. Affilia: Journal of Women and Social Work 27(1):8–21. doi:10.1177/0886109912437498
Berridge C (2015) Breathing room in monitored space: The impact of passive monitoring technology on privacy in independent living. The Gerontologist. doi:10.1093/geront/gnv034
Brownsell S, Bradley D, Blackburn S, Cardinaux F, Hawley MS (2011) A systematic review of lifestyle monitoring technologies. Journal of Telemedicine and Telecare 17:185–189
Collier S, Lakoff AL (2005) On Regimes of Living. In Ong A, Collier S (eds.), Global assemblages: Technology, politics, and ethics as anthropological problems. Blackwell Publishing, Inc., Malden, MA
Corbin JM, Strauss AL (2008) Basics of qualitative research: Grounded theory procedures and techniques (3rd ed). Sage, Thousand Oaks, CA
Davies A, Rixon L, Newman S (2013) Systematic review of the effects of telecare provided for a person with social care needs on outcomes for their informal carers. Health & Social Care in the Community 21(6). DOI: 10.1111/hsc.12035
Demiris G, Hensel BK (2008) Technologies for an aging society: a systematic review of “smart home” applications. Yearb Med Inform:33–40
EFORTT (2011) Deliverable 7: Final Research Report of Ethical Frameworks for Telecare Technologies for older people at home. Submitted to the European Commission. Retrieved: http://www.lancaster.ac.uk/efortt/documents/Deliverable%207%20Final%20Research%20report.pdf
Essén, A. (2008). The two facets of electronic care surveillance: An exploration of the views of older people who live with monitoring devices. Social Science & Medicine, 67(1), 128-36.
Glaser BG, Strauss AL (1967) The discovery of grounded theory: Strategies for qualitative research. Aldine Publishing Company, Chicago
Gomez DL, Mantovani E, De Hert P. (2013) Autonomy in ICT for older persons at the crossroads between legal and care practices, In European Data Protection: Coming of Age (145–159). Springer
Ghosh R, Lindeman D, Ratan S, Steinmetz V (2014) The new era of connected aging: A framework for understanding technologies that support older adults in aging in place. Berkeley: Center for Information Technology Research in the Interest of Society, University of California, Berkeley: http://www.techandaging.org/ConnectedAgingFramework.pdf
Hirani, S. P., et al. (2014). The effect of telecare on the quality of life and psychological well-being of elderly recipients of social care over a 12-month period: the Whole Systems Demonstrator cluster randomised trial. Age and Ageing 43(3), 334-41.
Huang CJ, Goldhaber TS (2012) Malicious meddling or transparent tracking? Telecare as a logical extension of modern communications technology. American Journal of Bioethics 12(9):45–7. doi:10.1080/15265161.2012.699156
Jaschinski, C. and Allouch, S.B. (2014). Ambient Assisted Living: Benefits and Barriers From a User-Centered Perspective. AMBIENT 2014: The Fourth International Conference on Ambient Computing, Applications, Services and Technologies. Rome, Italy. Retrieved: file:///C:/Users/Clara/Downloads/ambient_2014_3_30_40019.pdf
Katz S, Marshall B (2004) Is the functional ‘normal’? Aging, sexuality and the bio-marking of successful living, History of the Human Sciences 17(53)
Leroi, I., Woolham, J., Gathercole, R, Howard, R., Dunk, B., Fox, C., O'Brien, J., Bateman, A., Poland, F., Bentham, P., Burns, A., Davies, A., Forsyth, K., Gray, R., Knapp, M., Newman, S., McShane, R. and Ritchie, C. (2013). Does telecare prolong community living in dementia? A study protocol for a pragmatic, randomised controlled trial. Trials,14(1), 1-9.
