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Digital transformation contributes to the elderly care of the future

Digitalization health care

Municipal operations are in the midst of a major challenge. Demographic changes, restructuring and increased pressure are creating new demands. Digitization is an enabler to cope with the transition, in combination with new ways of working, streamlined flows and the right conditions for both users and employees. We can meet the challenges and find new ways forward together.

That's why we at RISE work in the area of ​​Digital transformation in elderly care to strengthen care's ability to meet the challenges and take advantage of the opportunities. Via the center, you reach a unique and broad competence throughout the entire journey of change.

We meet your needs for support during a shorter intervention or a longer process. Through the large network of municipalities, regions, companies, and other organizations with which we collaborate, we can meet your challenge in proven ways or explore and break new ground together.

We have areas of expertise in impact measurement, service design, innovation procurement, work environment development linked to digitization and much more. Experienced Project managers and Change managers are offered as a cornerstone in collaborations.

RISE can contribute, among other things, in the following areas:

  • Innovation work and renewability
  • Analysis
  • Business and service development
  • Implementation
  • Competence development

Read more about RISE contribution to digital transformation in municipal care.

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Contact form title: Please fill out this form to get in touch with us Hantering av personuppgifter: /en/about-rise/operations/mission-governance/policy-documents/privacy-policy Division: Division Digital Systems and Societal Transformation Digital health Sekundär områdes navigation:
Innovation management
Design
Service innovation

How healthcare changes as it moves into our homes

In-home care

A large part of tomorrow’s healthcare and social care will take place in our homes. Digitalisation plays an important role but it is far from the only parameter to consider in the transition.

The proportion of older people in the population is increasing at the same time as the number of staff in elderly care is decreasing. It is a difficult equation to solve and requires new thinking. Digitalisation makes it possible to partially transfer care to the home, but the question is how this is done in the best way for the individual with a focus on their needs and wishes.

- “When digital welfare services were first introduced, many feared that the elderly would be left alone with the technology, but that was never the aim,” says Joakim Börjesson, Head of the E-health focus area and Manager of the Digital Health unit at RISE. “Instead, the aim is for the technology to relieve the burden on healthcare and social care staff so that they have time to provide crucial human contact.”

Prevention made possible by digitalisation

Digitalisation can play an important early role in preventive healthcare. Today, only a small proportion of the healthcare budget is spent on preventing disease and ill health, even though it is so important for public health.

- “But it seems that more and more people are beginning to understand the importance of prevention and its link to the need for future healthcare and social care,” says Camilla Evensson, Head of the Future Care focus area at RISE. “With good prevention, it’s possible to bypass, reduce or delay an individual’s need for healthcare and social care.”

So, what challenges are there to implementing digital healthcare in the home?

- “The technology exists and works, but has proven difficult to put into use in the healthcare system,” explains Börjesson. “There is a great need for support and learning about both the technology and organisation. We are in the midst of a digital transformation that represents one of the biggest changes that we have experienced in healthcare and social care.”

We are enablers with a 360-degree perspective, and we always lean on research and evidence

Adaptations needed for a good work environment

Another challenge is the work environment. When healthcare and social care take place in the home, adaptations are needed to ensure a good work environment for the staff.

- “There will be a great need for different forms of housing adapted to different stages of ageing,” says Evensson. “Furthermore, the homes need to be modified and equipped to work as efficiently, safely, and integrated as possible, and that the home is supplemented with different types of both digital and analogue care services for the individual.”

Evensson also emphasises that the home and living environment must stimulate the senses, which can be an even greater factor in promoting our wellbeing and health:

- “The ideal is for the digital technology to interact with both the living environment and the individual, while the work environment is good for healthcare and social care staff. It’s important to reiterate that healthcare and social care should be based on the individual’s needs, preferences, wishes, and abilities.”

Help from civil society in care services

One solution to the staff shortage in healthcare and social care may be to enlist the help of civil society when it comes to certain care services.

