TY  - JOUR
AU  - Stokke, Randi
PY  - 2018
DA  - 2018/10/19
TI  - Older People Negotiating Independence and Safety in Everyday Life Using Technology: Qualitative Study
JO  - J Med Internet Res
SP  - e10054
VL  - 20
IS  - 10
KW  - welfare technology
KW  - patient care
KW  - the social alarm
KW  - caring practices
KW  - home care services
KW  - science and technology studies
KW  - public service innovation
KW  - co-production
AB  - Background: Due to demographic changes with an aging population, there is a demand for technology innovations in care services. However, technology innovations have proven difficult to implement in regular use. To understand the complexity of technology innovations in care practices, we need a knowledge base of the complex and diverse experiences of people interacting with established technologies. Objective: This paper addresses the research gap in relation to understanding the microcontext of co-production of care involving established technologies integrated into care practices. The paper also aims to provide a framework for exploring what really happens when different actors use technology in care practices. Methods: Participant observations and 22 interviews with actors using social alarms were conducted employing the critical incident technique. A stepwise deductive-inductive analysis was then performed. Results: The results reveal how co-production of care assumes different meanings according to how actors use the technology. The results also show how technology innovation changes the dynamics between the actors and rearranges care practices. Independent and safe living is co-produced through performing bricolages and optimizing practice. Additionally, this opens up for unexpected results and bricolages as an integrated part of technology innovations. Conclusions: This study illustrates how care services are always co-produced between the actors involved. By using aspects from science and technology studies, this paper provides a framework for exploring technology in use in care practices. The framework provides tools to unpack and articulate the process of co-producing services. 
SN  - 1438-8871
UR  - http://www.jmir.org/2018/10/e10054/
UR  - https://doi.org/10.2196/10054
UR  - http://www.ncbi.nlm.nih.gov/pubmed/30341049
DO  - 10.2196/10054
ID  - info:doi/10.2196/10054
ER  -