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Citation

Clark J & McGee‐Lennon M (2011) A stakeholder‐centred exploration of the current barriers to the uptake of home care technology in the UK. Journal of Assistive Technologies, 5 (1), pp. 12-25. https://doi.org/10.5042/jat.2011.0097

Abstract
An increase in the ageing UK population is leading to new ways of looking at how we deliver health and social care services in the UK. The use of assisted living technology (ALT) and telecare is already playing a part in these new models of care. Yet despite the current advances in the range of technology and networking capabilities in the home, ALT and telecare solutions have not been taken up as eagerly as might have been anticipated. The study reported here used scenario‐based focus groups with a wide variety of stakeholders in home care to identify the existing barriers to the successful uptake of ALTs and telecare in Scotland. Six focus group sessions were conducted with individual stakeholder groups (social care workers, policy makers, telecare installation technicians, older users, informal carers) and five conducted with mixed stakeholder groups. The focus groups used the same home care scenario to identify and categorise the different perceptions, attitudes, and expectations of the various stakeholders when discussing telecare implementation for a fictitious older couple. The emerging themes from the focus groups were analysed and categorised according to the Framework Analysis approach. We present a synthesised list of the current barriers to the uptake of ALTs and telecare ‐ and discuss how each of these barriers might be overcome. If these barriers are addressed, we believe telehealthcare technologies will be better designed, more usable, easier to prescribe effectively, more acceptable to more users in more contexts, and ultimately more common place in homes throughout the UK.

Keywords
Home care systems; Telecare; Care at home; Stakeholder requirements; Participatory design; Focus groups; Framework analysis; Technology acceptance; Ethical considerations

Journal
Journal of Assistive Technologies: Volume 5, Issue 1