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Johansson-Pajala RM, Alam M, K Gusdal A, Marmstål Hammar L, Boström AM. Trust and easy access to home care staff are associated with older adults' sense of security: a Swedish longitudinal study. Scand J Public Health 2024:14034948241236830. [PMID: 38517103 DOI: 10.1177/14034948241236830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/23/2024]
Abstract
AIM Older adults are increasingly encouraged to continue living in their own homes with support from home care services. However, few studies have focused on older adults' safety in home care. This study explored associations between the sense of security and factors related to demographic characteristics and home care services. METHODS The mixed longitudinal design was based on a retrospective national survey. The study population consisted of individuals in Sweden (aged 65+ years) granted home care services at any time between 2016 and 2020 (n=82,834-94,714). Multiple ordinal logistic regression models were fitted using the generalised estimation equation method to assess the strength of relationship between the dependent (sense of security) and independent (demographics, health and care-related factors) variables. RESULTS The sense of security tended to increase between 2016 and 2020, and was significantly associated with being a woman, living outside big cities, being granted more home care services hours or being diagnosed/treated for depression (cumulative odds ratio 2-9% higher). Anxiety, poor health and living alone were most strongly associated with insecurity (cumulative odds ratio 17-64% lower). Aside from overall satisfaction with home care services, accessibility and confidence in staff influenced the sense of security most. CONCLUSIONS We stress the need to promote older adults' sense of security for safe ageing in place, as mandated by Swedish law. Home care services profoundly influence older adults' sense of security. Therefore, it is vital to prioritise continuity in care, establish trust and build relationships with older adults. Given the increasing shortage of staff, integrating complementary measures, such as welfare technologies, is crucial to promoting this sense of security.
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Affiliation(s)
| | - Moudud Alam
- School of Information and Engineering/Statistics, Dalarna University, Falun, Sweden
| | - Annelie K Gusdal
- School of Health, Care and Social Welfare, Mälardalen University, Sweden
| | - Lena Marmstål Hammar
- School of Health, Care and Social Welfare, Mälardalen University, Sweden
- School of Health and Welfare, Dalarna University, Falun, Sweden
| | - Anne-Marie Boström
- Division of Nursing, Department of Neurobiology, Care Science and Society, Karolinska Institute, Stockholm, Sweden
- R&D unit, Stockholms Sjukhem, Stockholm, Sweden
- Theme Inflammation and Aging, Karolinska University Hospital, Huddinge, Sweden
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Knuutila MT, Lehti TE, Karppinen H, Kautiainen H, Strandberg TE, Öhman H, Savikko NM, Jansson AH, Pitkälä KH. Determinants of a sense of insecurity among home-dwelling older people. Scand J Public Health 2024; 52:64-70. [PMID: 36271626 PMCID: PMC10845813 DOI: 10.1177/14034948221131419] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/29/2022] [Revised: 09/01/2022] [Accepted: 09/21/2022] [Indexed: 11/15/2022]
Abstract
Aims: A sense of insecurity may have an impact on older people's well-being and their courage to engage actively in meaningful activities. Studies on a sense of insecurity among older people are scarce. The aim of this study was to determine the extent to which home-dwelling older adults perceive their life as being insecure and how a sense of insecurity is associated with their health, functional status, active social engagement, well-being and perceptions of the societal treatment of older people. Methods: This study is part of the Helsinki Aging Study, a cohort study ongoing since 1989. Data were collected using a postal questionnaire that was mailed in 2019 to a random sample of home-dwelling older people ⩾75 years of age living in Helsinki (N=2917; response rate 74%). The questionnaire inquired about the respondents' sense of security/insecurity, and they were subcategorised into those feeling secure and those feeling insecure based on their answers. Results: Seven per cent of respondents felt insecure in their lives. In a stepwise logistic regression analysis, loneliness, living alone and perceived poor societal treatment of older people were associated with a sense of insecurity, while having good self-rated health, having children and meeting friends at least weekly were associated with lower odds of insecurity. Conclusions: Our findings highlight the importance of recognising and combating loneliness, social isolation and societal ageism in order to reduce insecurity among older people and to support their active engagement in life.
