Clara BerridgeUniversity of Washington Seattle | UW · School of Social Work
Clara Berridge
PhD, MSW
About
46
Publications
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Publications
Publications (46)
This study examines articulations of the relationship between privacy and passive monitoring by users and former users of a sensor-based remote monitoring system. A new conceptualization of privacy provides a framework for a constructive analysis of the study's findings with practical implications.
Forty-nine in-depth semistructured interviews were...
Full text available at: www.journals.cambridge.org/abstract_S0144686X15001269
Passive monitoring technology is beginning to be reimbursed by third-party payers in the United States of America. Given the low voluntary uptake of these technologies on the market, it is important to understand the concerns and perspectives of users, former users and n...
open access at: http://dx.doi.org/10.2196/jmir.9650
Background: Recent years have seen an influx of location-tracking, activity-monitoring sensors, and Web-cameras to remotely monitor the safety of older adults in their homes and to reduce reliance on in-person assistance. The state of research on these monitoring technologies leaves open crucial...
https://academic.oup.com/gerontologist/advance-article-abstract/doi/10.1093/geront/gnz068/5491612.
Background and Objectives:
Despite the surveilling nature of technologies that allow caregivers to remotely monitor location, movements, or activities, the potential differences in comfort with remote monitoring between caregivers and care recipients...
There is an urgent need to learn how to appropriately integrate technologies into dementia care. The aims of this Delphi study were to project which technologies will be most prevalent in dementia care in five years, articulate potential benefits and risks, and identify specific options to mitigate risks. Participants were also asked to identify te...
Background
Monitoring technologies are used to collect a range of information, such as one’s location out of the home or movement within the home, and transmit that information to caregivers to support aging in place. Their surveilling nature, however, poses ethical dilemmas and can be experienced as intrusive to people living with Alzheimer diseas...
Studies find that older adults want control over how technologies are used in their care, but how it can be operationalized through design remains to be clarified. We present findings from a large survey (n=825) of a well-characterized U.S. online cohort that provides actionable evidence of the importance of designing for control over monitoring te...
Insights:
Greater engagement with critical dementia studies in HCI is needed to counter the digital marginalization of people living with dementia.
Interventions initiated in the health sciences would benefit from more HCI research that is attentive to people living with dementia.
Broader understanding of skills maintained through dementia cou...
Master of social work (MSW) students will work with a significant number of people with disabilities and thus need to learn about disability as both a descriptive and a political identity. While new curriculum resources and competencies developed by the Council on Social Work Education for teaching about disability are a critical step, little has b...
Results from a June 2020 survey on comfort with two forms of artificial companion (AC) robots in normal compared with pandemic times will be presented. 1,082 adults age 21-92 (mean 64) completed the online survey for a response rate of 45%. Significantly greater comfort is reported with small AC robots relative to larger human-shaped robots in both...
The COVID-19 pandemic presents significant and costly disruptions to social service and health care systems. Eight in ten deaths from the COVID-19 virus in the U.S. have occurred in people age 65 and older (CDC, 2020). In addition to the mortality risk, the pandemic presents grave health and economic risks by disrupting services to older adults tha...
The COVID‒19 pandemic has highlighted the ease in which ageist language is employed and ageist stereotypes are used to characterize older adults. These are harmful and display an impressive lack of future thinking - as younger and middle-aged adults who use this language and forward these concepts also hope to live long lives. The disproportionatel...
Objectives
We examined the relationship between nursing assistant (NA) retention and a measure capturing nursing home leadership and staff empowerment.
Design
Cross-sectional study using nationally representative survey data.
Setting and Participants
Data from the Nursing Home Culture Change 2016-2017 Survey with nursing home administrator respon...
Article published here: https://www.ncbi.nlm.nih.gov/pubmed/31102442
On the dyad and aggregate level, we compare preferences of older adult women and their adult children for three remote monitoring technologies: location tracking, in-home sensors, and Web-cameras. Their assessments of each technology’s impact on privacy, safety, independence, fre...
Implementation of passive remote monitoring is advancing faster than our knowledge base about appropriate and ethical use. For all the media and research attention these technologies are getting, there has been very little discussion about how they are positioned to be integrated into health plans, yet their integration is key to how they will be i...
Background: Remote monitoring technologies are positioned to mitigate the problem of a dwindling care workforce and disparities in access to care for the growing older immigrant population in the United States. To achieve these ends, designers and providers need to understand how these supports can be best provided in the context of various sociocu...
Surveillance cameras are increasingly being deployed in nursing homes and assisted living facilities, with insufficient attention to what is ethically fraught about this way of assuaging concerns about abuse and other personnel challenges. With seven state laws now regulating camera monitoring and more on the way, it is urgent for us to consider th...
The emergence of consumer-purchased monitoring devices in shared, intimate spaces
presents new challenges to privacy and its protection. Web-enabled video cameras, which
allow family members to monitor one another in the name of care, are among the most
prevalent technologies in this vein. These cameras have recently gained traction for remote moni...
The emergence of affordable web-enabled video cameras normalizes their use for care purposes. With growing ease of access and affordability, families with loved ones in nursing homes or assisted living communities commonly turn to cameras to protect elders in residential care from the possibility of harm. Six states have now passed laws to regulate...
Using 2016/17 survey data, we estimated the national prevalence of the processes and structures promoted by the nursing home (NH) culture change movement. We administered the 2016/17 nationwide survey to 2,142 NH administrators at NHs that previously responded to our 2009/10 survey, and the response rate was 74% (1,584). From responses, we created...
