George Demiris

Independence and shared decision making: the role of smart

home technology in empowering older adults

31st Annual International Conference of the IEEE EMBS

Minneapolis, Minnesota, USA, September 3-6, 2009, 6432-6436.


Community dwelling older adults

Smart home technologies

Dephi study


Smart home designers


48 dwelling older adults

Shared decision making

It is an active and empowered role

Older adults and clinical encounter

Literature review Older adults and smart home designers/


Shared decisions was perceived as being able to make decisions about treatment options during clinical encounter and having control over what technology to use, when and how. Because smart home technology can interfere the private life.


Anne W. Ekdahl, Lars Andersson, Maria Friedrichsen

“They do what they think is the best for me.” “Frail elderly patients’ preferences

for participation in their care during hospitalization”

Patient Education and Counseling, 2010, 80, 233-240.


Recently hospitalized frail older adults

Interviews with 15 ”fragile”

elderly patients

Patient participation

Participation means information and good communication.

Patients (and health care staff)

Participation (in medical decisions) means receiving information and good communication the older adults do not want to take an active part in medical decisions about their treatment.

But they wanted to be given the chance to be heard and to express their thoughts and feeling about symptoms and illnesses.


Helena Harder, Rachel Ballinger, Carolyn Langridge, Alistair Ring, Lesley J. Fallowfield

“Adjuvant chemotherapy in elderly women with breast cancer: patients’ perspectives on information giving and

decision making”

Psycho-Oncology, 2013, 22, 2729-2735.


Women aged ≥ 70 years with newly diagnosed

EBC (Early Stage Breast Cancer)

Structured interviews with 58 women 70 - 83 years

Breast- cancer-treatment decision

Level of participation

in treatment decision making

Patient and clinician ie. doctor and family

The majority (58.5%) of the women wanted to make a shared decision about adjuvant chemotherapy with a clinician. 22.6% delegated the decision to a clinician 18. 9% made their own decision.


Elisabeth Lindberg, Ulrica Hörberg , Eva Persson, Margaretha Ekebergh

“It made me feel human”: A phenomenological study of older patients’ experiences of participating in a team meeting.

International Journal of Qualitative Studies on Health & Well-Being, 2013, May 28, 20014.


Team meetings (TM) in hospitals

Interviews with 15 patient 74 - 94 years (12 women 3 men)


The encounter between the career and the patient needs to be developed (in order to get away) from the view of the patient as an object to view the patient as a unique person

Patient and career

There is a desire in caring and TM to be recognized and confirmed as a unique but vulnerable human gives feelings of participation.