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Affiliation(s)
- Mia T. Knuutila
- Social Services and Health Care, City of Helsinki, Finland
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- Unit of Primary Health Care, Helsinki University Hospital, Finland
| | - Tuuli E. Lehti
- Social Services and Health Care, City of Helsinki, Finland
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- Unit of Primary Health Care, Helsinki University Hospital, Finland
| | - Helena Karppinen
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
| | - Hannu Kautiainen
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
| | - Timo E. Strandberg
- Clinics of Internal Medicine and Geriatrics, Helsinki University Hospital, Finland
- Department of Internal Medicine and Geriatrics, University of Helsinki, Finland
| | - Hannareeta Öhman
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- Clinics of Internal Medicine and Geriatrics, Helsinki University Hospital, Finland
| | - Niina M. Savikko
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- City of Espoo, Elderly Care, Finland
| | - Anu H. Jansson
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- The Finnish Association for the Welfare of Older People, Finland
| | - Kaisu H. Pitkälä
- Department of General Practice and Primary Health Care, University of Helsinki, Finland
- Unit of Primary Health Care, Helsinki University Hospital, Finland
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Liao J, Sun X, Mai X, Du Y, Li F. Mindfulness and mental health in medical staff in the COVID-19 period: Mediating role of perceived social support and sense of security. JOURNAL OF PSYCHOLOGY IN AFRICA 2022. [DOI: 10.1080/14330237.2022.2121055] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Jundong Liao
- School of Psychology, Sichuan Normal University, Chengdu 610068, China
| | - Xinlong Sun
- School of Psychology, Sichuan Normal University, Chengdu 610068, China
| | - Xiaohao Mai
- Guangdong Younian Culture Industry Co, Guangzhou, 510800, China
| | - Yuhui Du
- School of Psychology, Sichuan Normal University, Chengdu 610068, China
| | - Fang Li
- School of Psychology, Sichuan Normal University, Chengdu 610068, China
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Yang Q, Shi M, Tang D, Zhu H, Xiong K. Multiple Roles of Grit in the Relationship Between Interpersonal Stress and Psychological Security of College Freshmen. Front Psychol 2022; 13:824214. [PMID: 35310215 PMCID: PMC8929422 DOI: 10.3389/fpsyg.2022.824214] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2021] [Accepted: 01/31/2022] [Indexed: 12/24/2022] Open
Abstract
Grit, as an important positive psychological quality, has rarely been studied for its role involved in the mechanism between stress and psychological security. This article explores the moderating and mediating role of grit in the relationship between interpersonal stress and psychological security of freshmen through two studies. In study 1, freshmen from several Chinese universities (N = 1,224) were recruited to complete a battery of questionnaire, including assessments about interpersonal stress, grit, and psychological security. The moderating effect analysis showed that grit moderated the relationship between interpersonal stress and psychological security. Specifically, grit buffered the negative effects of interpersonal stress on freshmen’s psychological security, but this effect was obvious only when the level of interpersonal stress was relatively low, and decreased when the level of interpersonal stress was high. In study 2, college freshmen from another university apart from above ones (N = 604) were recruited, and we verified the results of study 1 and further explored the mediating role of grit in the relationship between interpersonal stress and security. The moderating effect analysis of study 2 also verified that of study 1. The mediating effect analysis showed that interpersonal stress not only negatively predicted psychological security, but also affected psychological security through the mediation of grit. In general, grit played a mediating and moderating role in the relationship between interpersonal stress and psychological security. This study provides first-hand evidence to explain the multiple roles of grit in the relationship between interpersonal stress and psychological security.
