Alle Publikationen
2019
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(2019): The benefits of and barriers to using a social robot PARO in care settings: a scoping review. In: BMC geriatrics 19 (1). DOI: 10.1186/s12877-019-1244-6
DOI: http://www.ncbi.nlm.nih.gov/pubmed/31443636 Abstract: BACKGROUND Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are a growing demand and interest in using social robots in a variety of care settings to support dementia care, little is known about the impacts of the robotics and their application in care settings, i.e., what worked, in which situations, and how. METHODS Scientific databases and Google Scholar were searched to identify publications published since 2000. The inclusion criteria consisted of older people with dementia, care setting, and social robot PARO. RESULTS A total of 29 papers were included in the review. Content analysis identified 3 key benefits of and 3 barriers to the use of PARO. Main benefits include: reducing negative emotion and behavioral symptoms, improving social engagement, and promoting positive mood and quality of care experience. Key barriers are: cost and workload, infection concerns, and stigma and ethical issues. This review reveals 3 research gaps: (a) the users' needs and experiences remain unexplored, (b) few studies investigate the process of how to use the robot effectively to meet clinical needs, and (c) theory should be used to guide implementation. CONCLUSIONS Most interventions conducted have been primarily researcher-focused. Future research should pay more attention to the clinical needs of the patient population and develop strategies to overcome barriers to the adoption of PARO in order to maximize patient benefits.
Keywords: 80 and over, Affect, Aged, Cost-Benefit Analysis, Delivery of Health Care, Dementia, economics, Humans, Methods, physiology, PSYCHOLOGY, Robotics, Therapy, Trends 2018
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(2018): Being respected by nurses: Measuring older patients' perceptions. In: International journal of older people nursing 13 (3). DOI: 10.1111/opn.12197
DOI: http://www.ncbi.nlm.nih.gov/pubmed/29701287 Abstract: AIM AND OBJECTIVE To investigate older patients' perceptions of respect in hospital nursing care and to test a newly developed instrument measuring the phenomenon. BACKGROUND Respect manifests itself in the older patient-nurse relationship in terms of nurses being with and doing for the patient. Empirical studies investigating respect from the older patients' perspective are rare. There is a need to maintain respectful behaviours and attitudes within hospital-based nursing practice. Furthermore, there is a lack of instruments measuring respect in the care provided by nurses. DESIGN AND METHODS A descriptive, cross-sectional explorative survey design was used. Data were collected between February and May 2016 by interviewing face-to-face 196 older patients in two hospitals in Finland. Respect was measured using the ReSpect scale (Parts A and B) developed for this study. Respect is based on the two dimensions of respect, nurses' Being with and Doing for patients. Data were analysed using descriptive and inferential statistical methods including the psychometric testing of the new instrument. RESULTS Older patients perceived respect in their care frequently and to a great extent, although there were also shortcomings. The findings highlight the need to improve respect to patients in care delivery by showing an interest in their views, acknowledging them positively and supporting their individual capacities. A two-factor structure of the ReSpect scale Part A and a four-factor structure of the Part B were confirmed. CONCLUSIONS Findings from this study suggest that older hospital patients perceived respect by nurses overall, but the area where there is the most room for improvement is that of listening and encouraging. The psychometric analysis demonstrated that the ReSpect scale shows promise in measuring respect. IMPLICATIONS FOR PRACTICE The ReSpect scale could be a useful tool to measure respect, an important element of value-based health care.
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(2018): The use of assistive technologies after stroke is debunking the myths about the elderly. In: Topics in stroke rehabilitation 25 (1), S. 28-36. DOI: 10.1080/10749357.2017.1376845
DOI: https://doi.org/10.1080/10749357.2017.1376845 Abstract: Background Through the concept of ageism, we highlight and explain how the society prejudices the elderly. WHO classifies 12 most common stereotypes pertaining to old age. Elderly people are being excluded from social life due to their chronological age rather than any actual reduced physical and/or mental ability. Some of these stereotypes are directly related to the (un)willingness and the ability of the elderly to use technology in everyday life. Objectives The study presented in this article aims to explain the phenomenon of technology use among elderly people who had had a stroke. Method A qualitative study, namely a qualitative content analysis, was performed. Six in-depth interviews with older people who have suffered a stroke were conducted and explored their views on the daily use of technology. Results All older people included in this study used different technologies, which have been divided into technologies that support mobility, technologies for personal care, technologies that support household chores, and technologies for maintaining a social network. An elderly person's attitude toward the use of technology is connected to their social network and assistance from professional staff, as well as the severity of their physical disability. We have found that using various technologies, elderly people are developing various coping strategies. Conclusions After a stroke, a certain degree of physical deterioration can be expected. Nonetheless, our participants managed to compensate for this also with the help of assistive devices and technologies, which negates the myth of simply "surrendering" to the aging process.
