Affiliations: [a] School of Health and Related Research, The University of Sheffield, Sheffield, UK | [b] School of Social Sciences, Neuadd Ogwen, Bangor University, Bangor, Gwynedd, Wales, UK
Correspondence:
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Corresponding author: C.L. Bentley, School of Health and Related Research, The University of Sheffield, Regent Court, 30 Regent Street, Sheffield S1 4DA, UK. Tel.: +44 0114 222 2976; E-mail: c.bentley@sheffield.ac.uk.
Abstract: Background:Issues relating to design and suitability of Telecare were raised twenty years ago. We explored the views of non-users of Telecare and examined whether design-related barriers exist today despite significant technological advances. Objective:To examine the reasons why people choose not to adopt Telecare, with specific focus on reasons relating to design and suitability of the intervention. Methods:Individual qualitative semi-structured interviews were conducted with people who were not using or had actively declined Telecare, a voice which is rarely heard in Telecare-barrier research. Framework analysis was used to identify existing and emergent themes for n=22 participants. Results:Sub-themes relating to design and suitability of Telecare were explored: Stigma, i.e. Telecare as symbolising old age and lost independence; Design, including stigmatising aesthetics and inappropriate use; Alternative options, i.e. propensity to seek non-Telecare solutions; Awareness of the devices and service; and Cost. Conclusions:Barriers to Telecare use are similar for both users and non-users. Our results indicate that design-related barriers have yet to be addressed despite the technological revolution. The cost model of Telecare services is becoming more consumer-driven. Thus Telecare design needs to exploit technological advances in order to improve wellbeing and allow individuals their choice and independence.