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Affiliation(s)
- Qingsong Yang
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Mengxi Shi
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Dandan Tang
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Hai Zhu
- School of Teacher Education, Zunyi Normal College, Zunyi, China
| | - Ke Xiong
- Institute of Advanced Studies in Humanities and Social Sciences, Beijing Normal University at Zhuhai, Zhuhai, China
- *Correspondence: Ke Xiong,
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Anezaki S, Sakka M, Noguchi-Watanabe M, Igarashi A, Inagaki A, Sumikawa Tsuno Y, Omori J, Ota A, Yamamoto-Mitani N. Association between participation in hospital-led community activities and sense of security in continued community living among older adults in a rural district of Japan: A cross-sectional study. HEALTH & SOCIAL CARE IN THE COMMUNITY 2022; 30:e347-e356. [PMID: 33089582 DOI: 10.1111/hsc.13191] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/19/2019] [Revised: 09/01/2020] [Accepted: 09/08/2020] [Indexed: 06/11/2023]
Abstract
For older adults to continue living in a community, they need to have a certain sense of security, especially in terms of the availability of healthcare in the community. The aim of this cross-sectional study was to explore important factors of the sense of security among older adults in their continued community living, with particular attention to hospital-led community activities. The participants comprised 252 randomly sampled older adults aged 65 years or older, living in a local community in western Japan, and ranging from being independent to physically and cognitively frail. Participants' sense of security in continued community living was assessed using a modified scale from past research on cancer care. Activities provided by local community organisations and hospitals were examined. The participants' mean age was 75.0 years, 144 (57.8%) were female and 32 (13.3%) were frail. Hospital-led groups (e.g. health lectures) and individual (e.g. health counselling) activities were used by 73 (30.5%) and 76 (31.9%) participants respectively. Among participants, 174 (73.4%) had participated in activities run by the local community, such as senior day celebrations or senior centre activities. A stronger sense of security was associated with participation in hospital-led individual activities (β = 0.171, p = .036), being a member of a neighbourhood association (β = 0.156, p = .020), frequency of contact with family members (β = 0.145, p = .034) and lower depression (β = -0.269, p < .001). Participation in community hospital-led individual activities may provide older adults opportunities to discuss their health-related concerns in a community setting, and thus might enhance their sense of security. In the aged society, the role of healthcare facilities may need to be expanded to facilitate outreach for older adults in the community to enhance their sense of security and actualise ageing in place.
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Affiliation(s)
- Saori Anezaki
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
| | - Mariko Sakka
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
| | - Maiko Noguchi-Watanabe
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
| | - Ayumi Igarashi
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
| | - Asa Inagaki
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
| | - Yoko Sumikawa Tsuno
- Department of Public Health Nursing, Tohoku University Graduate School of Medicine, Sendai-city, Miyagi, Japan
- Department of Health Sciences, Saitama Prefectural University, Koshigaya-city, Saitama, Japan
| | - Junko Omori
- Department of Public Health Nursing, Tohoku University Graduate School of Medicine, Sendai-city, Miyagi, Japan
| | - Akiko Ota
- Brain Attack Center Ota Memorial Hospital, Fukuyama-city, Hiroshima, Japan
| | - Noriko Yamamoto-Mitani
- Department of Gerontological Home Care and Long-Term Care Nursing, Division of Health Sciences and Nursing, Graduate School of Medicine, The University of Tokyo, Bunkyo-city, Tokyo, Japan
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Yang Q, Shi M, Zeng L, Xu P. University freshmen's excessive smartphone use and psychological safety during the COVID-19 pandemic. Front Psychiatry 2022; 13:993555. [PMID: 36276311 PMCID: PMC9582602 DOI: 10.3389/fpsyt.2022.993555] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2022] [Accepted: 09/20/2022] [Indexed: 11/21/2022] Open
Abstract
Although excessive smartphone use has been confirmed as being associated with specific representations of mental health (e. g., anxiety, depression, wellbeing, etc.) throughout the COVID-19 pandemic, the relationship between excessive smartphone use and cognitive representations of mental health (i.e., psychological safety) is not yet fully understood. This study aimed to identify the association between excessive smartphone use and psychological safety among university freshmen during the COVID-19 pandemic; in addition, we examined the mediation effects of hardiness and interpersonal distress in this relationship. In this study, 1,224 university freshmen were selected at random from several universities in Guizhou Province of China. The Psychological Safety Scale was used to evaluate the mental health of university freshmen; the Mobile Phone Dependence Scale was used to evaluate excessive smartphone use; the Hardiness Questionnaire was used to evaluate hardiness; and the Interpersonal Relation Synthetic Diagnose Test was used to evaluate interpersonal distress. The findings showed that: (1) the greater the degree of excessive smartphone use, the more serious respondents' interpersonal distress and the lower their hardiness; (2) excessive smartphone use was not only directly related to the psychological safety of university freshmen but also indirectly related to their psychological safety through the independent mediation of hardiness and interpersonal distress, as well as through the chain mediation of hardiness and interpersonal distress. In general, excessive smartphone use in university freshmen could lead to a decline in their psychological safety. Also, hardiness and interpersonal distress play a complex role in this relationship. During the COVID-19 pandemic, interventions on the mental health of college freshmen should not only provide guidance on how to use their smartphone responsibly but also to provide them with support and guidance for the enhancement of their hardiness and improvement of their interpersonal relationships.