2017
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(2017): As You Sow, So Shall You Reap. Gender-Role Attitudes and Late-Life Cognition. In: Psychological science 28 (9), S. 1201-1213. DOI: 10.1177/0956797617708634
DOI: http://www.ncbi.nlm.nih.gov/pubmed/28737096 Abstract: Some studies have found that women outperform men in episodic memory after midlife. But is this finding universal, and what are the reasons? Gender differences in cognition are the result of biopsychosocial interactions throughout the life course. Social-cognitive theory of gender development posits that gender roles may play an important mediating role in these interactions. We analyzed country differences in the gender differential in cognition after midlife using data from individuals age 50 and above ( N = 226,661) from 27 countries. As expected, older women performed relatively better in countries characterized by more equal gender-role attitudes. This result was robust to cohort differences as well as reverse causality. The effect was partially mediated by education and labor-force participation. Cognition in later life thus cannot be fully understood without reference to the opportunity structures that sociocultural environments do (or do not) provide. Global population aging raises the importance of understanding that gender roles affect old-age cognition and productivity. zitiert von 3
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(2017): A population study of correlates of social participation in older adults with age-related vision loss. In: Clinical rehabilitation 31 (1), S. 115-125. DOI: 10.1177/0269215515624479
DOI: http://journals.sagepub.com/doi/pdf/10.1177/0269215515624479 Abstract: OBJECTIVE To examine personal characteristics, disease-related impairment variables, activity limitations, and environmental factors as correlates of social participation in older adults with vision loss guided by the World Health Organization's International Classification of Functioning, Disability and Health Model. DESIGN Baseline data of a larger longitudinal study. SETTING Community-based vision rehabilitation agency. SUBJECTS A total of 364 older adults with significant vision impairment due to age-related macular degeneration. MAIN MEASURES In-person interviews assessing social participation (i.e. frequency of social support contacts, social/leisure challenges faced due to vision loss, and of social support provided to others) and hypothesized correlates (e.g. visual acuity test, Functional Vision Screening Questionnaire, ratings of attachment to house and neighborhood, environmental modifications in home). RESULTS Regression analyses showed that indicators of physical, social, and mental functioning (e.g. better visual function, fewer difficulties with instrumental activities of daily living, fewer depressive symptoms) were positively related to social participation indicators (greater social contacts, less challenges in social/leisure domains, and providing more support to others). Environmental factors also emerged as independent correlates of social participation indicators when functional variables were controlled. That is, participants reporting higher attachment to their neighborhood and better income adequacy reported having more social contacts; and those implementing more environmental strategies were more likely to report greater challenges in social and leisure domains. Better income adequacy and living with more people were related to providing more social support to others. CONCLUSION Environmental variables may play a role in the social participation of older adults with age-related macular degeneration.
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(2017): Variations in judgments of intentional action and moral evaluation across eight cultures. In: Cognition 164, S. 22-30. DOI: 10.1016/j.cognition.2017.02.012
DOI: http://www.ncbi.nlm.nih.gov/pubmed/28364713 Abstract: Individuals tend to judge bad side effects as more intentional than good side effects (the Knobe or sideeffect effect). Here, we assessed how widespread these findings are by testing eleven adult cohorts of eight highly contrasted cultures on their attributions of intentional action as well as ratings of blame and praise. We found limited generalizability of the original side-effect effect, and even a reversal of the effect in two rural, traditional cultures (Samoa and Vanuatu) where participants were more likely to judge the good side effect as intentional. Three follow-up experiments indicate that this reversal of the side-effect effect is not due to semantics and may be linked to the perception of the status of the protagonist. These results highlight the importance of factoring cultural context in our understanding of moral cognition. (PsycINFO Database Record (c) 2017 APA, all rights reserved) zitiert von: 2
Keywords: 80 and over, Adolescent, Adult, Aged, Costa Rica, Cross-Cultural Comparison, cross-cultural psychology, Culture, Honduras, Humans, Intention, Intentional action, Judgment, Kognitionswissenschaften, Kulturelle Unterschiede, Kulturforschung, Mexico, Middle Aged, Moral, Moral cognition, Moral evaluation, Morals, Republic of Korea, Samoa, Side-effect effect, Social Perception, United States, Vanuatu, Young Adult -
(2017): A lesion model of envy and Schadenfreude. Legal, deservingness and moral dimensions as revealed by neurodegeneration. In: Brain : a journal of neurology 140 (12), S. 3357-3377. DOI: 10.1093/brain/awx269
