Dr Matthew Lariviere is a UKRI Innovation Fellow at the Centre for International Research on Care, Labour and Equalities at The University of Sheffield. He is a social anthropologist interested in two primary research areas: (1) cross-cultural understandings and experiences of ageing and memory loss, and (2) the challenges and opportunities for technologies to support older adults, carers and clinicians in health and care systems.
In 2018, he completed his PhD in Health Sciences at the University of East Anglia. His doctoral study was an ethnography of people with dementia and their carers using assistive technologies and telecare at home, as participants in the NIHR-funded trial, Assistive Technology and Telecare to maintain Independent Living At home for people with dementia (ATTILA). For his current UKRI Innovation Fellowship, he examines challenges, benefits and possibilities for businesses and organisations designing, producing and providing emergent technologies to support ageing in place in the UK.
Deeply committed to interdisciplinary and non-academic engagement, he has delivered public engagement workshops throughout the UK and convened policy and practice knowledge exchange events in the UK, Europe, Australia and North America.
Matthew is an Associate Fellow of the Higher Education Academy (UK). He reviews for Quality in Ageing and Older Adults, The BMJ, and Journal of Medical Internet Research. In 2019, he was appointed the Reviews Editor of the International Journal of Care and Caring.
DEFT: The design and evaluation framework for technologies to support care and wellbeing
Matthew Lariviere, University of Sheffield
Last decade’s Whole System Demonstrator, the largest trial of telehealth and telecare, evidenced the realities of implementing technologies in health and care: people feared reduced services and human contact; no reduction in usage of primary care services; higher costs than current care packages.
As we start a new decade, governments around the world renewed promises for expansive investment of digital technologies and AI in health and care. If technology continues to permeate our health and care systems, then we need a shift in how we systematically understand, design and deploy these technologies in people’s lives.
Informed by empirical and theoretical insights from three research projects, A Collaborative COMMunity-based ethnography Of people with Dementia using Assistive technology and Telecare in England (ACCOMMODATE, NIHR/UEA 2013-2017), Accelerating implementation and uptake of new technologies to Support Ageing in Place (ASAP, ESRC 2018-2021), and Sustainable Care: Connecting People and Systems (ESRC 2017-2021), this paper presents a new framework to inform design and evaluation of technologies to support care and wellbeing (DEFT).
This new framework eschews health-related measurements for assistive, health and care technologies. In its place, it builds on the work of McGregor and Pouw (2017) with innovative foci on the material, psychosocial, and relational facets of care and wellbeing in everyday life. Through this framework, we hope to transform the capacity for technologies to intervene in care and later life through the design and implementation of current and future technologies that reflects what matters most to people.