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Managing continence in nursing homes comprises a large economic and emotional factor, not only in residents’ Quality of Life but also in staffs’ Quality of Care. Notwithstanding increased engineering efforts in this area, nursing home continence care remains underexplored in HCI. To lay the groundwork for the technological design of human-centered continence care, we conducted a qualitative study involving 27 stakeholders—ranging from residents, relatives, caregivers and nurses to managers. By inductively analysing our data, we identified different perspectives on incontinence and surrounding care practices. We found continence care to be intricately interwoven within a complex ecosystem that is deeply rooted in an ideal of promoting dignity, which technological infrastructures might fall at risk of introducing miscommunication and installing distrust between stakeholders. Using the Dignity in Continence Care Framework, we provide suggestions for the design of technologies centered on supporting dignity in nursing home continence care.

Our study investigated how to design a user-friendly tablet-application to support nursing home residents in assessing their quality of life, by completing a questionnaire. A user-centred design research study was conducted together with 27 residents, six healthcare professionals, 148 master students and five researchers. The design space was explored by 22 designs, which were evaluated by means of a thematic analysis. The outcome resulted in first tentative considerations for developers of tablet-applications for nursing home residents.

Recently, a shift from curative to preventive care is promoted, by which patients are expected to become active and use diverse forms of self-management health systems (SMHS), i.e., integrated solutions that present data from multiple sensors and/or self-reports, possibly enhanced with risk assessment and decision support, to perform health-related actions. This is promoted as contributing to living longer and healthier, assisting ageing-in-place. Hence, older adults have also become a potential target of SMHS. While studies are performed on uses and attitudes of specific patient groups towards SMHS, studies that focus on older, including the oldest, adults are scarce. Therefore, we report on a qualitative study with 20 older adults (mean age = 80). Through thematic analysis, we identified four themes (i.e., enforced use of technology; need for support in technology use; equivocal stance towards sharing data; hypothetical value of technology for healthy ageing) to provide a deeper understanding of older adults' attitudes and engagement with information- and communication technologies (ICT) in general and SMHS in particular. We also present four pitfalls, unified by a central concept "Ageing is not a disease'', along with design considerations for future SMHS.