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Affiliation(s)
- Qingsong Yang
- School of Teacher Education, Zunyi Normal University, Zunyi, China
| | - Mengxi Shi
- School of Teacher Education, Zunyi Normal University, Zunyi, China
| | - Lianping Zeng
- School of Psychology, Guizhou Normal University, Guiyang, China
| | - Ping Xu
- Department of Educational Psychology, Guangzhou Sport University, Guangzhou, China
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Toder Alon A, Bareket-Bojmel L, Shuv-Ami A. The Relationship between Perception of Care, Sense of Security, and Subjective Psychological Well-Being among Older Adults Living in Sheltered Housing vs. Independent Housing in Israel. JOURNAL OF AGING AND ENVIRONMENT 2021. [DOI: 10.1080/26892618.2021.2019867] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/19/2022]
Affiliation(s)
- Anat Toder Alon
- School of Business Administration, Peres Academic Center, Rehovot, Israel
| | | | - Avichai Shuv-Ami
- The School of Business Administration, The College of Management, Rishon LeZion, Israel
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The Influence of Feedback Type in Robot-Assisted Training. MULTIMODAL TECHNOLOGIES AND INTERACTION 2019. [DOI: 10.3390/mti3040067] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Robot-assisted training, where social robots can be used as motivational coaches, provides an interesting application area. This paper examines how feedback given by a robot agent influences the various facets of participant experience in robot-assisted training. Specifically, we investigated the effects of feedback type on robot acceptance, sense of safety and security, attitude towards robots and task performance. In the experiment, 23 older participants performed basic arm exercises with a social robot as a guide and received feedback. Different feedback conditions were administered, such as flattering, positive and negative feedback. Our results suggest that the robot with flattering and positive feedback was appreciated by older people in general, even if the feedback did not necessarily correspond to objective measures such as performance. Participants in these groups felt better about the interaction and the robot.
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Jarling A, Rydström I, Ernsth-Bravell M, Nyström M, Dalheim-Englund AC. Becoming a guest in your own home: Home care in Sweden from the perspective of older people with multimorbidities. Int J Older People Nurs 2018; 13:e12194. [DOI: 10.1111/opn.12194] [Citation(s) in RCA: 26] [Impact Index Per Article: 4.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 02/15/2018] [Indexed: 11/30/2022]
Affiliation(s)
- Aleksandra Jarling
- Faculty of Caring Science, Work Life and Social Welfare; University of Borås; Boras Sweden
| | - Ingela Rydström
- Faculty of Caring Science, Work Life and Social Welfare; University of Borås; Boras Sweden
| | | | - Maria Nyström
- Faculty of Caring Science, Work Life and Social Welfare; University of Borås; Boras Sweden
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Lindahl L, Andersson M, Paulsson J. Perceived Safety in Extra-Care Housing for Senior Residents. ACTA ACUST UNITED AC 2017. [DOI: 10.1080/02763893.2017.1393487] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Affiliation(s)
- Lisbeth Lindahl
- The Department of Research and Development, The Gothenburg Region Association of Local Authorities, Gothenburg, Sweden
| | - Morgan Andersson
- Department of Architecture, Chalmers University of Technology, Gothenburg, Sweden
| | - Jan Paulsson
- Department of Architecture, Chalmers University of Technology, Gothenburg, Sweden
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Experiences of Community-Living Older Adults Receiving Integrated Care Based on the Chronic Care Model: A Qualitative Study. PLoS One 2015; 10:e0137803. [PMID: 26489096 PMCID: PMC4619446 DOI: 10.1371/journal.pone.0137803] [Citation(s) in RCA: 41] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/18/2015] [Accepted: 08/21/2015] [Indexed: 11/19/2022] Open
Abstract
