Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare

Journal article


Sugarhood, P., Wherton, J., Procter, R., Hinder, S. and Greenhalgh, T. Technology as system innovation: a key informant interview study of the application of the diffusion of innovation model to telecare. Disability and Rehabilitation: Assistive Technology. 9 (1), pp. 79-87. https://doi.org/doi.org/10.3109/17483107.2013.823573
AuthorsSugarhood, P., Wherton, J., Procter, R., Hinder, S. and Greenhalgh, T.
Abstract

Purpose: To identify and explore factors that influence adoption, implementation and continued use of telecare technologies. Method: As part of the Assistive Technologies for Healthy Living in Elders: Needs Assessment by Ethnography (ATHENE) project, 16 semi-structured interviews were conducted with key participants from organisations involved in developing and providing telecare technologies and services. Data were analysed thematically, using a conceptual model of diffusion of innovations. Results: Participants identified numerous interacting factors that facilitated or hindered adoption and use. As predicted by the model, these related variously to the technology, individual adopters, the process of social influence, the innovativeness and readiness of organisations, implementation and routinisation processes following initial adoption, and the nature and strength of linkages between these elements. Key issues included (i) the complexity and uniqueness of the “user system”, (ii) the ongoing work needed to support telecare use beyond initial adoption, and (iii) the relatively weak links that typically exist between users of telecare technologies and the organisations who design and distribute them. Conclusions: Telecare is not merely a technology but a complex innovation requiring input from, and coordination between, people and organisations. To promote adoption and use, these contextual factors must be specified, understood and addressed.

JournalDisability and Rehabilitation: Assistive Technology
Journal citation9 (1), pp. 79-87
PublisherTaylor & Francis
Digital Object Identifier (DOI)https://doi.org/doi.org/10.3109/17483107.2013.823573
Publication dates
Online06 Aug 2013
Publication process dates
Accepted06 Jul 2013
Deposited09 Dec 2020
Accepted author manuscript
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Open
Additional information

This is an Accepted Manuscript of an article published by Taylor & Francis in Disability and Rehabilitation: Assistive Technology on 06/08/2013, available online: http://www.tandfonline.com/10.3109/17483107.2013.823573

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