Andrew Monk Centre for Usable Home Technology, University of York Isolation and social exclusion: how can technology h

1. Andrew Monk Centre for Usable Home Technology, University of York Isolation and social exclusion: how can technology help? a.monk@psych.york.ac.uk

2. user client patient -centred approach to the design of technology? A CUHTec's "mission": to ensure that future home technologies meet real social and personal needs Data from a telephone survey of 200 community alarm users, "where is your community alarm pendant at this moment?"

3. CUHTEC Advanced Telecare Users Group Telecare Model Services to the client that technology can provide Existing sustainable services (demonstrable need) Mobility Remote control Prompting Reassurance / Safety / Response Security Automated remote diagnosis Remote treatment Shopping and information Human contact

4. "Stand alone", Assistance with activities of daily living Mobility Hoists Stair lift Internal Door openers Electronically controlled wheel chair Remote control Entry system Temperature TV Lights Prompting Bath water Lost objects Food preparation

5. Reassurance / Safety / Response Pull cord, Pendant, Wrist button Extreme temperature, Smoke, Methane, CO, Flood Fall, Inactivity Security Intruder, Bogus caller, Door open, Entry systems Bogus caller button Fall detector Personal radio triggers Call centre CO detector Bed occupancy sensor

6. Activity monitoring for diagnostic purposes Automated remote diagnosis Virtual visit Respiration (spirometry) monitor Blood pressure monitor Fall risk assessment Deterioration detector Remote treatment Medication delivery and reminder systems Dialysis

7. CUHTEC Advanced Telecare Users Group Telecare Model Services to the client that technology can provide Existing sustainable services (demonstrable need) Mobility Remote control Prompting Reassurance / Safety / Response Security Automated remote diagnosis Remote treatment Shopping and information Human contact Fun These are technologies to support the fairly basic requirements of: health, sustenance, comfort and security. What else can we do?

8. How concerned are you about? (~1000 people 50+) Weighted means from, "The ageing world: issues for older people - 2005-2025" CODEWORKS ATL in association with Age Concern Research Services

9. How concerned are you about? (~1000 people 50+) Weighted means from, "The ageing world: issues for older people - 2005-2025" CODEWORKS ATL in association with Age Concern Research Services

10. reduced domiciliary care • increased reliance on technology • increased social mobility due to demographic changes } Will isolation and social exclusion be more or less of a problem when you are 80+? • What are the alternatives to professional paid care? • relatives • volunteers

11. Shopping and information Net Neighbours • Age Concern York administer the service • A volunteer takes shopping orders over the phone, negotiates the site, places the order and has a chat too. • The client sends a cheque or cash to the Age Concern who reimburse the volunteer.  

12. Human contact Fun Telephone conferencing as a recreational activity Hackney Borough Council, RNIB

13. Human contact Fun

14. Human contact Fun A TV with a phone number

15. Human contact Fun Interpersonal awareness - the virtual frosted window Reciprocal communication: I know what you know about me because it is what I know about you.

16. Human contact Fun Second Life, WoW (Massively Multiplayer Online Games) Two button phone

17. WHY? Data from a telephone survey of 200 community alarm users, "where is your community alarm pendant at this moment?" User experience - Identity What does it reflect about me? (to me and to others)

18. Reciprocal view Real communication function Mote Architecture Self organising network of computers with wireless connectivity Intel Mote ("Smart dust") 3x3 cm (batteries and antenna not shown) "Novel telecare" Digital jewellery project Jayne Wallace, Patrick Olivier, Peter Wright, Andrew Monk How do we make the remote monitoring of someone else's activity : social attractive enchanting

19. Probes Box with clay in it: Please make impressions in the clay from objects that are dear to you both (either as individuals or jointly). Please make as many or as few impressions as you wish. When we meet I will ask you to tell me the stories behind these objects and why you feel they are significant to you.

20. Please use one sheet to tell me about your own aesthetic taste and style. Use any... Then use the reverse to tell me about how you perceive your mother's/daughter's aesthetic taste and style. Mother about self Mother about daughter

21. Please use the camera to take photographs in response to the set of prompts I've given you - respond to as many of the prompts as you feel happy to. Daughter: Reminder of someone dear Mother: Personally Precious

22. Sketch 1 Possible input mechanism - "books are very important to Mother and something I related to her life of travel and love of travel books now - the idea relates to the idea of books as a way of travelling - a way of connecting to another place (and time)" JW.

23. Sketch 2 Possible output mechanism -"another part of the jewellery fluttering or trembling. This images comes from Mother's childhood memories of hydrangea bushes in India" JW. Output could signal input and provide a distinguishable automated response to input if the jewellery at the other end was out of sensor range or had been in the same room for some time.

24. Conclusions Technology is providing valuable services to clients/patients/users. But, the client/patient/user has different values and concerns to the professional carer (we could be more client centred). Isolation and social exclusion are important. The innovative use of new communication technologies could help. a.monk@psych.york.ac.uk