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The Use Of Information And Communication Technology Among Older Immigrants In Need Of Home Care: A Systematic Literature Review
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Technology in Health Care.ORCID iD: 0000-0002-9388-4145
Malmö University, Department of Computer Science and Media Technology.ORCID iD: 0000-0002-9522-5469
KTH, School of Engineering Sciences in Chemistry, Biotechnology and Health (CBH), Biomedical Engineering and Health Systems, Technology in Health Care.ORCID iD: 0000-0003-0563-3635
2022 (English)In: Ageing International, ISSN 0163-5158, E-ISSN 1936-606X, Vol. 47, no 2, p. 238-264Article in journal (Refereed) Published
Abstract [en]

Better home care and home care technologies are no longer requested solely by nonimmigrant older adults but also by members of the fast-growing older adult immigrant population. However, limited attention has been given to this issue, or to the use of technology in meeting the needs of aging populations. The objective of this review is to map existing knowledge of older adult immigrants' use of information and communication technologies for home care service published in scientific literature from 2014 to 2020. Twelve studies met the established eligibility criteria in a systematic literature search. The results showed older adult immigrants faced similar barriers, which were independent of their ethnic backgrounds but related to their backgrounds as immigrants including lower socioeconomic status, low language proficiency, and comparatively lower levels of social inclusion. Technology use could be facilitated if older adult immigrants received culturally-tailored products and support from family members and from society. The results imply that the included studies do not address or integrate cultural preferences in the development of information and communication technology for home care services. Caregivers might provide an opportunity to bridge gaps between older immigrants' cultural preferences and technology design. This specific research field would also benefit from greater interest in the development of novel methodologies.

Place, publisher, year, edition, pages
Springer Nature , 2022. Vol. 47, no 2, p. 238-264
Keywords [en]
Immigrants, Older adults, Information and communication technology, Home care, Healthcare disparities
National Category
Other Social Sciences not elsewhere specified
Identifiers
URN: urn:nbn:se:kth:diva-303799DOI: 10.1007/s12126-021-09417-xISI: 000672972700001Scopus ID: 2-s2.0-85111743835OAI: oai:DiVA.org:kth-303799DiVA, id: diva2:1604387
Note

QC 20250324

Available from: 2021-10-19 Created: 2021-10-19 Last updated: 2025-03-24Bibliographically approved
In thesis
1. Older immigrants in need of care in times of digitalization: The case of filial piety in transition among Chinese families in Sweden
Open this publication in new window or tab >>Older immigrants in need of care in times of digitalization: The case of filial piety in transition among Chinese families in Sweden
2021 (English)Licentiate thesis, comprehensive summary (Other academic)
Abstract [en]

Globalization has facilitated international communication and economic activities that motivate more international migration. Different cultures and values from the West and the East are interwoven in the same social context. Meanwhile, aging has become a notable phenomenon in most developed countries due to declining fertility and increased life expectancy. A digital transformation of society is taking place alongside the aging and international migration that will start to question the image of older adults and the patterns of providing elderly care. Chinese elderly care is characterized by familism providing family-based informal care to an older family member. Despite the influence of migration and modern lifestyles, filial piety is expected to continue to guide the care responsibilities and care providing among Chinese families. 

This thesis aims to understand the cultural provision of support and care for Chinese older adults living in Sweden and under the influence of the digital transformation of society. It starts by exploring the disparities, barriers, and facilitators for older immigrants in need of home care to utilize digital technology. After constructing knowledge about the influences of the foreign environment and continuous digitalization in home care, the thesis seeks to understand how filial piety continues to be enacted; what part of the tradition is preserved, and what is changed; how the internal and external factors influence the decision of elderly care; and the role of digitalization in this process. The thesis utilizes qualitative in-depth interviews to continue investigations among eight midlife and older Chinese immigrants living in Sweden. Thematic analysis was employed for data analysis. Berry’s acculturation framework and Yeh’s Dual Filial Piety Model provide the theoretical ground for the research. 