Lorenzen-Huber L, Boutain M, Camp LJ, Shankar K, Connelly KH (2011) Privacy, technology, and aging: A proposed framework. Ageing International 36:232–252
Mahoney DF, Mutschler PH, Tarlow B, Liss E (2008) Real world implementation lessons and outcomes from the Worker Interactive Networking (WIN) Project: Workplace-based online caregiver support and remote monitoring of elders at home. Telemedicine and e-Health 14(3):224–234
Margolin L (1997) Under the cover of kindness: The invention of social work. University of Virginia Press
Martin S, Kelly G, Kernohan W, Mccreight B, Nugent C (2008) Smart home technologies for health and social care support. Cochrane database of systematic reviews (Online). doi:10.1002/14651858.CD006412.pub2
Moody, H.R. (1992). Ethics in an aging society. Baltimore, MD: Johns Hopkins University Press.
Mortenson B, Sixsmith A, Woolrych R (2014) The power(s) of observation: Theoretical perspectives on surveillance technologies and older people. Aging and Society: 1–19
Parker, S.G. and Hawley, M.S. (2013). Telecare for an ageing population? Age & Ageing, 42(4), 424-25.
Percival J, Hanson J (2006) Big brother or brave new world? Telecare and its implications for older people’s independence and social inclusion. Critical Social Policy 26:888
Pols J (2012) Care at a Distance: On the Closeness of Technology. Amsterdam University Press, Amsterdam
Powell J, Wahidin A, Zinn J (2007) Understanding risk and old age in western society. International Journal of Sociology and Social Policy 27(1/2):66–76
Rogers, A., Kirk, S., Gately, C., May, C., and Finch, T. (2011). Established users and the making of telecare work in long term condition management: Implications for Health Policy. Social Science & Medicine, 72, 1077-84.
Rose N (1999) Powers of freedom. Cambridge University Press, Cambridge
Rose N (2001) The politics of life itself. Theory Culture Society 18(1):1–30
Rose N (2006) The politics of life itself: Biomedicine, power, and subjectivity in the twenty-first century. Princeton University Press. ISBN: 9780691121918
Sanders, C., Rogers, A., Bowen, R., Bower, P. et al. (2012). Exploring barriers to participation and adoption of telehealth and telecare within the Whole System Demonstrator trial: a qualitative study. BMC Health Services Research 12(1), 220.
Schulz R, Wahl HW, Matthews JT, Dabbs AV, Beach SR, Czaja SJ (2014) Advancing the aging and technology agenda in gerontology. The Gerontologist
Sixsmith, A. (2013). Technology and the challenge of aging, In Sixsmith A, Gutman G (eds.). Technologies for Active Aging. Springer: New York. doi:10.1007/978-1-4419-8348-0
Vasunilashorn S, Steinman BA, Liebig PS, Pynoos J (2012) Aging in place: Evolution of a research topic whose time has come. Journal of Aging Research.
von Shomberg R (2011) Introduction: Towards Responsible Research and Innovation in the Information and Communication Technologies and Security Technologies Fields. The European Commission’s Science in Society Initiative EFORTT Project. Retrieved: http://www.synbioproject.org/process/assets/files/6613/_draft/mep-rapport-2011_en.pdf
Wahl HW, Iwarsson S, Oswald F (2012) Aging well and the environment: Toward an integrative model and research agenda for the future. The Gerontologist 52(3):306–316
Wild K, Boise L, Lundell J, Foucek A (2008) Unobtrustive in-home monitoring of cognitive and physical health: Reactions and perceptions of older adults. Journal of Applied Gerontology 27:181. doi:10.1177/0733464807311435
Williams S J, Higgs P, Katz S (2012) Neuroculture, active ageing and the ‘older brain’: problems, promises and prospects. Sociology of Health & Illness 34(1):64–78
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer International Publishing AG
About this chapter
Cite this chapter
Berridge, C. (2017). Selling Passive Monitoring to Manage Risk in Independent Living: Frontline Workers in a Bind. In: Adams, S., Purtova, N., Leenes, R. (eds) Under Observation: The Interplay Between eHealth and Surveillance. Law, Governance and Technology Series(), vol 35. Springer, Cham. https://doi.org/10.1007/978-3-319-48342-9_5
Download citation
DOI: https://doi.org/10.1007/978-3-319-48342-9_5
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-319-48340-5
Online ISBN: 978-3-319-48342-9
eBook Packages: Law and CriminologyLaw and Criminology (R0)