DOI: http://www.ncbi.nlm.nih.gov/pubmed/29112719 Abstract: The study of moral emotions (i.e. Schadenfreude and envy) is critical to understand the ecological complexity of everyday interactions between cognitive, affective, and social cognition processes. Most previous studies in this area have used correlational imaging techniques and framed Schadenfreude and envy as unified and monolithic emotional domains. Here, we profit from a relevant neurodegeneration model to disentangle the brain regions engaged in three dimensions of Schadenfreude and envy: deservingness, morality, and legality. We tested a group of patients with behavioural variant frontotemporal dementia (bvFTD), patients with Alzheimer's disease, as a contrastive neurodegeneration model, and healthy controls on a novel task highlighting each of these dimensions in scenarios eliciting Schadenfreude and envy. Compared with the Alzheimer's disease and control groups, patients with bvFTD obtained significantly higher scores on all dimensions for both emotions. Correlational analyses revealed an association between envy and Schadenfreude scores and greater deficits in social cognition, inhibitory control, and behaviour disturbances in bvFTD patients. Brain anatomy findings (restricted to bvFTD and controls) confirmed the partially dissociable nature of the moral emotions' experiences and highlighted the importance of socio-moral brain areas in processing those emotions. In all subjects, an association emerged between Schadenfreude and the ventral striatum, and between envy and the anterior cingulate cortex. In addition, the results supported an association between scores for moral and legal transgression and the morphology of areas implicated in emotional appraisal, including the amygdala and the parahippocampus. By contrast, bvFTD patients exhibited a negative association between increased Schadenfreude and envy across dimensions and critical regions supporting social-value rewards and social-moral processes (dorsolateral prefrontal cortex, angular gyrus and precuneus). Together, this study provides lesion-based evidence for the multidimensional nature of the emotional experiences of envy and Schadenfreude. Our results offer new insights into the mechanisms subsuming complex emotions and moral cognition in neurodegeneration. Moreover, this study presents the exacerbation of envy and Schadenfreude as a new potential hallmark of bvFTD that could impact in diagnosis and progression. zitiert von: 3
Keywords: Aged, Alzheimer’s Disease, Amygdala, BRAIN, Case-Control Studies, Diagnostic Imaging, Emotions, Emotionsforschung, Female, Gyrus Cinguli, Hippocampus, Humans, Male, Middle Aged, Moral, Morals, Neurowissenschaften, Parietal Lobe, Physiopathology, Prefrontal Cortex, PSYCHOLOGY, Social Behavior, Ventral Striatum -
(2017): How "ought" exceeds but implies "can". Description and encouragement in moral judgment. In: Cognition 168, S. 267-275. DOI: 10.1016/j.cognition.2017.07.008
DOI: http://www.ncbi.nlm.nih.gov/pubmed/28755538 Abstract: This paper tests a theory about the relationship between two important topics in moral philosophy and psychology. One topic is the function of normative language, specifically claims that one "ought" to do something. Do these claims function to describe moral responsibilities, encourage specific behavior, or both? The other topic is the relationship between saying that one "ought" to do something and one's ability to do it. In what respect, if any, does what one "ought" to do exceed what one "can" do? The theory tested here has two parts: (1) "ought" claims function to both describe responsibilities and encourage people to fulfill them (the dual-function hypothesis); (2) the two functions relate differently to ability, because the encouragement function is limited by the person's ability, but the descriptive function is not (the interaction hypothesis). If this theory is correct, then in one respect "ought implies can" is false because people have responsibilities that exceed their abilities. But in another respect "ought implies can" is legitimate because it is not worthwhile to encourage people to do things that exceed their ability. Results from two behavioral experiments support the theory that "ought" exceeds but implies "can." Results from a third experiment provide further evidence regarding an "ought" claim's primary function and how contextual features can affect the interpretation of its functions.
Keywords: Adult, Aged, Female, Humans, Judgment, Kognitionswissenschaften, Male, Middle Aged, Moral, Morals, science direct, Social Behavior, Social Norms, Sprachwissenschaften, Young Adult -
(2017): Towards a social functional account of laughter. Acoustic features convey reward, affiliation, and dominance. In: PLoS one 12 (8). DOI: 10.1371/journal.pone.0183811
DOI: http://www.ncbi.nlm.nih.gov/pubmed/28850589 Abstract: Recent work has identified the physical features of smiles that accomplish three tasks fundamental to human social living: rewarding behavior, establishing and managing affiliative bonds, and negotiating social status. The current work extends the social functional account to laughter. Participants (N = 762) rated the degree to which reward, affiliation, or dominance (between-subjects) was conveyed by 400 laughter samples acquired from a commercial sound effects website. Inclusion of a fourth rating dimension, spontaneity, allowed us to situate the current approach in the context of existing laughter research, which emphasizes the distinction between spontaneous and volitional laughter. We used 11 acoustic properties extracted from the laugh samples to predict participants' ratings. Actor sex moderated, and sometimes even reversed, the relation between acoustics and participants' judgments. Spontaneous laughter appears to serve the reward function in the current framework, as similar acoustic properties guided perceiver judgments of spontaneity and reward: reduced voicing and increased pitch, increased duration for female actors, and increased pitch slope, center of gravity, first formant, and noisiness for male actors. Affiliation ratings diverged from reward in their sex-dependent relationship to intensity and, for females, reduced pitch range and raised second formant. Dominance displayed the most distinct pattern of acoustic predictors, including increased pitch range, reduced second formant in females, and decreased pitch variability in males. We relate the current findings to existing findings on laughter and human and non-human vocalizations, concluding laughter can signal much more that felt or faked amusement.
