DigiSwitch: a device to allow older adults to monitor and direct the collection and transmission of health information collected at home.

Home monitoring represents an appealing alternative for older adults considering out-of-home long term care and an avenue for informal caregivers and health care providers to gain decision-critical information about an older adults' health and well-being. However, privacy concerns about having 24/7 monitoring, especially video monitoring, in the home environment have been cited as a major barrier in the design of home monitoring systems. In this paper we describe the design and evaluation of "DigiSwitch", a medical system designed to allow older adults to view information as it is collected about them and temporarily cease transmission of data for privacy reasons. Results from a series of iterative user studies suggest that control over the transmission of monitoring data from the home is helpful for maintaining user privacy. The studies demonstrate that older adults are able to use the DigiSwitch system to monitor and direct the collection and transmission of health information in their homes, providing these participants with a way to simultaneously maintain privacy and benefit from home monitoring technology.

Age-related differences in learning incidental, environmental information.

Incidental task structure is consistent, potentially beneficial, information that is not necessary for successful task performance (i.e., is seemingly unrelated to the task). The authors investigated whether incidental task structure was differentially beneficial to younger and older adults. Across three experiments, 122 participants searched for targets among stimuli laid upon different patterns, such that certain patterns correlated with target location at varying degrees of consistency. An age-related difference was identified in the ability to learn an incidental structure under certain conditions and a strategy explanation for the difference was investigated. When older adults' were encouraged to orient at least some degree of attention toward the predictive information, learning occurred. Older adults are capable of learning incidental, environmental information but their learning was not identical to younger adults'. Younger adults showed performance benefits when provided with incidental task structure, but older adults may need to be made explicitly aware before it is useful.

Privacy Concerns and Disclosure Behavior in a Health Setting.

Health care practitioners need complete and accurate information to provide quality care to their patients. However, health information is considered to be highly private. Patients may have concerns about disclosing such information, especially if asked to provide this information using technology. The goal of this study was to investigate how participants' experience with a technology affect their level of disclosure in a health setting. Specifically, we were interested in understanding how the use of a health database system influences the disclosure of private health information. We asked 12 younger and 12 older adults to interact with a computerized health data entry system and then to rate the completeness and accuracy of their intended disclosures. Results indicate that, for the most part, participants would provide complete and accurate information using such a system. Younger adults were less likely than older adults to intend to disclose sensitive information, suggesting that additional information gathering may be appropriate for younger adults. The importance of providing a reason for the request of each piece of health information is discussed in relation to the setting where information is gathered.

Privacy and Technology: Folk Definitions and Perspectives.

In this paper we present preliminary results from a study of individual differences in privacy beliefs, as well as relate folk definitions of privacy to extant privacy theory. Focus groups were conducted with young adults aged 18-28 and older adults aged 65-75. Participants first shared their individual definitions of privacy, followed by a discussion of privacy in six scenarios chosen to represent a range of potentially invasive situations. Taken together, Westin's and Altman's theories of privacy accounted for both younger and older adults' ideas about privacy, however, neither theory successfully accounted for findings across all age and gender groups. Whereas males tended to think of privacy in terms of personal needs and convenience, females focused more on privacy in terms of others, respecting privacy rights, and safety. Older adults tended to be more concerned about privacy of space rather than information privacy. Initial results reinforce the notion that targeting HCI design to the user population, even with respect to privacy, is critically important.