- “But it requires structure and a good compensation system, and the effects of such a solution must be measurable,” says Evensson.

Another challenge is the management of health data, both in terms of cooperation between regions and the interpretation of self-collected data.

- “Misinterpreting your data can cause unnecessary worry, but AI can help in this,” says Börjesson.

RISE building system demonstrator

Many parameters must be considered when planning the future of healthcare and social care. In order to study the whole, RISE is building a system demonstrator that takes into account different dimensions such as organisation, procurement, legal frameworks, physical environments and digitalisation. This cannot be done in laboratories, it must be carried out in a real-world environment, and several collaborations with municipalities and regions are already underway.

In this work, RISE benefits greatly from its breadth, its interdisciplinary approach, and its position as a neutral party.

- “We are enablers with a 360-degree perspective, and we always lean on research and evidence,” says Börjesson.

- “There are many parties that need to come together in a project like this, which means it’s important that there is a neutral party that doesn’t have its own agenda – and we are that party,” asserts Evensson.

Camilla Evensson

Gruppchef
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Joakim Börjesson

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Digital health Sekundär områdes navigation:
Preventive health
Artificial intelligence
Service innovation

Life Stories

Life Stories
The prototype Pebbles

The project explored ways to make life stories accessible and present in the meeting between elder people, staff and relatives. The goal was to create a solution where well-being, social interaction and the opportunity to convey one's identity are in focus.

Projekt- och innovationsledning
Completed
Healthcare and social care
Not applicable
3 år
5400000
Division: Division Digital Systems and Societal Transformation

The challange

Life stories are collected information about a person, everything from their history to preferences and habits. The method is often used in care and social care to create the conditions for person-centred care. The stories play a vital role for many people as it is a tool that gives the opportunity to see beyond diagnoses. The problem with the method today is that the stories are often "hidden" in journal systems and are not available in daily work. They are also time-consuming to collect, which entails the risk that they are not prioritized and that they are not updated when the person changes over time.

The goal

Through an iterative and user-driven process, the project has explored how multisensory interactive life stories can be designed to:

  • convey the sense of identity and belonging create an experience for several senses
  • evoke memories, inspire activities, conversations and contribute to well-being
  • be useful & available to the staff in their daily work
  • increase participation in one's own care situation & social context

The concept developed during the project has been designed as a prototype that has been tested and evaluated by the users in their real context, i.e. staff and care recipients in nursing homes, relatives and elder people still living at home.

The result

The prototype Pebbles are shaped like stones with a digital core, allowing them to be updated and customized based on users. The 3D-printed stones have a digital screen where images, facts and questions can be displayed that spark conversation and highlight what a person likes and has experienced - or wants to experience. The associated application "Like or dislike" which can be reached via a tablet, mobile or computer is a way for users to choose the content to be sent to Pebbles. All pictures that the person clicks the thumbs up on in "Like or dislike" are saved on the person's profile and can then be sent to the stones to look at. A vibration alerts the user that a new image is visible on the stones.

Pebbles can, for example, be used in meetings between staff and elder people who live in special accommodation. Through the staff getting to know the person, the opportunity to provide person-centered care and to create activities that are adapted to the individual increases. The conversations that arise can also increase the sense of belonging and quality of life. The solution can also be used together with relatives or other elder people who live in the accommodation as a joint activity in, for example, the common room.

Demonstration of the prototype

The application "Like or dislike"

Users engage in conversation around the images displayed on the screen and select thumbs up (like) or thumbs down (dislike) on the images to make a selection. The pictures that get the thumbs up are saved in a collection that can then be sent to Pebbles.

"Pebbles"

Users can either send pictures to Pebbles from the "Like or dislike"-session or from ready-made categories on different themes (for example nature, travel or sports). The images sent to the Pebbles are displayed on a digital screen on the undersides of the "pebbles". After users have viewed the image, they can flip them over to await a new image. If the user holds the stone in their hand, they can also feel it vibrate when the image changes. In this way, it becomes clear that something new has happened.

