An Interpretive Phenomenological Exploration Into The Experiences And Perceptions Of Carers Of People With Cognitive Impairment Of The Meanings They Attribute To Using Smart Things In An Assistive Capacity At Home

Abstract

This study embarked upon an interpretive phenomenological analysis to examine the use of attitudes towards, and challenges associated with smart devices used at home by UK carers of those with cognitive impairments. The research was aimed at uncovering the lived experiences of carers looking at the development of solutions and formal services in addition to informing policy initiatives to bridge the gap between technology usage and service provision.
This 3-phase study conducted interviews with carers using smart devices (phase 1) those not using these technologies (phase 2) and focus groups with frontline local authority practitioners involved in service provision (phase 3). The findings illuminate the need for smart device service integration, emphasizing the necessity for increased education, embedded support to overcome technophobia, ethical considerations, and individualised service provision. This research underscores the potential for smart devices to augment care practices if implementation is informed by and structured around the human dimensions of caring and the individual's unique needs and experiences.
In conclusion, this thesis has found that smart devices can significantly enrich the caring process if integration into support services is compassionate, considerate of ethical practice and acknowledges both the diversity of caring experiences and the challenging landscape of digital health care. The original contribution to knowledge of this thesis lies in the nuanced analysis of meanings behind intersecting factors both supporting and hindering smart device adoption in local authority service contexts. Further inquiry should be focused on the sustained analysis of service user acceptance, the adaptability and customizability of smart devices as well as the impact of policy changes on adoption rates for carers of people with cognitive impairments.

Date of Award	19 Dec 2025
Original language	English
Awarding Institution	Northumbria University
Supervisor	Philip Hodgson (Supervisor) & Glenda Cook (Supervisor)