scholarly journals Engaging Aging Individuals in the Design of Technologies and Services to Support Health and Well-Being: Constructivist Grounded Theory Study

JMIR Aging ◽  
10.2196/12393 ◽  
2019 ◽  
Vol 2 (1) ◽  
pp. e12393 ◽  
Author(s):  
Vikki Du Preez ◽  
Retha De La Harpe
2018 ◽  
Author(s):  
Vikki Du Preez ◽  
Retha De La Harpe

BACKGROUND Changes noted within the aging population are physical, cognitive, as well as emotional. Social isolation and loneliness are also serious problems that the aging population may encounter. As technology and apps become more accessible, many basic services, such as those offered by social services, well-being organizations, and health care institutions, have invested in the development of supportive devices, services, and Web-based interactions. Despite the perceived benefits that these devices and services offer, many aging individuals choose not to engage, or engage in a limited manner. To explore this phenomenon, we developed a theory to describe the condition for engagement. OBJECTIVE The main objective of this study was to understand the perceptions of an aging South African population regarding Web-based services and technologies that could support aging in place (AiP). Although the concept of AiP speaks to a great number of everyday activities, this paper explores aspects of health and well-being as being central to AiP. METHODS The study used a grounded theory (GT) methodology, relying on an iterative and simultaneous process of data collection, coding, category development, and data comparisons. Data were collected through qualitative methods, including interviews (13 participants aged between 64 and 85 years), 2 participatory workshops (15 participants), and observations. The study focused on Charmaz’s approach to constructivist GT, which puts forward the premise that theory or knowledge cannot take shape in a purely objective manner. Instead, theory is constructed through the interaction of the researcher and research participant. Coding and data analysis were supported with ATLAS.ti (ATLAS.ti Scientific Software Development GmbH). RESULTS The study resulted in a substantive theory exploring the process of interaction and engaging factors through user insights and experiences. The emerging design theory, Ageing User Decision-Driven Engagement (AUDDE), explored the elements that support engagement with technology and supportive apps, which could offer access to required health and wellness services. CONCLUSIONS In AUDDE, the perceived value of the interaction is a crucial catalyst for engagement. Aging users continuously make meaning of their experiences, which affects their current and future actions.


2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Judith A. MacDonnell ◽  
Mahdieh Dastjerdi ◽  
Nimo Bokore ◽  
Nazilla Khanlou

This paper reports on grounded theory findings that are relevant to promoting the mental health and well-being of immigrant women in Canada. The findings illustrate how relationships among settlement factors and dynamics of empowerment had implications for “becoming resilient” as immigrant women and how various health promotion approaches enhanced their well-being. Dimensions of empowerment were embedded in the content and process of the feminist health promotion approach used in this study. Four focus groups were completed in Toronto, Ontario, Canada with 35 racialized immigrant women who represented diverse countries of origin: 25 were from Africa; others were equally represented from South Asia (5), Asia (5), and Central or South America and the Caribbean (5). Participants represented diverse languages, family dynamics, and educational backgrounds. One focus group was conducted in Somali; three were conducted in English. Constructivist grounded theory, theoretical sampling, and a critical feminist approach were chosen to be congruent with health promotion research that fostered women’s empowerment. Findings foreground women’s agency in the study process, the ways that immigrant women name and frame issues relevant to their lives, and the interplay among individual, family, community, and structural dynamics shaping their well-being. Implications for mental health promotion are discussed.


2004 ◽  
Vol 48 (1) ◽  
pp. 45-67 ◽  
Author(s):  
Ruth Grant Kalischuk ◽  
Virginia E. Hayes

Within the context of their grieving families, this grounded theory study explored survivors' experiences of healing following youth suicide. The major theme developed in this study, Journeying Toward Wholeness, is conceptualized as a process involving the inter-relationships among three sub-themes: Grieving in Response to Youth Suicide, Mourning in Response to Youth Suicide, and Healing in Response to Youth Suicide. Initially, grieving, mourning, and healing occur within individual and family realms. Theoretically congruent with systems theory, this mid-range grounded theory suggests that grieving, mourning, and healing are embedded within a broader social context. This theory purports that grieving, mourning, and healing are related, dynamic, and seamless processes influencing each person's journey toward wholeness following youth suicide. This theory supplements the basis of holistic practice, directs us to accept a broad range of survivors' expressions of movement towards wholeness and health, stresses the importance of working with survivors' stories, and encourages us in relational practice.


2019 ◽  
Vol 26 (5-6) ◽  
pp. 142-152 ◽  
Author(s):  
Marie‐Claude Jacques ◽  
Denise St‐Cyr Tribble ◽  
Jean‐Pierre Bonin

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