Publications

AHFE International Conference 2013 Life Stories – Developing an Interactive Solution for Reminiscence and Communication.
AHFE Open Access, vol 88. AHFE International, USA.http://doi.org/10.54941/ahfe1003660

AHFE International Conference 2014 Evaluation of an Interactive Solution for Reminiscence and Communication.  
AHFE Open Access, vol 133. AHFE International, USA.http://doi.org/10.54941/ahfe1004890

Marie Sjölinder

Senior Researcher
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Elin Wennberg

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3. Good health and well-being
Project end date: Digital health Sekundär områdes navigation: Design

Little NIRVANA

Little NIRVANA
Screenshot from the project Little NIRVANA

LittleNIRVANA strives to reduce medical discomfort for children by developing an innovative, digital tool that applies and integrates several evidence-based, tailored principles based on the child's age and level of development.

Technical development and user experience
Active
Digitalisation Digital health Medical devices New therapies Preventive healthcare Healthcare and social care
3 years
Division: Division Digital Systems and Societal Transformation

Each year, many millions of children are exposed to painful medical events such as vaccinations, blood tests, minor surgeries or invasive examinations. Children often perceive these events as frightening, which can lead to failed treatments, slower healing and anxiety about medical procedures. 

The project’s objective is to strengthen empowerment and trust of the child and their parents during medical procedures and to prevent procedural anxiety and trauma. This is achieved through development of an innovative digital tool integrating multiple evidence-based principles tailored on the age and developmental level of the child. 

The project runs over a period of three years from January 2020 until December 2022. The funding is provided by EIT health. 

In the tool, an attractive and colorful bird-like creature, named Milo will be the companion of the child during the hospital visit and procedure. The “Breath of Nature” is a magical world where the child is invited to join. A multi-modular app with trust-enhancing, relaxation and training modules for the children and their parents will be developed and can be used in the waiting room or at home. Central in the little nirvana experience is the procedural encounter. This will be embedded in a multisensory 2D/3D experience. A service is developed for the care providers, with which they can control the interactive experience based on the patient's status and needs/phases of the procedure.

Marie Sjölinder

Senior Researcher
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Projekt logo: little-nirvana logo Project end date: Medtech Sekundär områdes navigation:
Design
Digital health
Service innovation

AD Shield: Presymptomatic Alzheimer’s disease detection and prevention

AD Shield

RISE, together with Danish Brain+ and many other European parties explored how digital tools can contribute to prevent and mitigate dementia and symptoms related to dementia in clinical environments and in the home.

Participant
Completed
Preventive healthcare
Not applicable Other than Sweden
3 years
€ 1 373 515
Division: Division Digital Systems and Societal Transformation

During the project, RISE, Brain+, Aarhus University, Aarhus University Hospital, Lytics and Sentian first researched how digital game design and design for behavior change could potentially be applied to discover, prevent and treat Alzheimers disease. Later in the project, the project partners explored how the form of dementia treatment called Cognitive Stimulation Therapy, CST, can be translated to a digital format through support tools for clinical professionals as well as relatives, acquaintances and people around people with dementia.

Participants from RISE included Kristina Knaving, Annika Gustafsson, Maja Fjällbäck, Anneli Nöu, László Sall Vesselényi and Jessica Dagman.

Project end date: Digital health Sekundär områdes navigation:
Artificial intelligence
Design
Lifelong learning

Preliminary study VisaTestNytta - evaluate tests of welfare technology

Preliminary study: VisaTestNytta

In Sweden, welfare technology is used to create security, participation, independence and self-determination for individuals. Many testify that there is a lack of tools and data to evaluate quantitative and qualitative effects of welfare technology.