Background Integrated care models aim to solve the problem of fragmented and poorly coordinated care in current healthcare systems. These models aim to be patient-centered by providing continuous and coordinated care and by considering the needs and preferences of patients. The objective of this study was to evaluate the opinions and experiences of community-living older adults with regard to integrated care and support, along with the extent to which it meets their health and social needs. Methods Semi-structured interviews were conducted with 23 older adults receiving integrated care and support through “Embrace,” an integrated care model for community-living older adults that is based on the Chronic Care Model and a population health management model. Embrace is currently fully operational in the northern region of the Netherlands. Data analysis was based on the grounded theory approach. Results Responses of participants concerned two focus areas: 1) Experiences with aging, with the themes “Struggling with health,” “Increasing dependency,” “Decreasing social interaction,” “Loss of control,” and “Fears;” and 2) Experiences with Embrace, with the themes “Relationship with the case manager,” “Interactions,” and “Feeling in control, safe, and secure”. The prospect of becoming dependent and losing control was a key concept in the lives of the older adults interviewed. Embrace reinforced the participants’ ability to stay in control, even if they were dependent on others. Furthermore, participants felt safe and secure, in contrast to the fears of increasing dependency within the standard care system. Conclusion The results indicate that integrated care and support provided through Embrace met the health and social needs of older adults, who were coping with the consequences of aging.
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Pol M, van Nes F, van Hartingsveldt M, Buurman B, de Rooij S, Kröse B. Older People's Perspectives Regarding the Use of Sensor Monitoring in Their Home. THE GERONTOLOGIST 2014; 56:485-93. [PMID: 25384761 DOI: 10.1093/geront/gnu104] [Citation(s) in RCA: 31] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2014] [Accepted: 09/28/2014] [Indexed: 11/14/2022] Open
Abstract
PURPOSE The early detection of a decline in daily functioning of independently living older people can aid health care professionals in providing preventive interventions. To monitor daily activity patterns and, thereby detect a decline in daily functioning, new technologies, such as sensors can be placed in the home environment. The purpose of this qualitative study was to determine the perspectives of older people regarding the use of sensor monitoring in their daily lives. DESIGN AND METHODS We conducted indepth, semistructured interviews with 11 persons between 68 and 93 years who had a sensor monitoring system installed in their home. The data were analyzed using Interpretative Phenomenological Analysis. RESULTS The interviewed older persons positively valued sensor monitoring and indicated that the technology served as a strategy to enable independent living. The participants perceived that the system contributed to their sense of safety as an important premise for independent living. Some of the participants stated that it helped them to remain active. The potential privacy violation was not an issue for the participants. The participants considered that health care professionals' continuous access to their sensor data and use of the data for their safety outweighed the privacy concerns. IMPLICATIONS These results provide new evidence that older persons experience sensor monitoring as an opportunity or strategy that contributes to independent living and that does not disturb their natural way of living. Based on this study, the development of new strategies to provide older people with access to their sensor data must be further explored.
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Affiliation(s)
- Margriet Pol
- Research Group Occupational Therapy, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
| | - Fenna van Nes
- Research Group Occupational Therapy, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Margo van Hartingsveldt
- Research Group Occupational Therapy, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands
| | - Bianca Buurman
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Sophia de Rooij
- Section of Geriatric Medicine, Department of Internal Medicine, Academic Medical Center, University of Amsterdam, Amsterdam, The Netherlands
| | - Ben Kröse
- Research Group Digital Life, Amsterdam University of Applied Sciences, University of Amsterdam, Amsterdam, The Netherlands
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