Keywords: Acoustics, Adult, Aged, Art der Beziehung zum Interaktionspartner, Belohnung, center of gravity, Dauer, Female, formant, Gender, Gestik/Mimik, Humans, Klanghöhe (pitch), Kommunikations-/Interaktionsprinzipien, Lächeln, Lachen, Laughter/psychology, Male, Middle Aged, noisiness, pitch slope, Reward, Sanktionierung, Sex Factors, Social Dominance, Social Identification, Soziale Distanz, Soziale Dominanz, Spontaneität beim Lachen, Status / biologische Marker, Stimmhaftigkeit (voicing), Young Adult, Zugehörigkeit (affiliation) 2016
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(2016): Developing professional values. Perceptions of francophone occupational therapists in Quebec, Canada. In: Scandinavian journal of occupational therapy 23 (4), S. 286-296. DOI: 10.3109/11038128.2015.1130168
DOI: http://www.ncbi.nlm.nih.gov/pubmed/26824179 Abstract: Objective Recent literature shows growing interest in the values displayed by occupational therapists. Yet, none of these writings has so far examined the factors that contribute to the development of occupational therapists' professional values. These factors are important, since values play a pivotal role in forging professional identity, which in the case of some occupational therapists remains somewhat ambiguous. This article proposes possible answers to the following question: What do Quebec Francophone occupational therapists perceive as the building blocks of their professional values? Methods Using a phenomenological qualitative method, the subjective experience of occupational therapists in Quebec, Canada was examined. Twenty-six occupational therapists took part in the study. Results As intended, their professional experience was varied. According to the participants, four factors contributed significantly to their professional values: professional experience, university training, personal experience, and professional development. However, fewer than 50% of the participants cited six other factors (workplace, family upbringing, personal development, personality and abilities, professional normative framework, and sociocultural background). Conclusions Most of these results are consistent with those documented in existing works. They point to the relevance of discussing professional values during university training and continuing professional development, as well as encouraging occupational therapists to become exemplars for their colleagues and interns. This study constitutes an initial step in understanding how occupational therapists' axiological identity is formed.
Keywords: Adult, Aged, Attitude of Health Personnel, Berufserfahrung/Kompetenz, Culture, Design, Erfahrung, Family, Female, (Grad/Qualität der) Ausbildung, Humans, Male, Middle Aged, Normen innerhalb eines Berufsfelds, Occupational Therapists/education/ethics/psychology, Personality, Persönliche Entwicklung, Professionalism, Professionalität, Qualitative research, Quebec, Rolle (Beruf), Workplace, Young Adult -
(2016): Effects of culture-sensitive adaptation of patient information material on usefulness in migrants. A multicentre, blinded randomised controlled trial. In: BMJ open 6 (11). DOI: 10.1136/bmjopen-2016-012008
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27881523 Abstract: OBJECTIVES To evaluate the usefulness of culture-sensitive patient information material compared with standard translated material. DESIGN Multicentre, double-blind randomised controlled trial. SETTING 37 primary care practices. PARTICIPANTS 435 adult primary care patients with a migration background with unipolar depressive disorder or non-specific chronic low back pain were randomised. Patients who were unable to read in the language of their respective migration background were excluded. Sufficient data were obtained from 203 women and 106 men. The largest group was of Russian origin (202 patients), followed by those of Turkish (52), Polish (30) and Italian (25) origin. INTERVENTIONS Intervention group: provision of culture-sensitive adapted material. CONTROL GROUP provision of standard translated material. MAIN OUTCOME MEASURES Primary outcome: patient-rated usefulness (USE) assessed immediately after patients received the material. SECONDARY OUTCOMES patient-rated usefulness after 8 weeks and 6 months, symptoms of depression (PHQ-9), back pain (Back Pain Core Set) and quality of life (WHO-5) assessed at all time points. RESULTS Usefulness was found to be significantly higher (t=1.708, one-sided p=0.04) in the intervention group (USE-score=65.08, SE=1.43), compared with the control group (61.43, SE=1.63), immediately after patients received the material, in the intention-to-treat analysis, with a mean difference of 3.65 (one-sided 95% lower confidence limit=0.13). No significant differences were found for usefulness at follow-up (p=0.16, p=0.71). No significant effect was found for symptom severity in depression (p=0.95, p=0.66, p=0.58), back pain (p=0.40, p=0.45, p=0.32) or quality of life (p=0.76, p=0.86, p=0.21), either immediately after receiving the material, or at follow-up (8 weeks; 6 months). Patients with a lower level of dominant society immersion benefited substantially and significantly more from the intervention than patients with a high level of immersion (p=0.005). CONCLUSION Cultural adaptation of patient information material provides benefits over high quality translations. Clinicians are encouraged to use culture-sensitive material in their consultations, particularly with low-acculturated patients. TRIAL REGISTRATION NUMBER German Register for Clinical Trials: DRKS00004241, Universal Trial Number: U1111-1135-8043, Results.
