Persons with dementia and their care partners have been found to adapt their own technological arrangements using commercially available information and communication technologies (ICTs). Yet, little is known about these processes of technology appropriation and how care practices are impacted. Adopting a relational perspective of care, we longitudinally examined how four family care networks appropriated a new commercial ICT service into their existing technological arrangements and care practices. Cross-case analysis interpreted collaborative appropriation to encompass two interrelated processes of creating and adapting technological practices and negotiating and augmenting care relationships . Four driving forces were also proposed: motivating meanings that actors ascribe to the technology and its use; the learnability of the technology and actors’ resourcefulness ; the establishment of responsive and cooperative care practices ; and the qualities of empathy and shared power in care relationships . The importance of technological literacy, learning, meaning-making, and the nature and quality of care relationships are discussed. Future work is urged to employ longitudinal and naturalistic approaches, and focus design efforts on promoting synergistic care relationships and care practices.

中文翻译：

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探索痴呆症患者和护理伙伴如何协作适当的信息和通信技术

已发现痴呆症患者及其护理伙伴使用商业可用的信息和通信技术 (ICT) 调整自己的技术安排。然而，人们对这些技术挪用过程以及护理实践如何受到影响知之甚少。采用关系的护理视角，我们纵向研究了四个家庭护理网络如何将新的商业 ICT 服务应用到其现有的技术安排和护理实践中。跨案例分析将协作拨款解释为包括两个相互关联的过程创建和调整技术实践和协商和加强护理关系. 还提出了四个驱动力：激励意义参与者归因于技术及其使用；这可学习性技术和演员的足智多谋; 的建立响应和合作的护理实践; 和素质关怀关系中的同理心和共享权力. 讨论了技术素养、学习、意义构建以及护理关系的性质和质量的重要性。敦促未来的工作采用纵向和自然主义的方法，并将设计工作重点放在促进协同护理关系和护理实践上。