Laurie Orlov's blog

The more tech is commercialized, the more researchers ignore it. It’s so interesting and fun to read about research that is going to help seniors, don’t you think? Reporters love to write it, readers love to read it.  Someday, they say and readers agree, there will be tech that will finally help us age in our own homes. A recent AARP Bulletin offered up an article about living laboratory research into ‘possibilities’ for improving our capabilities for independent living/aka aging in place. We can feel good that work goes on at Orcatech, at Mayo Clinic, and MIT's Age Lab.  And many others have researched the same exact categories previously, as noted in 2008 in one of the very first blogs on this site. As always, the researchers interviewed offered no observations about whether there were commercial versions that were viable for consumers, and really, no acknowledgement of commercial vendors at all. Guess that’s not the point of research.

Tech vendors and seniors – purposeful advocates? Maybe you saw this the other day – how Microsoft and several organizations along with the City of Los Angeles are partnering to launch "Exergamers Wellness Club, which combines technology with exercise, overall health monitoring and evidence-based health education from Partners in Care built around the Kinect and Xbox 360 technology – a program that involves dance, Tai Chi, and other fitness activities. Such a hit, it is being expanded to all senior centers in the city." Note that the announcement actually included Microsoft’s role – both with donation of Kinect and Xbox, but also the use of HealthVault and a personal health application for participating seniors. In fact, Microsoft has, one way or the other, been a named participant in activities for seniors for a number of years, back to the well-intentioned SeniorPC launched in 2007 – the offering was still updated on HP’s site as of last year. 

Sharp contrast separates business and service lenses of baby boomers. You might think you were in different planets – at last week’s Aging in America conference, on a Wednesday a discussion of "E-commerce, MobileVideo, Gaming and the Mobile Wallet" at the 2012 What’s Next Boomer Business Summit – a conference within a conference. The next day at ASA, you could consider "Successfully Integrating Boomers for a Sustainable Senior Center Model."  When picturing the 50+ segment, is it the hop-skipping-and-jumping boomer, the entrepreneur boomer, the service-providing boomer, the shopper in the AARP lens of the  Longevity Economy (What’s Next), or perhaps it’s the live-forever boomer, straining our budgets and reducing our expectations (ASA)?

A plethora of sessions -- but where are the exhibitors?  For the past few days at ASA’s Aging in America, I heard various speakers talk about the importance of technology for older adults -- I babbled on about it a bit myself. It will make this the ‘age to age’, learn to ‘love the device you’re with’, so that you can attend sessions about designing technology for older adults, learn about tech training for seniors, see what's coming and who is doing what. The many sessions that discussed technology were categorized in the program book as ‘Housing, accessibility and technology’ – so I wondered how many consumer-focused tech vendor exhibitors were in the exhibit hall. I reasoned that all of these aging services professionals would want to know about all of the useful software and devices that they could refer to clients to improve their quality of life. Not counting the back office systems (the ERPs of aging services), I looked through the book and show floor, searching for tech to connect older adults with professionals, families and caregivers. And there it wasn’t.

Wikipedia tells it like it is, not like it was.  For a brief period in the history of the definition of Aging in Place, the term was really a continuing care concept. CCRC messaging has tried to link the definition more closely with the ability to remain on a campus of independent, assisted living and skilled nursing – but I don’t think consumers view the CCRC portfolio as aging in place. In 2011, AARP issued its 2011 state-by-state report on age friendliness for remaining at home. The CDC too has been refining definitions to keep up with the times, acknowledging the National Aging in Place Council and universal design principles. Today, aging in place is almost completely disassociated from continuing care retirement communities and the senior housing industry.  In fact, as a recent Senior Housing News article observed, it is a movement encompassing active aging, livable communities, universal design principles, villages, NORCs, etc. that threatens the very structure of the senior housing.

Are Health and senior tech products used consistently and to purpose?  When the ultimate user is not necessarily an enthusiastic participant in product use, forget it. Consider the factors noted in Donna Cusano’s recent Field of Dreams post on Telecare Aware, summarized by: “Know you need/want the product. Okay, then it must be Easy to use, providing positive reinforcement (with social and community support) – and I would add, affordable. 1) Ease of use (let’s also assume that the product works!), 2) reinforcement, 3) affordable. Pick two, you can’t have all three. (Note I didn’t say pet-rock trendy, much loved by Walt Mossberg and shown off in coffee shops.)

The gifts of aging are bitter – now there’s a generalization. Rant on. The title and sub-heading in the Times caught my eye. Age and Its Awful Discontents and sub-heading "Is there anything good about getting old? No. Its gifts are bitter.”  The article was Louis Begley’s gloomy reminiscence about his mother and his abhorrence of the 'ravages and suffering inflicted on the body by age and illness.' You wonder, why 'awful,' why 'discontent,' and 'bitter'?  Well, it turns out that his mother was very lonely in her last decade (she died at age 94). "She couldn’t hear well, she had arthritis, too proud for a wheelchair, couldn’t get the hang of a walker, stopped even going to museums, concerts, or sitting on a park bench." Today the 78-year-old Begley feels the "full measure and anguish of his mother’s solitude and that of other old people who end their lives without a companion." It’s too bad Jane Gross and her New Old Age blog wasn’t around (that launched in 2008). Mr. Begley might have read about how other adult children coped (and helped) aging parents. Or he might have hired a geriatric care manager, around since the 1980's. It’s really too bad that despite plenty of money, neither he nor his mother had the inclination to look for ways to maintain the quality of her life.

Personal service robots are out and about. So we’ve been talking about personal care robots for a long time – including the social engagement use of Paro the robotic seal, studied and re-studied at MIT. Yesterday’s Wall Street Journal ran an article about a rented robot ($3000) to liven up a party.  Looking like a vacuum cleaner extension with eyes, it roved around a wedding on Segway-like wheels, presenting a movable and real-time image of an the groom’s 82-year-old mother who was physically unable to attend. Finally, a viable example of a robot in the service of an older adult!

On the Internet, nobody knows you’re a dog.  Although the cartoonist did not intend it, that 1993 New Yorker cartoon predicted the future and so it came to pass – and then some. So much of what’s on the web masks an entirely different reality. And so little when you search online has anything to do with what you want to find. Most people do not scroll down to the second page of search results if irrelevance rules: the Internet is filled with an ocean of junk web pages and misleading ads, masquerading as legitimate commerce. Talk to our friendly representative (photo of woman wearing headset). Call NOW! As seen on TV! As mentioned in TIME Magazine! Misleading information or scare tactic pictures on websites targeting seniors -- to me, these rank with phony telephone credit card and financial services scams.