AI-driven lifestyle monitoring systems collect data from ambient, motion, contact, light, and physiological sensors placed in the home, enabling AI algorithms to identify daily routines and detect deviations to support older adults "aging in place." Despite its potential to support several challenges in long-term care for older adults, implementation remains limited. This study explored the facilitators and barriers to implementing AIdriven lifestyle monitoring in long-term care for older adults, as perceived by formal and informal caregivers, as well as management, in both an adopting and non-adopting healthcare organization. A qualitative interview study using semi-structured interviews was conducted with 22 participants (5 informal caregivers, 10 formal caregivers, and 7 participants in a management position) from two long-term care organizations. Reflexive thematic analysis, guided by the nonadoption, abandonment, scale-up, spread, and sustainability (NASSS) framework, structured findings into facilitators and barriers. 12 facilitators and 16 barriers were identified, highlighting AI-driven lifestyle monitoring as a valuable, patient-centred, and unobtrusive tool enhancing care efficiency and caregiver reassurance. However, barriers such as privacy concerns, notification overload, training needs, and organizational alignment must be addressed. Contextual factors, including regulations, partnerships, and financial considerations, further influence implementation. This study showed that to optimize implementation of AI-driven lifestyle monitoring, organizations should address privacy concerns, provide training, engage in system (re)design and create a shared vision. A comprehensive multi-level approach across all levels is essential for successful AI integration in long-term care for older adults.
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Regional sustainability networks in the Netherlands are rooted in regionalculture and have an emphasis on social learning and effective collaboration between multiple actors. The national ‘Duurzaam Door’ (Moving Forward Sustainably) Policy Programme regards these networks as generative governance arrangements where new knowledge, actions and relations can co-evolve together with new insights in governance and learning within sustainability transitions. In order to understand the dynamics of the learning in these networks we have monitored emergent properties of social learning between 2014 and 2016. Our focus is particularly on the interrelated role of trust, commitment, reframing and reflexivity. Our aim is to better understand the role and the dynamics of these emergent properties and to see which actors and roles can foster the effectiveness of social learning in regional transitions towards more sustainable ways of living. We used a retrospective analysis with Reflexive Monitoring in Action (RMA), which we combined with the Most Significant Change approach. We found that reflexivity in particularis a critical property at moments that can make or break the process.
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Research collaboration between practitioners and research professionals aims to develop both practice and knowledge. However, a tension can arise between these objectives: to preserve local relevance, the content, form, and timing of data collection may vary between cases, complicating the comparability of local data in a multiple case study. Our Research Practice Partnership found a solution in the 'wallpaper method,' which enriches the Storyline-method with elements from reflexive monitoring and arts-based research. A distinctive feature of the wallpaper method is cumulative joint reflection and interpretation based on previously collected local data. In this contribution, we illustrate the various phases and steps of the method with experiences from our own research in which it was developed and tested. The method resulted in both practice development and an overarching conceptual model. Effective application of the method requires a wide range of professional and research competencies from the collaboration partners. Adequate time and attention are necessary to prepare a partnership for this. [authors accepted manuscript / post-print]
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This Framework is intended to act as a guide for those individuals and organisations seeking to develop forms of lifelong learning and professional development that are rooted in a culture of reflective andreflexive practice.
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De zorg voor ouderen staat onder druk. Om de zorg uitvoerbaar, toegankelijk en betaalbaar te houden en bovenal persoonsgericht en kwalitatief op hoogwaardig niveau, is een andere manier van zorgen nodig, waarbij technologische hulpmiddelen een rol kunnen spelen. Hoe doen we dat op een manier die echt werkt? Rol van het technologische hulpmiddel Om tot anders zorgen te komen, kunnen we op drie speelvelden innovaties inzetten: ten behoeve van het voorkomen of het verplaatsen van zorg en voor het verbeteren van zorg en zorgrelaties (zie tabel 1). Deze categorieën zijn niet strikt gescheiden: zo kan monitoring op afstand van aandoeningen zoals COPD (een chronische obstructieve longziekte) en hartfalen niet alleen leiden tot succesvol verplaatsen van zorg, maar ook tot betere kwaliteit van de zorg en het voorkomen van (zwaardere) zorg.
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The aim of this study is to determine the contribution of student interventions to urban greening processes. In two Dutch cities action research was conducted, including reflexive interviews a year after the first intervention, to assess factors causing change in the socio-ecological system. Results show that students and network actors were mutually learning, causing the empowerment of actors in that network by adding contextualized knowledge, enlarging the social network, expanding the amount of interactions in the socio-ecological system and speeding up the process. Students brought unique qualities to the process: time, access to stakeholders who tend to distrust the municipality and a certain open-mindedness. Their mere presence made a difference and started a process of change. However, university staff needed to keep the focus on long-term effects and empowerment, because students did not oversee that. After a year, many new green elements had been developed or were in the planning phase. In Enschede, the municipality districtmanagers were part of the learning network, which made it easier to cause changes in the main ecological network. In Haarlem however, no change took place in the main ecological network managed by the municipality, because no political empowerment of the civil society group had developed yet.
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De zorg voor ouderen staat onder druk. Om de zorg uitvoerbaar, toegankelijk en betaalbaar te houden en bovenal persoonsgericht en kwalitatief op hoogwaardig niveau, is een andere manier van zorgen nodig, waarbij technologische hulpmiddelen een rol kunnen spelen. Hoe doen we dat op een manier die echt werkt?
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De land- en tuinbouw staat onder druk. Enerzijds is er een steeds grotere vraag naar voedsel en anderzijds loopt de landbouw volop tegen ecologische en economische grenzen aan. Tegelijkertijd is de landbouw nog nooit zo vernieuwend geweest en op zo veel verschillende manieren. Boomteelt tegen klimaatverandering. Met aardwarmte gedroogde tomaten. Allerlei nieuwe, lokale producten en ketens. Met technologische duurzaamheidshoogstandjes, zoals veeteelt zonder antibiotica. Welke nieuwe businessmodellen geven de landbouw toekomst?
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