Omvärldsanalys, expertis testning och samhällsnytta
Active
Digital health Public sector
Not applicable
6 månader
500.000 kr
Division: Division Digital Systems and Societal Transformation

Project manager Ingela Ernestam, responsible for Health and Care at Alfred Nobel Science Park, will together with Mona Jonsson, e-health strategist and Håkan Cavenius, researcher, at RISE conduct a feasibility study to identify the need for a service that ensures high quality tests in the project VisaTestNytta.

- First, we will carry out an updated analysis of the surrounding world to establish what tools and methods are available nationally today to evaluate tests. Then we intend to make a needs analysis of actors who carry out tests of welfare technology, says Ingela Ernestam.

She believes that it is important to take into account several parameters in order to evaluate the benefits of welfare technology - that not everything can be measured from an economic perspective. For example, there may be technical devices that do not save money for a municipality, but which create other values ​​such as staff and residents becoming less stressed.

Many organizations

The aim of the feasibility study is to present a needs- and market research and proposals for a service to ensure qualitative tests of welfare technology for national actors who may be interested in owning, managing and developing such a service. If there is interest, the goal is then to develop a service with several benefits together with the organization:

 

  • To ensure that all conditions are in place to conduct tests of welfare technology
  • To provide tools and methods for conducting high quality tests
  • To provide research-based tools and methods for evaluating the tests - both qualitatively and quantitatively
  • Reporting system that with the help of visualization delivers a clear result and recommendation on whether the organization should proceed after the test, for example by introducing some type of welfare technology within a municipality

The VisaTestNytta project runs until the end of June 2021 and is financed with half a million kronor from the innovation authority Vinnova. In addition to Alfred Nobel Science Park and RISE, a reference group with participants from Örebro University and Örebro Municipality is participating.

 

Jonas Ek

Projektledare
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3. Good health and well-being
Project end date: Digital health Sekundär områdes navigation:
Metrology
Service innovation

Stockholm Digital Care

Stockholm Digital Care
kvinna visar något på mobilen för äldre dam

Stockholm Digital Care drevs under 5 år, 2016-2020, och var ett tillväxtprojekt för att stötta utvecklingen av välfärdsteknik mot äldre.

Partner, ansvarig för Utvecklingsarenan
Completed
Digitalisering E-Hälsa Internet of Things Offentlig sektor Sensorer och sensorsystem
Region Stockholm
5 år
Division: Division Digitala system och samhällsomställning

I projektet skapade vi en brygga mellan utbud och efterfrågan på ny välfärdsteknik. Dvs mellan entreprenörer och beställarsidan/behovsägarna där vi bidrog till utveckling av behovsanpassade och mer köpbara lösningar och även till en ökad kunskap och förståelse för utmaningar och möjligheter inom området välfärdsteknik. Vi hjälpte företag och offentlig verksamhet att förstå varandras förutsättningar för att kunna göra goda affärer.

I projektet skapade vi en neutral utvecklingsarena där entreprenörer och kommuner kunde ha ett enkelt utbyte och samtal kring vad som behövdes inom utveckling av välfärdsteknik. RISE hade en betydande del av projektet och ansvarade för denna utvecklingsarena som tillsammans med testmiljöerna skapade en helhet i utvecklingsflödet. Från att öka kunskapen inom en mängd olika områden, nätverkande i branschen och individuell coaching av företag till att genomföra tester i livinglab och erbjuda användarpaneler med specifika och relevanta kompetenser som verktyg för utveckling och förädling av lösning. 

Projektet var ett samverkansprojekt mellan tre kommuner, ett kommunförbund, en region och RISE (se ruta till höger). Projektet var delfinansierat av deltagande samt EU:s regionala tillväxtfond.

