Reflexive case studies on conducting technology implementation research in long-term care homes

Area of Science:

• Gerontology
• Health Informatics
• Implementation Science

Background:

• Technological advancements can improve quality of life in long-term care homes (LTCHs).
• A gap often exists between developed technologies and the needs of residents and staff, hindering adoption.
• Understanding implementation challenges is key to successful technology integration in LTCHs.

Purpose of the Study:

• To explore the challenges and lessons learned from technology implementation projects in LTCHs.
• To identify adaptive strategies for enhancing technology adoption and sustainability in long-term care settings.

Main Methods:

• Qualitative reflection study involving two technology implementation projects (Telepresence Robot and MouvMat).
• Four reflection sessions conducted with project researchers.
• Reflexive thematic analysis used to identify key themes and insights.

Main Results:

• Common challenges included recruitment difficulties, accommodating resident needs, staff shortages, and logistical barriers.
• Adaptive strategies employed: frequent family check-ins, tailored training, co-developed solutions, flexible recruitment, staff engagement, and personalized support.
• Both projects successfully implemented adaptive strategies to navigate challenges.

Conclusions:

• Adaptive strategies are essential for conducting research and implementing technology in LTCHs.
• Calls for structural support, academic-practice partnerships, and combating ageism in technology use.
• Emphasizes the need for knowledge translation and showcasing research benefits to stakeholders.