Technology in general, and assistive technology in particular, is considered to be a promising opportunity to address the challenges of an aging population. Nevertheless, in health care, technology is not as widely used as could be expected. In this chapter, an overview is given of theories and models that help to understand this phenomenon. First, the design of (assistive) technologies will be addressed and the importance of human-centered design in the development of new assistive devices will be discussed. Also theories and models are addressed about technology acceptance in general. Specific attention will be given to technology acceptance in healthcare professionals, and the implementation of technology within healthcare organizations. The chapter will be based on the state of the art of scientific literature and will be illustrated with examples from our research in daily practice considering the different perspectives of involved stakeholders.
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For further development of technologies but also for the implementation in real life contexts, it is important to understand users' perspectives on the anticipated use of innovative technologies in an early development phase. In addition, it is also important to get a better understanding of the explanation of this behavior towards technology use in later stages. Although Head Mounted Displays (HMDs) are not really new anymore, the uptake has been slow so far and people showed some extreme reactions. The objective of this study was to analyze the content of YouTube comments on videos of HMDs, in order to get a better understanding of relevant factors in this early phase of potential acceptance of HMDs. We analyzed 379 YouTube comments on HMDs using content analysis. Comments were divided into three groups: HMD, video, and miscellaneous. Comments about HMDs n=24 were further analyzed. Most of the commenters showed a positive attitude to HMDs. Within the positive attitude, the most expressed themes were comments about the type of use (gaming), positive evaluations (emotions, coolness) and perceived need for an HMD. Within the negative attitudes, negative evaluations (judgments, emotions) were showed most and negative comparisons to other products were made. In neutral attitudes, the main theme was the type of use (gaming). The results specify a couple of user needs and social norms and values which people attach in this early phase to HMDs. In this early phase of acceptance, some early adoption observations were found as in when someone talks about the type of use (felt needs) and positive judgments (social norms). Early signs of rejection were found by negative judgments (social norms) and comparisons with other products (previous practice).
Smart glasses were perceived to be potentially revolutionary for healthcare, however, there is only limited research on the acceptance and social implications of smart glasses in healthcare. This study aims to get a better insight into the theoretical foundations and the purpose was to identify themes regarding adoption, mediation, and the use of smart glasses from the perspective of healthcare professionals. A qualitative research design with focus groups was used to collect data. Three focus groups with 22 participants were conducted. Data were analyzed using content analysis. Our analysis revealed six overarching themes related to the anticipated adoption of smart glasses: knowledge, innovativeness, use cases, ethical issues, persuasion, and attitude. Nine themes were found related to anticipated mediation and use of smart glasses: attention, emotions, social influences, design, context, camera use, risks, comparisons to known products, and expected reaction and might influence the acceptance of smart glasses.
Coastal nourishments, where sand from offshore is placed near or at the beach, are nowadays a key coastal protection method for narrow beaches and hinterlands worldwide. Recent sea level rise projections and the increasing involvement of multiple stakeholders in adaptation strategies have resulted in a desire for nourishment solutions that fit a larger geographical scale (O 10 km) and a longer time horizon (O decades). Dutch frontrunner pilot experiments such as the Sandmotor and Ameland inlet nourishment, as well as the Hondsbossche Dunes coastal reinforcement project have all been implemented from this perspective, with the specific aim to encompass solutions that fit in a renewed climate-resilient coastal protection strategy. By capitalizing on recent large-scale nourishments, the proposed Coastal landSCAPE project C-SCAPE will employ and advance the newly developed Dynamic Adaptive Policy Pathways (DAPP) approach to construct a sustainable long-term nourishment strategy in the face of an uncertain future, linking climate and landscape scales to benefits for nature and society. Novel long-term sandy solutions will be examined using this pathways method, identifying tipping points that may exist if distinct strategies are being continued. Crucial elements for the construction of adaptive pathways are 1) a clear view on the long-term feasibility of different nourishment alternatives, and 2) solid, science-based quantification methods for integral evaluation of the social, economic, morphological and ecological outcomes of various pathways. As currently both elements are lacking, we propose to erect a Living Lab for Climate Adaptation within the C-SCAPE project. In this Living Lab, specific attention is paid to the socio-economic implications of the nourished landscape, as we examine how morphological and ecological development of the large-scale nourishment strategies and their design choices (e.g. concentrated vs alongshore uniform, subaqueous vs subaerial, geomorphological features like artificial lagoons) translate to social acceptance.