Keywords: Adult, Aged, Cultural Competency, culture sensitive, Depressive Disorder, Major/therapy, Disziplin, Double-Blind Method, Female, Focus Groups, Health Literacy, Humans, Italy, Kultur, Kulturtheorie, Language, Low Back Pain/therapy, Male, Medizin, Middle Aged, Pamphlets, Patient Education as Topic/methods, Patient Participation, Poland, Psychologie, Quality of Life, Rolle (Beruf), Russia, Transients and Migrants, Translating, Turkey -
(2016): Swears in Context. The Difference Between Casual and Abusive Swearing. In: Journal of psycholinguistic research 45 (2), S. 259-274. DOI: 10.1007/s10936-014-9345-z
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25480107 Abstract: Although swearing is taboo language, it frequently appears in daily conversations. To explain this paradox, two studies examined contextualized swearing in Indian and non-Indian participants. In Study 1, participants assessed the appropriateness of mild, moderate, and severe swears in casual and abusive contexts; in Study 2, participants completed contextual dialogues with mild, moderate, or severe swearwords. Results indicated that mild and moderate swears were more appropriate in casual settings than in abusive scenarios; severe swears were the most inappropriate, regardless of context. Mild and moderate swears were likely to be used to complete casual and abusive dialogues respectively, even though it was expected that severe swears would be compatible with abusive settings. Moreover, gender and nationality differences suggested that assessing appropriateness of swearing behaviour and likelihood of swearword usage provided independent and contrasting findings. Cultural variations in swearing behaviour, particularly contextualized swearing, and suggestions for further research are outlined.
Keywords: Adolescent, Adult, Aged, Female, Humans, India/ethnology, Language, Male, Middle Aged, Taboo, time, Verbal Behavior, Young Adult -
(2016): Quality of Life for Diverse Older Adults in Assisted Living: The Centrality of Control. In: Journal of gerontological social work 59 (7-8), S. 512-536. DOI: 10.1080/01634372.2016.1254699
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27824306 Abstract: This pilot project asked: How do ethnically diverse older adult residents of assisted living (AL) facilities in British Columbia (BC) experience quality of life? And, what role, if any, do organizational and physical environmental features play in influencing how quality of life is experienced? The study was conducted at three AL sites in BC: two ethnoculturally targeted and one nontargeted. Environmental audits at each site captured descriptive data on policies, fees, rules, staffing, meals, and activities, and the built environment of the AL building and neighborhood. Using a framework that understands the quality of life of older adults to be contingent on their capability to pursue 5 conceptual attributes-attachment, role, enjoyment, security, and control-we conducted 3 focus groups with residents (1 per site) and 6 interviews with staff (2 per site). Attributes were linked to the environmental features captured in the audits. All dimensions of the environment, especially organizational, influence tenants' capability to attain the attributes of quality of life, most importantly control. Although many tenants accept the trade-off between increased safety and diminished control that accompanies a move into AL, more could be done to minimize that loss. Social workers can advocate for the necessary multi-sectoral changes.
Keywords: 80 and over, Aged, Assistenz, Assisting Living Facilities, Attitude of Health Personnel, British Columbia, Community Networks, Female, Focus Groups, Gerontologie, Humans, Male, Personal Autonomy, Personal Satisfaction, Pilot Projects, PSYCHOLOGY, Quality of Life, Safety Management, standards -
(2016): Ethische Herausforderungen zum Einsatz sozial-assistiver Roboter bei älteren Menschen. In: Zeitschrift fur Gerontologie und Geriatrie 49 (4), S. 303-307. DOI: 10.1007/s00391-016-1066-5
DOI: https://doi.org/10.1007/s00391-016-1066-5 Abstract: Socially assistive robots are increasingly discussed as solutions in care and domestic use for the support of senior adults; however, this raises ethical questions which hitherto have not been considered or were not predictable. The most important questions are those of privacy and data protection, safety and responsibility as well as involvement of vulnerable persons and deception. Consequently, the ethical principles of nonmaleficence, beneficence, autonomy and fairness should be transposed to robotics. Clear answers and solutions are not yet available for every ethical challenge in robotics; however, the development of ethical guidelines for deployment of robots and research in the field of social service robots (SSR) are essential steps in order to embed ethics into dealing with socially assistive robots. This article provides some practical suggestions on this issue from a robotics project.
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(2016): Sollten Assistenzroboter eine "Persönlichkeit" haben? : Potenzial simplifizierter Roboterpersönlichkeiten. In: Zeitschrift fur Gerontologie und Geriatrie 49 (4), S. 298-302. DOI: 10.1007/s00391-016-1068-3
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27245227 Abstract: BACKGROUND In the European Union (EU) research project "HOBBIT" prototypes of assistive robots were developed in order to support a more secure and independent life style and trials were run at the homes of elderly users. OBJECTIVE The project "personAAL" aimed at investigating whether distinct behavioral forms of a robot ("personality"), despite an identical basic function (e.g. bringing a message) are perceived as different personalities by the test persons. MATERIAL AND METHODS For this study a robot was equipped with two types of behavior, one more introverted (purely function-oriented, impersonal and factual) and the other more extroverted (lively and enriched). The two types of behavior were demonstrated to 13 test persons (mostly older persons and experts from the care domain). RESULTS Nearly all of the test persons (12 out of 13) perceived a difference with respect to the behavior of the robot. Of the test persons 1 preferred the introverted robot, 9 the extroverted behavior of the robot and 3 had no preferences or stated that the preference depended on the context. The evaluation of answers to the Godspeed questionnaire resulted in significantly different perceptions of "anthropomorphism" and "animated" as well as in the total evaluation. It is also remarkable that no significant differences could be found for "likeability" and "perceived security". There was also no significant correlation between the preferred behavior of the robot and the self-assessment of the test person as being more introverted or extroverted. CONCLUSION From these results it can be concluded that acceptance of a robot does not solely depend on the mere function, which of course is a precondition but that it is advisable to offer a choice between different types of behavior in order to optimize acceptance.
