Examining the Use of Autonomous Systems for Home Health Support Using a Smart Mirror

Dowthwaite, Liz; Reyes Cruz, Gisela; Pena, Ana Rita; Pepper, Cecily; Jäger, Nils; Barnard, Pepita; Hughes, Ann-Marie; das Nair, Roshan; Crepaz-Keay, David; Cobb, Sue; Lang, Alexandra; Benford, Steve

Abstract

The home is becoming a key location for healthcare delivery, including the use of technology driven by autonomous systems (AS) to monitor and support healthcare plans. Using the example of a smart mirror, this paper describes the outcomes of focus groups with people with multiple sclerosis (MS; n = 6) and people who have had a stroke (n = 15) to understand their attitudes towards the use of AS for healthcare in the home. Qualitative data were analysed using a thematic analysis. The results indicate that the use of such technology depends on the level of adaptability and responsiveness to users’ specific circumstances, including their relationships with the healthcare system. A smart mirror would need to support manual entry, responsive goal setting, the effective aggregation of data sources and integration with other technology, have a range of input methods, be supportive rather than prescriptive in messaging, and give the user full control of their data. The barriers to its adoption include a perceived lack of portability and practicality, a lack of accessibility and inclusivity, a sense of redundancy, feeling overwhelmed by multiple technological devices, and a lack of trust in data sharing. These results inform the development and deployment of future health technologies based on the lived experiences of people with health conditions who require ongoing care.

Citation

Dowthwaite, L., Reyes Cruz, G., Pena, A. R., Pepper, C., Jäger, N., Barnard, P., Hughes, A.-M., das Nair, R., Crepaz-Keay, D., Cobb, S., Lang, A., & Benford, S. (2023). Examining the Use of Autonomous Systems for Home Health Support Using a Smart Mirror. Healthcare, 11(19), Article 2608. https://doi.org/10.3390/healthcare11192608

• Journal Article Type: Article
• Acceptance Date: Sep 15, 2023
• Online Publication Date: Sep 22, 2023
• Publication Date: Oct 1, 2023
• Deposit Date: Oct 2, 2023
• Publicly Available Date: Oct 3, 2023
• Journal: Healthcare
• Electronic ISSN: 2227-9032
• Publisher: MDPI
• Peer Reviewed: Peer Reviewed
• Volume: 11
• Issue: 19
• Article Number: 2608
• DOI: https://doi.org/10.3390/healthcare11192608
• Keywords: Autonomous systems; multiple sclerosis; stroke; smart mirror; autonomy; lived experience; home healthcare; digital health technology; data sharing
• Public URL: https://nottingham-repository.worktribe.com/output/25395300
• Publisher URL: https://www.mdpi.com/2227-9032/11/19