I projektet jobbade vi med:

  • Coaching av entreprenörer/företag för att öka deras förutsättning att ta fram behovsanpassade och köpbara lösningar
  • I början av projektet visade vi kommuner i regionen vilken teknik som fanns och inspirerade dem till att se välfärdsteknik som en möjlighet i välfärdsuppdraget
  • Branschunikt nätverk med ca 150 företag/organisationer
  • Vi genomförde 20 öppna nätverksträffar för lärande och nätverkande 
  • Testmiljöer med testledare i Huddinge kommun, Nacka kommun och Stockholms Stad/Skärholmen
  • Tester genom living lab både i hemmiljö och på särskilt boende 
  • Tester genom paneler och workshops med behovsägare, användare och relevanta yrkesroller framtagna för varje unikt test. 
  • Återkommande fysiska och digitala seniorpaneler
  • Utveckling av testkompetens och digitaliseringsmognad hos deltagande kommuner/testmiljöer
  • Inspirationsföreläsningar till beslutsfattare, medarbetare /verksamheter och användare
  • Framtidsinspirerade dialoger och samverkan med andra forskningsprojekt 
  • Samverkan med andra SME-stödjande organisationer och projekt både externt och inom RISE

Några framgångsfaktorer och nyttor vi såg i projektet var:

Framgångsfaktorer

  • Ingen eller mycket låg ingångströskel
  • Bollplank med kompetent testkund
  • Insyn hos kunden/verksamheten – förstå kontexten
  • Ärliga utan värdering
  • Neutral partner – ”ofarlig” och enkel kontakt med företag för offentliga aktörer
  • Processmetod från utvecklingsarena till testmiljö
  • Erbjuda test mot rätt målgrupp
  • Erbjuda rätt företag till rätt testmiljö

Nyttor

  • Erbjudande och affärsidé utmanas
  • Fördjupad kunskap genom samtal med olika yrkesroller, seniorer m fl
  • Nätverksträff som skapar fokus på utmaning
  • Dialoger och test hjälper till i prioritering av funktionalitet
  • Ökad och ny kunskap om behov av utveckling av ny funktionalitet
  • Kunskap om möjlighet att arbeta på andra sätt
  • Kunskap om aktörer och innovationer på marknaden

 Erfarenheter och lärdomar från projektet väver vi in i nya projekt och aktiviteter med nya samarbetsparter.

Vill du läsa mer om projektet finns material här. Men tveka inte att ta kontakt med Malin Edlund Fransson eller Ann-Sofie Mårtensson om du vill veta mer. 

Videopresentation av projektet Stockholm Digital Care
Stockholms stad, Huddinge kommun, Nacka kommun, Storsthlm, Region Stockholm
Projekt logo: Stockholm Digital Care Project end date: E-hälsa Sekundär områdes navigation:
Innovationsledning
Design
Tjänsteinnovation

Digiphysical care contacts increased the security of people in nursing

Digiphysical care - Civic Tech
Physician from KRY by his computer

The project Digiphysical care contacts created security for citizens who live in nursing homes and their relatives in the region of Västerbotten. The project seeked to address the challenge and increase the confidence of these citizens in health and care through the combination of digital and physical care.

Coordinator
Completed
Digitalisation Digital health Public sector
Region Västerbotten
Until October 2021
Division: Division Digital Systems and Societal Transformation

Sweden's health care is facing major challenges. Demographics with an aging population, difficulties with the provision of skills and the conversion to digital systems provide opportunities, but also place great demands on management, routines and collaboration.

People living in nursing homes are usually elderly and multi-ill with great physical or cognitive difficulties to cope with their own housing and need continuous help and support. For these people, physician continuity is an important part of the treatment, which is unfortunately lacking in many rural communities.

With the project, we wanted to create security for citizens who live in nursing homes and their relatives in the Västerbotten Region's area of ​​southern Lapland. This group is severely affected by not having a continuity in doctor contacts, which is because they are forced to use reluctant doctors in the area to deal with the shortage of doctors.

The project seeked to address the challenge and increase the confidence of these citizens in care and care through the combination of digital and physical care services.