Keywords: 80 and over, activities of daily living, Aged, Assistenz, Ergonomics, Europe, Female, Humans, Male, man-machine systems, Mensch-Roboter-Interaktion, Methods, Patient Acceptance of Health-Care, Patient Preference, Personality, PSYCHOLOGY, Robotics, Self-Help Devices, Social Support, User-Computer Interface -
(2016): What it Takes to Successfully Implement Technology for Aging in Place: Focus Groups With Stakeholders. In: Journal of medical Internet research 18 (5). DOI: 10.2196/jmir.5253
DOI: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4904824 Abstract: BACKGROUND There is a growing interest in empowering older adults to age in place by deploying various types of technology (ie, eHealth, ambient assisted living technology, smart home technology, and gerontechnology). However, initiatives aimed at implementing these technologies are complicated by the fact that multiple stakeholder groups are involved. Goals and motives of stakeholders may not always be transparent or aligned, yet research on convergent and divergent positions of stakeholders is scarce. OBJECTIVE To provide insight into the positions of stakeholder groups involved in the implementation of technology for aging in place by answering the following questions: What kind of technology do stakeholders see as relevant? What do stakeholders aim to achieve by implementing technology? What is needed to achieve successful implementations? METHODS Mono-disciplinary focus groups were conducted with participants (n=29) representing five groups of stakeholders: older adults (6/29, 21%), care professionals (7/29, 24%), managers within home care or social work organizations (5/29, 17%), technology designers and suppliers (6/29, 21%), and policy makers (5/29, 17%). Transcripts were analyzed using thematic analysis. RESULTS Stakeholders considered 26 different types of technologies to be relevant for enabling independent living. Only 6 out of 26 (23%) types of technology were mentioned by all stakeholder groups. Care professionals mentioned fewer different types of technology than other groups. All stakeholder groups felt that the implementation of technology for aging in place can be considered a success when (1) older adults' needs and wishes are prioritized during development and deployment of the technology, (2) the technology is accepted by older adults, (3) the technology provides benefits to older adults, and (4) favorable prerequisites for the use of technology by older adults exist. While stakeholders seemed to have identical aims, several underlying differences emerged, for example, with regard to who should pay for the technology. Additionally, each stakeholder group mentioned specific steps that need to be taken to achieve successful implementation. Collectively, stakeholders felt that they need to take the leap (ie, change attitudes, change policies, and collaborate with other organizations); bridge the gap (ie, match technology with individuals and stimulate interdisciplinary education); facilitate technology for the masses (ie, work on products and research that support large-scale rollouts and train target groups on how to use technology); and take time to reflect (ie, evaluate use and outcomes). CONCLUSIONS Stakeholders largely agree on the direction in which they should be heading; however, they have different perspectives with regard to the technologies that can be employed and the work that is needed to implement them. Central to these issues seems to be the tailoring of technology or technologies to the specific needs of each community-dwelling older adult and the work that is needed by stakeholders to support this type of service delivery on a large scale.
Keywords: Administrative Personnel, Aged, Aging, Assistenz, Attitude of Health Personnel, Biomedical Technology/methods/trends, Caregivers/psychology, Delivery of Health Care/trends, Female, Focus Groups, Geriatrics/methods/trends, Goals, Home Care Services, Humans, Independent Living/trends, Male, Mensch-Roboter-Interaktion, Middle Aged, Needs Assessment, Social Workers/psychology, Telemedicine/trends -
(2016): Power in everyday life. In: Proceedings of the National Academy of Sciences of the United States of America 113 (36), S. 10043-10048. DOI: 10.1073/pnas.1604820113
DOI: http://www.ncbi.nlm.nih.gov/pubmed/27551069 Abstract: How does power manifest itself in everyday life? Using experience-sampling methodology, we investigated the prevalence, sources, and correlates of power in people's natural environments. Participants experienced power-relevant situations regularly, though not frequently. High power was not restricted to a limited few: almost half of the sample reported experiencing high-power positions. Positional power and subjective feelings of power were strongly related but had unique relations with several individual difference measures and independent effects on participants' affect, cognition, and interpersonal relations. Subjective feelings of power resulted more from within-participant situational fluctuation, such as the social roles participants held at different times, than from stable differences between people. Our data supported some theoretical predictions about power's effects on affect, cognition, and interpersonal relations, but qualified others, particularly highlighting the role of responsibility in power's effects. Although the power literature has focused on high power, we found stronger effects of low power than high power.
