Andrew Monk

1
Andrew Monk Centre for Usable Home Technology,
University of York Isolation and social
exclusion how can technology help? a.monk_at_psych
.york.ac.uk
2
CUHTec's "mission" to ensure that future home
technologies meet real social and personal needs
Data from a telephone survey of 200 community
alarm users, "where is your community alarm
pendant at this moment?"
3
CUHTEC Advanced Telecare Users Group Telecare
Model Services to the client that technology can
provide Existing sustainable services
(demonstrable need)
Mobility Remote control Prompting Reassurance /
Safety / Response Security Automated remote
diagnosis Remote treatment Shopping and
information Human contact
4
"Stand alone", Assistance with activities of
daily living
Mobility Hoists Stair lift Internal Door
openers Electronically controlled wheel
chair Remote control Entry system Temperature TV
Lights Prompting Bath water Lost objects Food
preparation
5
Reassurance / Safety / Response Pull cord,
Pendant, Wrist button Extreme temperature, Smoke,
Methane, CO, Flood Fall, Inactivity Security Intru
der, Bogus caller, Door open, Entry systems
Bogus caller button
Fall detector
Personal radio triggers
Call centre
CO detector
Bed occupancy sensor
6
Activity monitoring for diagnostic purposes
Automated remote diagnosis Virtual
visit Respiration (spirometry) monitor Blood
pressure monitor Fall risk assessment Deterioratio
n detector Remote treatment Medication delivery
and reminder systems Dialysis
7
CUHTEC Advanced Telecare Users Group Telecare
Model Services to the client that technology can
provide Existing sustainable services
(demonstrable need)
Mobility Remote control Prompting Reassurance /
Safety / Response Security Automated remote
diagnosis Remote treatment Shopping and
information Human contact Fun
These are technologies to support the fairly
basic requirements of health, sustenance,
comfort and security. What else can we do?
8
How concerned are you about? (1000 people
50) Weighted means from, "The ageing world
issues for older people - 2005-2025" CODEWORKS
ATL in association with Age Concern Research
Services
9
How concerned are you about? (1000 people
50) Weighted means from, "The ageing world
issues for older people - 2005-2025" CODEWORKS
ATL in association with Age Concern Research
Services
10
Will isolation and social exclusion be more or
less of a problem when you are 80?

• What are the alternatives to professional paid
  care?
• relatives
• volunteers

11
Shopping and information
Net Neighbours

• Age Concern York administer the service
• A volunteer takes shopping orders over the
  phone, negotiates the site, places the order and
  has a chat too.
• The client sends a cheque or cash to the Age
  Concern who reimburse the volunteer.  

12
Human contact Fun
Telephone conferencing as a recreational activity
Hackney Borough Council, RNIB
13
Human contact Fun
14
Human contact Fun
A TV with a phone number
15
Human contact Fun
Interpersonal awareness - the virtual frosted
window
Reciprocal communication I know what you know
about me because it is what I know about you.
16
Human contact Fun
Second Life, WoW (Massively Multiplayer Online
Games)
Two button phone
17
WHY?
Data from a telephone survey of 200 community
alarm users, "where is your community alarm
pendant at this moment?"
User experience - Identity What does it reflect
about me? (to me and to others)
18
"Novel telecare" Digital jewellery project Jayne
Wallace, Patrick Olivier, Peter Wright, Andrew
Monk
How do we make the remote monitoring of someone
else's activity social attractive enchanting
19
Probes
Box with clay in it Please make impressions in
the clay from objects that are dear to you both
(either as individuals or jointly). Please make
as many or as few impressions as you wish. When
we meet I will ask you to tell me the stories
behind these objects and why you feel they are
significant to you.
20
Please use one sheet to tell me about your own
aesthetic taste and style. Use any... Then use
the reverse to tell me about how you perceive
your mother's/daughter's aesthetic taste and
style.
Mother about self
Mother about daughter
21
Please use the camera to take photographs in
response to the set of prompts I've given you -
respond to as many of the prompts as you feel
happy to.
Daughter Reminder of someone dear
Mother Personally Precious
22
Sketch 1 Possible input mechanism - "books are
very important to Mother and something I related
to her life of travel and love of travel books
now - the idea relates to the idea of books as a
way of travelling - a way of connecting to
another place (and time)" JW.
23
Sketch 2 Possible output mechanism -"another part
of the jewellery fluttering or trembling. This
images comes from Mother's childhood memories of
hydrangea bushes in India" JW. Output could
signal input and provide a distinguishable
automated response to input if the jewellery at
the other end was out of sensor range or had been
in the same room for some time.
24

• Conclusions
• Technology is providing valuable services to
  clients/patients/users.
• But, the client/patient/user has different values
  and concerns to the professional carer (we could
  be more client centred).
• Isolation and social exclusion are important.
• The innovative use of new communication
  technologies could help.
• a.monk_at_psych.york.ac.uk