Catalyzing social interaction with ubiquitous computing: a needs assessment of elders coping with cognitive decline

ABSTRACT

This paper describes design directions for ubiquitous computing to facilitate social interaction. The study focuses on elders coping with cognitive decline and their caregivers, but it is expected that the concepts will have much broader applicability. Social needs and barriers were examined in a qualitative study of 45 households across the U.S. Directions for ubiquitous computing concepts are outlined to address these social needs and barriers. Two example concepts, an ambient display to facilitate joint activity and a social memory aid, are described in detail. An underlying principal of these design directions and concepts is the use of computing technologies as catalysts rather than substitutes for human relationships. These concepts are part of an integrated system of home health technologies under development in a multiyear "aging in place" study.

REFERENCES

• 1: Antonucci, T.C. Social support influences on the disease process. Mechanisms of psychological influence on physical health: With special attention to the elderly, Plenum Press, New York, NY, USA, 1989, 23--41.
• 2: Bassuk S.S., Glass T.A., Berkman L.F. Social disengagement and incident cognitive decline in community-dwelling elderly persons. Ann Intern Med (1999) 131: 165--173.
• 3: Beaudouin-Lafon, Michel, et al. InterLiving deliverable 1.2 & 2.2, Co-design and new technologies with family users (2002) <<http://interliving.kth.se/papers.html>.
• 4: Cohen, S. Social relationships and susceptibility to the common cold. Emotion, social relationships, and health. Series in affective science. Oxford University Press, London, UK (2001), 221--233.
• 5: Cullinan, C. Floral Display. <http://www.medialabeurope.org/hc/projects/one2one/>.
• 6: Dishman, E., Matthews, J. T., Dunbar-Jacob, J.: Everyday Health: Technology for Adaptive Aging. National Research Council Workshop on Adaptive Aging. January 23--24, 2003.
• 7: Fratiglioni L., Wang HX., Ericsson K., et al. The Influence of Social Network on the Occurrence of Demenia; a Community-based longitudinal Study. The Lancet. London, UK (2000) 355(9212), 1315-1319.
• 8: Fredrickson, B.L., Carstensen, L.L. Choosing social partners: How old age and anticipated endings make people more selective. Psychology & Aging (1990) 5(3), 335--347.
• 9: Debby Hindus , Scott D. Mainwaring , Nicole Leduc , Anna Elizabeth Hagström , Oliver Bayley, Casablanca: designing social communication devices for the home, Proceedings of the SIGCHI conference on Human factors in computing systems, p.325-332, March 2001, Seattle, Washington, United States [doi>10.1145/365024.383749]
• 10: Hilary Hutchinson , Wendy Mackay , Bo Westerlund , Benjamin B. Bederson , Allison Druin , Catherine Plaisant , Michel Beaudouin-Lafon , Stéphane Conversy , Helen Evans , Heiko Hansen , Nicolas Roussel , Björn Eiderbäck, Technology probes: inspiring design for and with families, Proceedings of the SIGCHI conference on Human factors in computing systems, April 05-10, 2003, Ft. Lauderdale, Florida, USA [doi>10.1145/642611.642616]
• 11: Lansford, J.E., Sherman, A.M., Antonucci, T.C. Satisfaction with social networks. Psychology and Aging (1998) 13(4).
• 12: Morris, M. Lundell, J. Dishman, E, Needham B. New perspectives on ubiquitous computing from ethnographic studies of elders with cognitive decline. Proc. Ubicomp (2003), 227--242.
• 13: Morris, M., Lundell, J., Dishman, E. Ubiquitous Computing for Mild Cognitive Impairment: A Prototype for Embedded Assessment and Rehearsal. Proc. Gerontology Society of America (2003), 393--394.
• 14: Mynatt, E.D., Rowan, J. Cross-generation communication via digital picture frames. Proc. IFIP WG 9.3 International Conference on Home Oriented Informatics and Telematics (HOIT 2000).
• 15: Palinkas, L.A., Wingard, D.L., Barrett-Connor, E. The biocultural context of social networks and depression among the elderly. Social Science & Medicine (1990), 30(4), 441--447.
• 16: Eric Paulos, Connexus: a communal interface, Proceedings of the 2003 conference on Designing for user experiences, June 06-07, 2003, San Francisco, California [doi>10.1145/997078.997082]
• 17: Sarason, I.G., Sarason, B.R, Pierce, G.R. Social support, personality, and health. Topics in health psychology. John Wiley & Sons, Oxford, UK (1988), 245--256.
• 18: Spiegel D., Bloom J.R., Kraemer H.C., Gottheil E. Effect of psychosocial treatment on survival of patients with metastatic breast cancer. The Lancet (1989), 2(8668), 888--891.
• 19: Spiegel D., Kato P.M. Psychosocial influences on cancer incidence and progression. Harvard Review of Psychiatry, (1996), 4(1),10--26.
• 20: Strong, R., Gaver, B. Feather, Scent, and Shaker: Supporting simple intimacy. In Videos, Demonstrations and Short Papers of CSCW'96 (1996). ACM Press, 444.
• 21: Joseph Weizenbaum, ELIZA—a computer program for the study of natural language communication between man and machine, Communications of the ACM, v.9 n.1, p.36-45, Jan. 1966 [doi>10.1145/365153.365168]

INDEX TERMS

Primary Classification:
  H. Information Systems
  H.5 INFORMATION INTERFACES AND PRESENTATION (I.7)
      H.5.2 User Interfaces (D.2.2, H.1.2, I.3.6)
          Subjects: Evaluation/methodology

Additional Classification:
  H. Information Systems
  H.5 INFORMATION INTERFACES AND PRESENTATION (I.7)
      H.5.2 User Interfaces (D.2.2, H.1.2, I.3.6)
          Subjects: User-centered design

Keywords:
elders, health, social interaction, ubiquitous computing