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(2016): Intuition and Moral Decision-Making - The Effect of Time Pressure and Cognitive Load on Moral Judgment and Altruistic Behavior. In: PLoS one 11 (10). DOI: 10.1371/journal.pone.0164012
DOI: https://doi.org/10.1371/journal.pone.0164012 Abstract: Do individuals intuitively favor certain moral actions over others? This study explores the role of intuitive thinking-induced by time pressure and cognitive load-in moral judgment and behavior. We conduct experiments in three different countries (Sweden, Austria, and the United States) involving over 1,400 subjects. All subjects responded to four trolley type dilemmas and four dictator games involving different charitable causes. Decisions were made under time pressure/time delay or while experiencing cognitive load or control. Overall we find converging evidence that intuitive states do not influence moral decisions. Neither time-pressure nor cognitive load had any effect on moral judgments or altruistic behavior. Thus we find no supporting evidence for the claim that intuitive moral judgments and dictator game giving differ from more reflectively taken decisions. Across all samples and decision tasks men were more likely to make utilitarian moral judgments and act selfishly compared to women, providing further evidence that there are robust gender differences in moral decision-making. However, there were no significant interactions between gender and the treatment manipulations of intuitive versus reflective decision-making. zitiert von 19
2015
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(2015): Einschränkungen der Teilhabe in der Bevölkerung - Normdaten für den IMET auf der Basis eines Bevölkerungssurveys in Norddeutschland. In: Die Rehabilitation 54 (6), S. 402-408. DOI: 10.1055/s-0035-1559670
DOI: http://www.ncbi.nlm.nih.gov/pubmed/26676739 Abstract: BACKGROUND Medical rehabilitation in Germany is characterized by the biopsychosocial model of the ICF. Its complexity makes it less suitable for studies in rehabilitation sciences. For an implementation of the ICF, specific assessment instruments that are able to measure activity and participation efficiently in rehabilitation are needed. Instruments measuring social participation are rarely available in German language and have been employed only in a handful of empirical works. The "Index zur Messung von Einschränkungen der Teilhabe" (IMET) was developed in 2005 and measures participation of people with different chronic diseases as described in the ICF. The IMET has been applied in many studies in rehabilitation science, but as reference values were not available so far, the results could not be classified. METHOD In a population survey, 5 004 residents in Luebeck were randomly selected by the registration office and sent a short questionnaire. The questionnaire contained questions on the overall state of health, quality of life, prevalence of chronic diseases and limitations of participation (IMET). RESULTS The completed questionnaire was returned by 2 755 of 4 692 eligible people (58.7%). 731 residents declined participation. Therefore, the participation quota is 43.1%. The mean age of participants was 53 years (SD: 17.1), 53% were women.Limitations of participation varied according to sex and age. Men tended to be more limited in their participation. As expected, limitations in participation increased with age. Participants with a low level of education showed a significantly higher rate of participation restrictions than people with a higher level of education. The IMET correlated significantly with the health status and quality of life as well as with the prevalence of various chronic diseases. DISCUSSION The random sample of Luebeck inhabitants comprised people between 19 and 79 years of age. The age distribution of our sample deviated from the German population with younger people being underrepresented, and older people being overrepresented. With respect to the educational level, the random sample of the Hanseatic city showed a larger proportion of people with higher education.In this population sample, there was a sex and age-related variation in restriction in participation and this correlated highly with content-related constructs. Norm values for the IMET enable classification of limitations of participation for people undergoing rehabilitation or patients suffering from chronic diseases.
Keywords: Adult, Age Distribution, Aged, Chronic Disease/epidemiology/psychology/rehabilitation, Disability Evaluation, Disabled Persons/psychology/statistics & numerical data, Female, Germany/epidemiology, Gesundheit, Health Status, Health Status Indicators, Humans, International Classification of Functioning, Disability and Health, Male, Middle Aged, Patient Participation/psychology/statistics & numerical data, Prevalence, Quality of Life/psychology, Reference Values, Risk Assessment, Social Participation/psychology, Soziale Teilhabe, Surveys and Questionnaires, Überblick -
(2015): Gender, trust and cooperation in environmental social dilemmas. In: Social science research 50, S. 328-342. DOI: 10.1016/j.ssresearch.2014.09.002
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25592940 Abstract: This research addresses gender differences in environmental protection efforts. Recent work indicates that, across a variety of domains, women are more generous, charitable, and prosocial than men. Despite above-average levels of these motivators for cooperation, considerable experimental research points to no difference in cooperation between genders. What can explain women's lower-than-expected cooperation levels? Prior research indicates that, compared to men, women are less trusting and respond to fear incentives in social dilemmas - they are concerned about being exploited. We test these arguments in the context of environmental behaviors and argue that lower trust and greater responses to fear incentives mean that women's cooperation is predicated on trust. For men, trust does not predict environmental cooperation. The current research represents the first empirical test of these arguments. Using data from the General Social Survey we focus on private sphere behaviors and political participation and predict an interaction between gender and trust on cooperation. Results support this prediction. zitiert von 12
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Lindner, Reinhard; Hummel, Jana (Hg.) (2015): Psychotherapie in der Geriatrie. Aktuelle psychodynamische und verhaltenstherapeutische Ansätze. 1. Aufl.. Stuttgart: Kohlhammer
2014
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(2014): A room with a viewpoint revisited. Descriptive norms and hotel guests' towel reuse behavior. In: PLoS one 9 (8). DOI: 10.1371/journal.pone.0104086
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25084348 Abstract: Field experiments on descriptive norms as a means to increase hotel guests' towel reuse [1] were replicated and extended. In two hotels in Germany (Study 1: N = 724; Study 2: N = 204), descriptive norm messages suggesting that 75% of guests had reused their towels, or a standard message appealing to environmental concerns, were placed in guests' bathrooms. Descriptive norm messages varied in terms of proximity of the reference group ("hotel guests" vs. "guests in this room") and temporal proximity (currently vs. two years previous). Reuse of towels was unobtrusively recorded. Results showed that reuse rates were high overall and that both standard and descriptive norm messages increased reuse rates compared to a no-message baseline. However, descriptive norm messages were not more effective than the standard message, and effects of proximity were inconsistent across studies. Discussion addresses cultural and conceptual issues in comparing the present findings with previous ones.
