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Citizens’ juries: when older adults deliberate on the benefits and risks of smart health and smart homes

Chadborn, Neil; Blair, Krista; Creswick, Helen; Perez Vallejos, Elvira; Hughes, Nancy; Dowthwaite, Liz; Adenekan, Oluwafunmilade


Krista Blair

Helen Creswick

Nancy Hughes

Oluwafunmilade Adenekan


Background: Technology-enabled healthcare or smart health has provided a wealth of products and services to enable older people to monitor and manage their own health conditions at home, thereby maintaining independence, whilst also reducing healthcare costs. However, despite the growing ubiquity of smart-health, innovations are often technically driven, with little regard for the needs or wants of the user or older person. The purpose of the current study was to facilitate a debate about the positive and negative perceptions and attitudes towards health digital technologies. 2) Methods: We conducted Citizens’ Juries to enable a deliberative inquiry into the benefits and risks of smart health technologies and systems. Transcriptions of group discussions were interpreted from a perspective of life-worlds versus systems-worlds. 3) Results: 23 Participants of diverse demographics contributed to the debate. Views of older people were felt to be frequently ignored by organisations implementing systems and technologies. Participants demonstrated diverse levels of digital literacy and a range of concerns about misuse of technology. Our interpretation contrasted the life-world of experiences, hopes and fears with the system-world of surveillance, efficiencies and risks. 4) This interpretation offers new perspectives on involving older people in co-design and governance of smart health and smart homes.


Chadborn, N., Blair, K., Creswick, H., Perez Vallejos, E., Hughes, N., Dowthwaite, L., & Adenekan, O. (2019). Citizens’ juries: when older adults deliberate on the benefits and risks of smart health and smart homes. Healthcare, 7(2), Article 54.

Journal Article Type Article
Acceptance Date Mar 27, 2019
Online Publication Date Apr 1, 2019
Publication Date Apr 1, 2019
Deposit Date Mar 27, 2019
Publicly Available Date Apr 1, 2019
Journal Healthcare
Electronic ISSN 2227-9032
Publisher MDPI
Peer Reviewed Peer Reviewed
Volume 7
Issue 2
Article Number 54
Keywords Smart health, Older people, Co-design, Digital life-world
Public URL
Publisher URL


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