DIALOGUE: Digital care technologies for social connection, care and support of older adults. Final Project Report. [version 1; peer review: awaiting peer review]

Abstract

Introduction Despite significant social and financial investment, evidence suggests that technology-enabled care services (TECS) for older adults with assisted living needs fail to meet their potential. Simultaneously, an increasingly diverse range of care and consumer technologies are entering the market with the potential to deliver innovative, effective, cost-effective, and scalable social care services. However, there is limited evidence illustrating how novel digital technologies are currently being deployed across social care. Before high-quality evidence can be generated, we need a clearer sense of delivery, what outcomes are being achieved, and the factors influencing their implementation and adoption at scale. Methods DIALOGUE identifies the novel digital care technologies being implemented for social care services for community-dwelling older adults with assisted living needs that have the greatest potential for future social care research. Working with two local authorities and an Integrated Care Board, DIALOGUE adopted a mixed methods approach, including a rapid review of academic and professional literature regarding technology implementation in social care, three co-production partnerships with older people with assisted living needs using digital technologies in social care services, a process evaluation of social care TEC delivery, and an e-Delphi survey of TECS staff. Results Older adults using social care services identified priorities in relation to signposting and information seeking, safety, security and trust, and costs and financing technologies as key priorities. Local authorities highlighted building awareness and training in person-centred approaches to TECS, building the evidence base for TECS, and ensuring that commissioning and implementation of TECS is aligned with service user priorities. Conclusion Project findings are being used to build a programme for future research regarding effective person-centred implementation of Social Care TECS. Initial work in building this agenda includes applications for NIHR research Health Technology Assessment and Research Programme for Social Care funding during 2024–2025.