Background and objectives:
Given the dynamic nursing home (NH) industry and evolving regulatory environment, depiction of contemporary NH culture-change (person/resident-centered) care practice is of interest. Thus, we aimed to portray the 2016/2017 prevalence of NH culture change-related processes and structures and to identify factors associated...
BACKGROUND
Remote monitoring technologies are positioned to mitigate the problem of a dwindling care workforce and disparities in access to care for the growing older immigrant population in the United States. To achieve these ends, designers and providers need to understand how these supports can be best provided in the context of various sociocul...
Background
Remote monitoring technologies are positioned to mitigate the problem of a dwindling care workforce and disparities in access to care for the growing older immigrant population in the United States. To achieve these ends, designers and providers need to understand how these supports can be best provided in the context of various sociocul...
Models of successful aging based primarily on the avoidance of disease, disability, and functional loss set up the majority of the older adult population for failure—a majority of whom are women, in particular, women of color. This article explores the ableism embedded in successful aging, as enacted through a medical model approach to disability....
Objective:
We document differential prevalence of need for assistance with personal, instrumental, and mobility tasks and adverse consequences of unmet needs, nursing home relocation, and mortality among Black and White older adults.
Method:
Data are from the National Health and Aging Trends Study. Using logistic and multinomial logistic regress...
There is little published research on the effects or desirability of cameras used in nursing home resident rooms to detect or deter abuse, yet policy makers are making decisions about how to regulate their use for this purpose. In the United States, there is no federal law to regulate camera use, but five states now have electronic monitoring laws...
We examined culture change practices within the same U.S. nursing homes (NHs) in 2009/10 and 2016. The proportion of NHs engaged in at least some culture change practices remained steady (87.2% vs. 87.7%). We calculated changes in scores across three domains using items measured at both time points (homelike physical environment, staff empowerment,...
A key component of culture change is staffing empowerment supported by nursing home management. On the labor side, collective bargaining is one strategy to improve labor conditions; however, it is unknown if unionized facilities implement staff empowerment practices associated with culture change. In this paper, we examine changes in nursing assist...
The purpose of this study was to cognitively test questions for our nursing home (NH) culture change survey and determine which NH leader to target. Cognitive-based testing systematically tests survey questions to determine respondents’ understanding of questions and reveal thought processes involved in providing an answer to help increase validity...
We used data from 834 U.S. nursing homes (NH) to understand culture change practice for the two domains added to our 2016 survey: family and community, and leadership. Domain scores reflect the average performance on nine and ten questions respectively, scored from 0 (rare) to 3 (almost always). Mean domain scores were 1.6 (sd = 0.46) for family an...
Passive monitoring systems have been proposed as a way to revolutionize home healthcare. This study examines specific techniques social workers employ to urge older adults to adopt the QuietCare sensor-based passive monitoring system that monitors movements in residents’ apartments. Data were gathered from 49 in-depth semi-structured interviews in...
This article examines whether staff empowerment practices common to nursing home culture change are associated with certified nursing assistant (CNA) retention. Data from 2,034 nursing home administrators from a 2009/2010 national nursing home survey and ordered logistic regression were used. After adjustment for covariates, a greater staff empower...
Background
Mobile health interventions are often standardized and assumed to work the same for all users; however, we may be missing cultural differences in the experiences of interventions that may impact how and if an intervention is effective.
Objective
The objective of the study was to assess qualitative feedback from participants to determine...
Purpose of the study:
Co-ordinated approaches to community-based care are a central component of current and proposed efforts to help vulnerable older adults obtain needed services and supports and reduce unnecessary use of health care resources.
Design and methods:
This study examines ElderHelp Concierge Club, an integrated community-based care...
Purpose of the Study: The purpose of this study was to analyze the range of critiques of successful aging models and the suggestions for improvement as expressed in the social gerontology literature.
We conducted a systematic literature review using the following criteria: journal articles retrieved in the Abstracts in Social Gerontology, published...
Interest in utilizing technology to help older adults remain living at home is growing; however, uptake remains low. We present a conceptual framework for understanding independent living technology innovation within health and social services. Public policy and innovation in the United States, the United Kingdom, and Scandinavia are profiled as ca...
Technology is profoundly human, shaping and shaped by our social practices. It causes change, engages diverse stakeholders, raises ethical concerns, and embodies values through its design and use. In one form or another, technology is ubiquitous in the lives of elders. Technologies to support connectedness, safety and well-being are fascinating top...
Objectives:
The increasing number of older adults with dementia is a large and growing public health problem. Alzheimer's disease, the prevailing form of dementia, is projected to quadruple worldwide. To date, the care and social integration of individuals with dementia is complicated by limited collaborations between biomedicine and other discipl...
Care in old age is not a citizenship right in the United States, and unmet needs remain a hidden struggle. When measured against an ethics of care, long-term care (LTC) falls short. A critical step toward more just systems of LTC is to bring feminist theories of care into cooperation with gerontology and disability thought. Doing so will entail kee...
In this study, the authors examine boys' household work in low- and moderate-income single-mother families. Through describing the work that boys do, why they do this work, and the meaning that they and their mothers give to this work, they add to the understanding of housework as an arena for gender role reproduction or interruption. Their data re...
Projects
Projects (2)
Evidence on effective fall prevention strategies for community‐dwelling older adults with dementia is limited, although these older adults are at high risk of falling. Informal care partners (families, friends, partners, neighborhood) may play an essential role in managing fall risk for older adults with dementia. However, little is known about how to engage care partners in managing fall risk for these older adults. This project is to examine informal care partners' experiences in managing fall risk for community-dwelling older adults living with dementia.
