Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation

Abstract BackgroundAustralia’s aging population is looking to age in place, accessing care alternatives external to the traditional model of residential aged care facilities. This evaluation is situated in a Social Day Program, delivered by an aged care organization. It is des...

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Main Authors: Dannielle Post, Kathleen Whitson, Gaynor Parfitt
Format: Article
Language:English
Published: JMIR Publications 2025-05-01
Series:JMIR Aging
Online Access:https://aging.jmir.org/2025/1/e60297
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author Dannielle Post
Kathleen Whitson
Gaynor Parfitt
author_facet Dannielle Post
Kathleen Whitson
Gaynor Parfitt
author_sort Dannielle Post
collection DOAJ
description Abstract BackgroundAustralia’s aging population is looking to age in place, accessing care alternatives external to the traditional model of residential aged care facilities. This evaluation is situated in a Social Day Program, delivered by an aged care organization. It is designed to cater for people living with dementia, located in an environment equipped with new technologies including age-specific interactive computer gaming, social robots, sensory stimulation, and virtual reality. The technologies are designed to support older adults, enabling them to stay connected and maintain physical and cognitive functioning, independence, and quality of life. ObjectiveThis project aimed to undertake a multifaceted evaluation of the implementation of the new technologies, including an exploration of the barriers and enablers to uptake. The key issue is how to enhance the potential for optimizing the use of these technologies in the Social Day Program environment, to help inform decision-making regarding the implementation of these technologies at the organization’s other sites, and future investment in such technologies by aged care organizations generally. MethodsObservation of technology use within the organization was conducted over a 16-week period. Surveys and semistructured interviews were used to collect information from staff related to their experiences with the technology. Thematic analysis was used to analyze the interviews. Data were triangulated across the sample. ResultsForty-eight observation periods were completed, totaling 126.5 observation hours. Technology use by clients was observed on 24 occasions, for 22 (17.4% of the observation time) hours. Nineteen staff completed surveys. Nearly three-quarters (n=14) of the staff perceived there to be barriers to the clients’ use of technology, and 18 (95%) staff reported that they assisted clients to use the technology. Ten (53%) staff reported receiving training to use the technology and feeling confident in their knowledge of the technology to assist clients in using it. Twelve staff members participated in an interview. Key themes identified from the interview data were: technology has potential but is not for everyone, incorporating the subtheme technology as a placation tool, staff knowledge and confidence, and technology functionality and support. ConclusionsThis evaluation identified that technology was not being used for the purposes of enrichment or experience enhancement, nor extensively. Multiple barriers to the implementation and sustained use of the technology items were identified. Recommendations to improve implementation and promote sustained use of technology, based on the findings of this evaluation and evidence from the literature, may apply to other organizations seeking to implement these technologies in similar programs.
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spelling doaj-art-25afba9b2da64ac5aca93e51e77bd37a2025-08-20T03:48:07ZengJMIR PublicationsJMIR Aging2561-76052025-05-018e60297e6029710.2196/60297Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods EvaluationDannielle Posthttp://orcid.org/0000-0002-8246-0363Kathleen Whitsonhttp://orcid.org/0000-0003-0332-0037Gaynor Parfitthttp://orcid.org/0000-0002-5547-5797 Abstract BackgroundAustralia’s aging population is looking to age in place, accessing care alternatives external to the traditional model of residential aged care facilities. This evaluation is situated in a Social Day Program, delivered by an aged care organization. It is designed to cater for people living with dementia, located in an environment equipped with new technologies including age-specific interactive computer gaming, social robots, sensory stimulation, and virtual reality. The technologies are designed to support older adults, enabling them to stay connected and maintain physical and cognitive functioning, independence, and quality of life. ObjectiveThis project aimed to undertake a multifaceted evaluation of the implementation of the new technologies, including an exploration of the barriers and enablers to uptake. The key issue is how to enhance the potential for optimizing the use of these technologies in the Social Day Program environment, to help inform decision-making regarding the implementation of these technologies at the organization’s other sites, and future investment in such technologies by aged care organizations generally. MethodsObservation of technology use within the organization was conducted over a 16-week period. Surveys and semistructured interviews were used to collect information from staff related to their experiences with the technology. Thematic analysis was used to analyze the interviews. Data were triangulated across the sample. ResultsForty-eight observation periods were completed, totaling 126.5 observation hours. Technology use by clients was observed on 24 occasions, for 22 (17.4% of the observation time) hours. Nineteen staff completed surveys. Nearly three-quarters (n=14) of the staff perceived there to be barriers to the clients’ use of technology, and 18 (95%) staff reported that they assisted clients to use the technology. Ten (53%) staff reported receiving training to use the technology and feeling confident in their knowledge of the technology to assist clients in using it. Twelve staff members participated in an interview. Key themes identified from the interview data were: technology has potential but is not for everyone, incorporating the subtheme technology as a placation tool, staff knowledge and confidence, and technology functionality and support. ConclusionsThis evaluation identified that technology was not being used for the purposes of enrichment or experience enhancement, nor extensively. Multiple barriers to the implementation and sustained use of the technology items were identified. Recommendations to improve implementation and promote sustained use of technology, based on the findings of this evaluation and evidence from the literature, may apply to other organizations seeking to implement these technologies in similar programs.https://aging.jmir.org/2025/1/e60297
spellingShingle Dannielle Post
Kathleen Whitson
Gaynor Parfitt
Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
JMIR Aging
title Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
title_full Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
title_fullStr Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
title_full_unstemmed Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
title_short Implementation of New Technologies in an Aged Care Social Day Program: Mixed Methods Evaluation
title_sort implementation of new technologies in an aged care social day program mixed methods evaluation
url https://aging.jmir.org/2025/1/e60297
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