The results indicated that filial piety is in transition in terms of filial responsibilities, filial behaviors, and intergenerational relationships. Despite the differences in the acculturation level, the authoritarian element of filial piety lacked ground in the Swedish social context. Respondents showed their willingness to strengthen the reciprocity with their adult children by providing additional support, valuing affections rather than hands-on care, respecting adult children’s decisions. The uptake of digital technologies has enabled midlife and older Chinese immigrants to maintain more frequent contact with family members and friends in other countries. It also improves the autonomy and capabilities for respondents to plan more independent later lives. The conclusion is that traditional values such as filial piety was not as prominent in Sweden as they are in China. 

Abstract [sv]

Globaliseringen har möjliggjort gränsöverskridande kommunikation och export samt import av varor och tjänster. Även människor rör sig över olika delar i världen och emigrerar till främmande länder. Detta i sin tur innebär att olika kulturer och värderingar från väst och öst behöver vävas samman och samsas i samma sociala kontext. Förutom globaliseringen så har åldrandet; på grund av sjunkande fertilitet och ökad livslängd, blivit en betydande företeelse i de flesta utvecklingsländer. En digital omvandling av samhället pågår parallellt med åldrandet och den internationella migrationen. I det avseendet blir äldre immigranter, deras teknikanvändning och syn på äldreomsorg allt viktigare. 

Kinesisk äldreomsorg kännetecknas av familjebaserad informell vård till av äldre familjemedlemmar. Trots samhällets förändring och digitalisering, förväntas barnen ha huvudansvaret för vård och omsorg av sina äldre familjemedlemmar. Fenomenet kallas ”filial piety” och beskriver barnens skyldigheter att sörja för sina föräldrar på ett respektfullt sätt. 

Denna licentiatexamen syftar till att öka kunskapen om äldre kinesiska immigranter som bor i Sverige och deras förväntningar på omhändertagandet och äldrelivet i Sverige relaterat till digitaliseringen.  Licentiatexamen börjar med att utforska skillnaderna, hindren och möjligheter i att använda digital teknik bland äldre invandrare i behov av hemtjänst. Licentiatexamen använder kvalitativa djupintervjuer för att undersöka hur åtta medelålders och äldre kinesiska invandrare, bosatta i Sverige. Intervjuerna har analyserat med hjälp av tematisk analys. Berrys ramverk för ackulturation och Yehs ”Dual Filial Piety Model” utgör den teoretiska grunden för forskningen.

Resultaten indikerade på att synen på ”filial piety” är i förändring när det gäller vårdnadsansvar, beteenden och relationer mellan generationerna. Trots skillnaderna i nivån av ackulturation saknades det auktoritära inslaget av ”filial piety” i den svenska kontexten. Intervjupersonerna betonade sin vilja att stärka samspelet med sina vuxna barn genom att ge stöd och affektion snarare än att de förväntade att barnen skulle ge praktisk vård och omsorg. De intervjuade visade stor respekt för sina vuxna barns beslut och självständighet. Användningen av digital teknik möjliggjorde att de intervjuade kunde hålla tät kontakt med familjemedlemmar och vänner i andra länder. Den digitala kontakten med familjemedlemmar och vänner i sin tur, ansågs stödja deras autonomi och förmåga att planera sina framtida liv och äldreomsorg. Slutsatsen är att traditionella värderingar så som ”filial piety” påverkades av den svenska kontexten och förväntningarna på de vuxna barnen var inte lika höga och framträdande som de traditionellt sett varit i Kina.  

Place, publisher, year, edition, pages
Stockholm: KTH Royal Institute of Technology, 2021. p. 64
Series
TRITA-CBH-FOU ; 2021: 51
Keywords
Acculturation, Chinese, cultural norms, digitalization, eldercare, filial piety, older immigrants, welfare state, ackulturation, kina, kulturella normer, digitalisering, äldreomsorg, plikt, filial piety, äldre invandrare, välfärdsstat
National Category
Other Social Sciences
Research subject
Technology and Health
Identifiers
urn:nbn:se:kth:diva-304331 (URN)978-91-8040-053-4 (ISBN)
Presentation
2021-11-25, T2, Hälsovägen 11C, Huddinge, 13:00 (English)
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Supervisors
Note

QC 2021-11-02

Available from: 2021-11-02 Created: 2021-11-02 Last updated: 2022-06-25Bibliographically approved

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Chen, XinFrennert, SusanneÖstlund, Britt

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