Post CES reflection on role of technology and Alzheimer's.
Boston, mid-May, 2016
In the sweeping generalization category, 2010 was a year of significant progress in tech for an aging population. It was a year of greater general market awareness about the role of tech and aging thanks to NPR, more sophisticated technology capabilities, and a boost in training and interest among those who serve an older population. Let's round up 2010, a year in which the concept and goals of aging in place took off, creating buzz and greater interest in the related technologies and services to help individuals, families, and professional caregivers. As a result of 2010, let's look into the 2011 crystal ball -- when the first of the intrepid baby boomers becomes a 65-year-old 'senior boomer' (arggghhh!), predict a few things and express some hope for a few others:
PREDICTION: 2011 will further blur the distinction between remote health monitoring and passive activity monitoring. Given the fertile health technology marketplace of grants for trial projects among non-profit organizations, my take is that vendors would do well to add device enablement (like blood pressure and weight scale), seek FDA approval and throw in the towel on preserving a standalone category.
PREDICTION: In 2008, PERS market growth was predicted to be flat -- Parks Associates asserted a $600 million flat line, supplanted by a corresponding growth in passive remote monitoring. Not so, it turns out. Today PERS is approximately a $1 billion market -- and while there are a number of new remote monitoring entrants, passive remote monitoring is still below the adoption radar. What's next? I am waiting (and may have to wait well past 2011) for elder-focused applications and trained carrier call centers that leverage the built-in accelerometers, GPS trackability, and (ha, ha!) ease of use of cell and smart phones. In the meantime, PERS sales will grow, not as fast, but steadily as the population ages into frailty -- remembering that 85+ is the fastest growing segment, that PERS contracts typically last only for two years.
PREDICTION: Hand gestures, recognizable features, and spoken commands -- app vendors, go forth and create! At least 5 vendors focused on the older adult market will offer a Kinect-enabled application by end of 2011. Throw in specific health and chronic disease management -- many times five. Design-for-all apps, lots and lots.
PREDICTION: In our near-term lifetime, older adults depending on your children or Best Buy to upgrade Windows patches may become a distant memory. The same Microsoft that brought this brilliant Kinect interface into the market will hobble out its own tablet next week at CES. Maybe it will be foisted on enterprises through IT mandate, but among an older population for home use, forget it. Even though folks may have told AARP they won't buy one, they just didn't know what they were saying -- AARP surveyed too early (June) about a product that had just began shipping (late March). Newer products from other vendors will also make the concept of an operating system upgrade either quaint or invisible.
PREDICTION: We are in a silly 'i-this' and 'e-that' phase right now -- vendors may fight to the death to keep it that way, maybe even giving eReader devices away with a purchase of 10 or more books? But in the end, it's pointless -- eReader software will be on all tablets, game controllers, portable and phone-like devices.
PREDICTION: For those caregiving applications that are part of the professional caregiver services toolkit, 2011 will be the year in which the largest home care agencies (family/companion and health) expand their tech reach. They will include standard caregiving functionality that updates and includes family participation. They will consider Skype (or its equivalent) to be a core competence of Geriatric Care Managers -- as with SeniorBridge. They will replace the requisite post-visit telephone call tag with the kind of simultaneously-viewable update that families can create with a portal like CaringBridge.
PREDICTION: During 2011, more vendors will emerge with unobtrusive tracking devices linked to smart notification software that incorporates a hierarchy of responders and a multiplicity of ways to reach them. Hey, maybe we'll even see that GPS shoe (as of today predicted by Foot.com to ship in early February 2011). If there's no associated service, though, the shoe will be absolutely useless.
PREDICTION: 2011 will (hopefully) see more coherent and reusable channel cultivation, more multi-vendor product bundling, growth in training of service providers and resellers, and greater awareness of appropriate tech among referrers like doctors, GCMs, and senior housing organizations. In 2009, I speculated about certification of service providers in technology for aging in place -- in 2010, NAHB's CAPS -- Certified Aging in Place Specialist) program wisely split into two parts -- Marketing and Communication Strategies for Aging and Accessibility (CAPS I) and Design/Build Solutions for Aging and Accessibility (CAPS II) -- the latter includes an assessment of needs which will, hopefully, include tech communication requirements. In 2011, there will also be forward movement that exposes minimum product requirements -- like usability, ease of installation, and ease of operation -- through ever-greater exposure of actual user experiences. Although it makes sense to consolidate objectives and outcomes among age-related consortia and groups, that is highly unlikely in the near term. Finally, for those of you considering entrance into this market, please follow these Ten Tips.
HOPE: To get to the hospital, someone has to call 911 (or drive in the car). My dream is that whoever does the calling or driving has the ability to produce a list of current medications on a sheet of paper that has all identifying information, including the name of the doctor, next of kin and contact info. This is so low-tech -- if the very old can't stay out of hospitals, can they at least arrive armed with their own data?
HOPE: In 2011, let's hope that marketing senior-related products doesn't have to be fear-focused to effectively reach the consumer. Let's hope that it becomes less and less important to design tech exclusively for the use of older adults. Let's hope that everything we use is wonderfully easy to figure out, that the buttons on our new TV remotes are bigger, that configuring web-enabled television can be done in fewer than 5 perilous steps (this requirement was comfirmed by Best Buy), that the user manual is only a nice-to-have that comes with our phones, readers, tablets, and games. Let's hope that if we want the full-featured, heavy-duty sophisticated options -- or we want tech to be friendlier in the event that our dexterity, vision, or hearing declines ever so slightly -- that even though you can't always get (exactly) what you want, you can usually get what you need.