|dc.contributor.author||Berge, Mari S.||-|
|dc.description.abstract||This thesis reports from a telecare evaluation in a Norwegian municipality (2012-2016). The project was established to provide domestic results from a hitherto new field in the country to underpin future policy.
This evaluation includes pre- and post-implementation data collection, which has been scarce in telecare. The methodological approach was realist evaluation that seeks to explore how telecare works, for whom, why and in which circumstances – or why it does not work. The research aimed to explore the hypothesis elicited from national policy documents: ‘If telecare is used, then people are enabled to remain safe in their own home for longer’. Various methods were used to gather data from multiple stakeholders as they have different knowledge about how the implementation developed. The methods in this evaluation included literature reviews, observations, and sequential interviews with users and relatives in addition to sequential focus groups with frontline staff.
Realist evaluation was particularly suitable in demonstrating how and why telecare is useful to some users but not to others. Telecare had to match users’ abilities and needs for them to benefit from it. Telecare operates in a dynamic context, and therefore requires adjustment according to the user’s current situation, taking into account changes as they occur. This appears to have been often underestimated. Telecare holds a different position from other devices and technologies in people’s everyday life, which also needs to be acknowledged. Correct assessment is significant for users to obtain the intended effect from telecare.
When telecare is correctly adjusted to users, it increases safety, which is essential for enabling older people to remain living at home. Several challenges in establishing telecare projects are identified and alternative ways to understand multi-disciplinary partnerships are suggested. By using realist evaluation the findings are nuanced and point to elements that are significant for achieving the intended outcomes.||en_GB|
|dc.publisher||University of Stirling||en_GB|
|dc.rights||Publication 1: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.||en_GB|
|dc.rights||Publication 2: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Published in Gerontechnology 2016; 15(2):98-108 doi: https://doi.org/10.4017/gt.2016.15.2.023.00. Article is available under a CC BY-NC-ND licence. You are free to copy and redistribute. However, You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may not use the material for commercial purpose. If you remix, transform, or build upon the material, you may not distribute the modified material.||en_GB|
|dc.rights||Submitted publication - in review: This item has been embargoed for a period. During the embargo please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.||en_GB|
|dc.rights||Publication 3: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 3.0 License (http://www.creativecommons.org/licenses/by-nc/3.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).||en_GB|
|dc.subject||Health care innovation||en_GB|
|dc.subject||Ambient assistive living||en_GB|
|dc.subject.lcsh||Telecommunication in medicine Norway||en_GB|
|dc.subject.lcsh||Public health Norway||en_GB|
|dc.subject.lcsh||Medical telematics Norway||en_GB|
|dc.title||Challenges and possibilities in telecare: Realist evaluation of a Norwegian telecare project||en_GB|
|dc.type||Thesis or Dissertation||en_GB|
|dc.type.qualificationname||Doctor of Philosophy||en_GB|
|dc.rights.embargoreason||Request time to write an additional publication.||en_GB|
|dc.rights.embargoreason||Publication 1: The publisher does not allow this work to be made publicly available in this Repository therefore there is an embargo on the full text of the work.||en_GB|
|dc.rights.embargoreason||Publication 2: Publisher requires embargo of 12 months after formal publication.||en_GB|
|dc.rights.embargoreason||Submitted publication - in review: Until this work has been accepted for publication there will be an embargo on the full text of this work.||en|
|dc.contributor.funder||Norwegian Regional Research Funds, West; Western Norway University of Applied Sciences||en_GB|
|Appears in Collections:||Faculty of Social Sciences eTheses|