Traffic accidents are a severe public health problem worldwide, accounting for approximately 1.35 million deaths annually. Besides the loss of life, the social costs (accidents, congestion, and environmental damage) are significant. In the Netherlands, in 2018, these social costs were approximately € 28 billion, in which traffic accidents alone accounted for € 17 billion. Experts believe that Automated Driving Systems (ADS) can significantly reduce these traffic fatalities and injuries. For this reason, the European Union mandates several ADS in new vehicles from 2022 onwards. However, the utility of ADS still proves to present difficulties, and their acceptance among drivers is generally low. As of now, ADS only supports drivers within their pre-defined safety and comfort margins without considering individual drivers’ preferences, limiting ADS in behaving and interacting naturally with drivers and other road users. Thereby, drivers are susceptible to distraction (when out-of-the-loop), cannot monitor the traffic environment nor supervise the ADS adequately. These aspects induce the gap between drivers and ADS, raising doubts about ADS’ usefulness among drivers and, subsequently, affecting ADS acceptance and usage by drivers. To resolve this issue, the HUBRIS Phase-2 consortium of expert academic and industry partners aims at developing a self-learning high-level control system, namely, Human Counterpart, to bridge the gap between drivers and ADS. The central research question of this research is: How to develop and demonstrate a human counterpart system that can enable socially responsible human-like behaviour for automated driving systems? HUBRIS Phase-2 will result in the development of the human counterpart system to improve the trust and acceptance of drivers regarding ADS. In this RAAK-PRO project, the development of this system is validated in two use-cases: I. Highway: non-professional drivers; II. Distribution Centre: professional drivers.
Traffic accidents are a severe public health problem worldwide, accounting for approximately 1.35 million deaths annually. Besides the loss of life, the social costs (accidents, congestion, and environmental damage) are significant. In the Netherlands, in 2018, these social costs were approximately € 28 billion, in which traffic accidents alone accounted for € 17 billion. Experts believe that Automated Driving Systems (ADS) can significantly reduce these traffic fatalities and injuries. For this reason, the European Union mandates several ADS in new vehicles from 2022 onwards. However, the utility of ADS still proves to present difficulties, and their acceptance among drivers is generally low.As of now, ADS only supports drivers within their pre-defined safety and comfort margins without considering individual drivers’ preferences, limiting ADS in behaving and interacting naturally with drivers and other road users. Thereby, drivers are susceptible to distraction (when out-of-the-loop), cannot monitor the traffic environment nor supervise the ADS adequately. These aspects induce the gap between drivers and ADS, raising doubts about ADS’ usefulness among drivers and, subsequently, affecting ADS acceptance and usage by drivers.To resolve this issue, the HUBRIS Phase-2 consortium of expert academic and industry partners aims at developing a self-learning high-level control system, namely, Human Counterpart, to bridge the gap between drivers and ADS. The central research question of this research is:How to develop and demonstrate a human counterpart system that can enable socially responsible human-like behaviour for automated driving systems?HUBRIS Phase-2 will result in the development of the human counterpart system to improve the trust and acceptance of drivers regarding ADS. In this RAAK-PRO project, the development of this system is validated in two use-cases:I. Highway: non-professional drivers;II. Distribution Centre: professional drivers.Collaborative partners:Bielefeld University of Applied Sciences, Bricklog B.V., Goudappel B.V., HaskoningDHV Nederland B.V., Rhine-Waal University of Applied Sciences, Rijkswaterstaat, Saxion, Sencure B.V., Siemens Industry Software Netherlands B.V., Smits Opleidingen B.V., Stichting Innovatiecentrum Verkeer en Logistiek, TNO Den Haag, TU Delft, University of Twente, V-Tron B.V., XL Businesspark Twente.