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(2014): The technology acceptance puzzle. Results of a representative survey in Lower Saxony. In: Zeitschrift fur Gerontologie und Geriatrie 47 (8), S. 641-647. DOI: 10.1007/s00391-014-0830-7
DOI: https://doi.org/10.1007/s00391-014-0830-7 Abstract: It is widely taken for granted that the interest in technology decreases with increasing age. Many studies and especially large scale surveys seem to confirm declining technology acceptance; however, it is argued that composition effects (e.g. increasing proportions of women among the older age groups), cohort effects (e.g. experience with different technologies during the lifetime) and various living and health conditions (e.g. living alone, having children in the neighborhood and experience of falls) have to be taken into account and that these factors will have different impacts on the acceptance of different scenarios of assistive technologies. The analyses are based on data from a self-administered questionnaire (n = 2032, a representative random sample of individuals aged 50 years and above in Lower Saxony, Germany). The survey briefly introduced four scenarios of ambient assisted living (AAL) technologies. Multinominal logistic regression was used to explore the correlations of acceptance and the independent variables mentioned. The results show that the simple assumption of an age effect, i.e. technology acceptance generally declines with increasing age, is misleading. An answer to the question whether older people will make use of assistive technologies in the future should consider specific scenarios and also various socioeconomic variables.
Keywords: 80 and over, Age Distribution, Aged, Assistenz, Attitude to Health, Biomedical Technology, Epidemiology, Female, Germany, Gerontologie, Humans, Male, Middle Aged, Numerical Data, Patient Acceptance of Health Care/psychology/statistics & numerical data, PSYCHOLOGY, Self-Help Devices, Socioeconomic Factors, Statistics, Surveys and Questionnaires -
(2014): What matters to the rich and the poor? Subjective well-being, financial satisfaction, and postmaterialist needs across the world. In: Journal of personality and social psychology 107 (2), S. 326-338. DOI: 10.1037/a0036856
DOI: http://www.ncbi.nlm.nih.gov/pubmed/25090131 Abstract: This study explored the importance of financial satisfaction versus postmaterialist needs for subjective well-being (SWB). Using the Gallup World Poll, we examined whether financial satisfaction and postmaterialist needs (pertaining to autonomy, social support, and respect) were universal predictors of the different components of SWB across the world, and whether their effects were moderated by national affluence. Results showed that financial satisfaction was the strongest predictor of life evaluation, whereas respect was the strongest predictor of positive feelings. Both measures predicted negative feelings to some extent. Multilevel analyses also revealed moderating effects of societal wealth. The association between financial satisfaction and SWB and that between postmaterialist needs and SWB were stronger in richer nations compared with poorer ones. This suggests that developed economies should continue to focus on both material and psychological aspects, and not disregard economic gains, as both measures are essential to well-being.
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(2014): The role of age and motivation for the experience of social acceptance and rejection. In: Developmental Psychology 50 (7), S. 1943-1950. DOI: 10.1037/a0036979
DOI: http://www.ncbi.nlm.nih.gov/pubmed/24842461 Abstract: A study with n = 55 younger (18-33 years, M = 23.67) and n = 58 older (61-85 years, M = 71.44) adults investigated age-related differences in social approach and avoidance motivation and their consequences for the experience of social interactions. Results confirmed the hypothesis that a predominant habitual approach motivation in younger adults shifts toward a stronger avoidance motivation in older adults. Moreover, age and momentary motivation predicted the experience of an actual social interaction. Younger adults reported stronger negative emotions in a rejection situation when striving to approach acceptance rather than avoid rejection. Conversely, older adults reported fewer positive emotions in a rejection situation when they attempted to avoid rejection rather than approach acceptance. Taken together, the present study demonstrates that the same motivation has different consequences for the experience of potentially threatening social situations in younger and older adults. People seem to react emotionally when the achievement of important developmental goals (approaching others in young adulthood, avoiding negative social interactions in older adulthood) is thwarted. Moreover, results suggest that approach and avoidance motivation play an important role for socioemotional development.
Keywords: 80 and over, Adolescent, Adult, Age Factors, Aged, Alter, Analysis of Variance, Female, Galvanic Skin Response, Gerontologie, Humans, Interpersonal Relations, Male, Middle Aged, Motivation, physiology, PSYCHOLOGY, Self Report, Social Distance, Social Support, Sozialpsychologie, Young Adult