Project partners in addition to RISE were Glesbygdsmedicinskt Centrum, Region Västerbotten, Malå municipality, KRY and the Civic Tech platform.

Vinnova's Civic tech program: Digital services for increased trust between citizens and the public sector fund this project.

A short video clip about the project (Swedish)

Jonas Ek

Projektledare
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3. Good health and well-being
5. Gender equality
10. Reduced inequalities
Project end date: Digital health Sekundär områdes navigation:
Digitalisation
Service innovation

Digital Care - digitalvardochomsorg.se

Digital Care

The website digitalvardochomsorg.se was created due to the exceptional situation with the pandemic. It placed great demands on fast and coordinated digital solutions. The site is still much needed today and is an integrated info and support portal that provides clear support for the digital transformation of care, welfare and social services.

Koordinator
Active
Digitalisation Digital health
Not applicable
Tills vidare
Division: Division Digital Systems and Societal Transformation

The focus for the site is to support municipalities, organizations in municipal care and social services with:

  • Doing right - advice to comply with applicable laws, such as confidentiality and procurement.
  • Getting started - tips and presentation of developed services and knowledge of what digital services and products are available, which can be found on the Marketplace page.
  • Broadening the use of services - tips and ideas on how already introduced services can be used in different ways.

Digitalvardochomsorg.se is a compass for care and social services in the needs of transformation from analog and physical to digital. Here you can directly find links to the specific materials of the collaborators that have been collected and created to meet the new challenge.

The various national actors in the project working in health care, social care and social services support the work that is done in the municipalities. At digitalvardochomsorg.se, through this collaboration, there is a credible and quality-assured content that is offered to everyone who needs.

The site is maintained by RISE in collaboration with the National Board of Health, the E-Health Authority, the Swedish Agency for Participation, SKR, the Swedish Social Managers Association, the Procurement Authority, PTS, the Healthcare Analysis, IT&Telecom bolagen; the IT and telecom companies, Swedish Medtech and Medtech 4 health and co-financed by the Ministry of Social Affairs. Updates are ongoing.

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3. Good health and well-being
Project end date: Digital health Sekundär områdes navigation:
Innovation management
Lifelong learning
Service innovation

UX Lab – Test environment for evaluating usability and accessibility

UX Lab
UX Lab lab room

UX Lab is mainly used for testing and evaluating usability and user experiences on products and services. The lab is modular and simulates the natural environment of the products being evaluated. With the latest technology and cutting-edge expertise, we can offer a test environment for many different products and needs.

Testbeds in real life (TR)
Region Stockholm

Jessica Dagman

Enhetschef
+46 10 516 54 30 Read more about Jessica
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Off
Division: Division Digital Systems and Societal Transformation

User Experience (UX) is a design process about getting insight into what the user says, does, uses, knows, feels, wants and needs. By acquiring knowledge about your users, you also increase the opportunities to create meaningful products, services and experiences that meet their needs.  

In the UX Lab various forms of user tests, market research and focus group discussions can be carried out. High quality video recordings of user tests can be performed and the findings summarized, which can be useful for further development of the product as well as for communication and presentation. To enhance your understanding and knowledge of your users even further, your team has the opportunity to participate and observe the users' tests, either at the lab or through a live stream.  

When live streaming, multiple camera views in combination with the mirroring of a smartphone and/or digital prototype can then be shown to observers online. Remote tests, where the user and moderator are in different locations, can also be arranged and performed through UX Lab.

The lab rent always includes a technician who helps to prepare the room according to your wishes. If you need recommendations and help in planning and conducting various studies, we have experts at hand. This implies that you choose whether you want to rent the lab with or without Usability Researchers.

 

Contact us and we will tell you more!

Other
Circular transition Design Digitalisation Digital health Internet of Things Professional education Medical devices Mobility Perception Service innovation
Not applicable
2015
Division (OLD): Division Digital Systems and Societal Transformation Design Sekundär områdes navigation:
Digital health
Medtech