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1. Acknowledgements
This project was funded by the AGE-WELL NCE, through the POLICY-TECH work package. Thank you to the SHARP members and other stakeholders
who contributed to and continue to support this project.
“…And then of course we will involve the community”:
Lessons on meaningful engagement of older adults in innovation ecosystems
Heather McNeil1 hmcneil@uwaterloo.ca, Josephine McMurray2, Kerry Byrne1, Kelly Grindrod1, Annette McKinnon3 & Paul Stolee1
1. University of Waterloo 2. Wilfrid Laurier University 3. Canadian Arthritis Patient Alliance
Introduction
References
1.
The Triple Helix: University-Industry-Government Relations: A Laboratory for Knowledge-Based Economic Development. EASST Review, 14, 14-19. 2. Arskey, H. & O’Malley, L. (2005). Scoping studies: towards a
methodological framework. International Journal of Social Research Methodology, 8, 1, 19-32. 3. Kane, M. & Trochim, W. (2007). Concept mapping for planning and evaluation. Sage Publications, California. 4.
Caryannis, E. et al. (2012). The Quintuple Helix innovation model: global warming as a challenge and driver for innovation, Journal of Innovation and Entrepreneurship, 1, 2.
Results
Conclusions and Next Steps
• Health innovation offers potential benefits for the well-being of older adults and
caregivers.
• Regional Innovation Ecosystems (RIEs), involving a “triple helix” of industry,
government and academic stakeholders (1), have been proposed to support
development and commercialization of new technologies and other innovations.
• Current social trends and an increasing understanding of the benefits of co-
production with end users (e.g., their involvement resulting in innovations more
likely to serve their needs) suggest a need to evolve this model to more meaningfully
engage the community.
• We sought to understand whether older adults and their caregivers contribute their
perspectives to RIEs innovating in health and aging (RHIEs), and how their role could
be enhanced.
As described in Figure 3. A total of 315
accepted articles on RIEs were analyzed for
content on end-user engagement; these
revealed a limited focus on this area. While
231 articles mentioned a term synonymous
with “end user”, only eight peer reviewed
articles discussed this idea with any degree
of detail. A review of these articles supports
the evolution of the helices model as
discussed by Caryannis et al. (4) and the idea
of lead-user engagement - a more active
role for community members in RIEs.
This study revealed that although older adults and their caregivers are currently not meaningfully involved in RHIEs, there is enthusiasm for their engagement. A framework of priorities has emerged with identified
strategies for this enhanced involvement. Concept mapping revealed specific directions for implementation. Findings align with the work of Caryannis (4) and others which supports greater involvement of end users. We
are continuing to collaborate with stakeholders from this project to develop Canadian RHIEs that can support the health and well-being of older adults and their caregivers and innovate technologies and processes that
are more likely to meet their needs and preferences.
Phase II revealed that there although there
is a desire by stakeholders, there is little
meaningful involvement of older adults and
their caregivers in RHIEs. Enhancing their
involvement will require a recognition of
the need for diversity of older adult and
caregiver representation, consideration of
barriers such as system constraints and
traditional partnerships, and recognition of
multiple roles that older adults and their
caregivers could play in health and aging
innovation.
ABI Inform
(n=1644)
Scopus (n=1281)
PsychInfo
(n=435)
Compendex/
Inspec (1655)
Business Source
Complete
(1750)
PubMed
(n=343)
Google Scholar
(n=330)Duplicates
removed
(n=2469)
Title review
(n=4969)
Abstract review
(n=2146)
Full text review
(n=769)
Final DRiVE
inclusion (n=314)
Google Scholar
(n=50)
No mention of
end user (n=83)
Final inclusion
(n=18)
No detail on end
user (n=263)
1
4
6
18
20
21
34
42
46
52
54
7
26
28
3033
35
36
38
43
51
60
12
24
25
31
45
48
2
16
32
39
47
50
56
57
58
3
911
13
14 2337
49
61
5
10
15
17
29 40
41
55
8
19
22
27
44
53
5962
Engagement
Linkage and Exchange
Developing Cultural Capacity
I Scoping Review II Consultations
III Concept Mapping
83 brainstormed concepts from phases I
and II and an online brainstorming
opportunity were synthesized into
62 unique items for sorting and rating by
participants.
Brainstorming Prompt: “A specific way that
older adults and their caregivers can help our
communities develop innovative technologies
to support health and aging is…"
• A three-phase integrated mixed-methods study, emphasizing
stakeholder engagement throughout, was conducted:
• Phase I - Scoping Review (2) on user engagement in RIEs;
• Phase II – Consultations: 4 focus group interviews with older
adults and caregivers (n=10;8;8;6) and individual interviews
with representatives from university, government,
community and industry (n=30);
• Phase III – Concept Mapping methodology (3) involving
brainstorming (incorporation of Phase I and II results plus
online activity (n=25)), sorting (n=28, see Figure 1) into
themes, and ratings (n= 32, see Figure 2) of importance and
feasibility, resulting in a framework of priorities for engaging
older adults and caregivers (Figure 4). Further description in
results section.
Figure 1
Sorting activity participants
Results of rating activity
Figure 3
Figure 4 Figure 5
Each number in Figure
4 represents a specific
concept that was
brainstormed and
sorted by participants.
Participants then rated
these concepts on
importance and
feasibility as seen in
Figure 5.
Items were sorted by participants
according to perceived
relationships between ideas. Multi-
dimensional scaling and
hierarchical cluster analysis were
used to reveal the presented map.
Example concepts are displayed for
each cluster.
Methods Participants
This project was supported by our research partnership group of older adults, SHARP
(Seniors Helping as Research Partners). We understand the slightly increased
participation rate in the rating activities to be due in part to the increased complexity of
the sorting task. This aligns with the methodology as described by Kane and Trochim (3).
Rating activity participants
Figure 2
Community Service
Representative
Older Adult
Caregiver
30. Get involved in
innovation from
planning stages in
health care to set the
innovation agenda.
Framework of priorities