"For good, bad, or indifferent, the baby boomers remain the me generation,"
Coughlin says. "It's a selfish generation that has had schools,
sidewalks, subways, houses, and even marketing redesigned for them. Somehow
I don't see that as they age they're going to drop these expectations. They're
not going to be old the way our grandparents were, which was to accept that
old age meant lack of mobility and activity, and there was nothing they
could do about it. They're not even going to accept moving to Arizona and
Florida and playing golf every day."
If the world's new and future seniors are no longer willing to go gently
into their good night, then designers will have to pay more attention to
their specific needs if they are to capture a share of this increasingly
significant consumer sector. This doesn't mean a dumbing down at the
drawing board for the technophobic or media challenged. "The fastest-growing
sector of Internet users is women over fifty seeking health-care information,"
Coughlin says. "This proves that all people will learn how to deal
with technology when that technology offers them something of use. As far
as seniors allegedly being unable to master computer or electronic skills,
I wouldn't call that technophobia. I'd call that bad technology."
For AgeLab's designers, creating products and services for older people
requires the same aesthetic sensibilities as designing for Generation X.
"Just because you're designing an environment for someone who goes
out into space, it doesn't necessarily need to look like a machine,"
says Trotti, who early in his career worked on housing for the elderly and
physically disabled. "The same holds true for designing an environment
for an older person. His home or office doesn't have to look like a
hospital. In fact, it shouldn't look like a hospital."
Steve Opie, a footwear designer who with Carrie Bettencourt cotaught the
RISD-MIT Active Aging Design Studio, took 15 students on a research-and-design
journey that brought them in touch with the 50-plus crowd. During the first
four weeks of the semester, students reviewed industrial marketing surveys
and visited health-and-fitness clubs. They also interviewed seniors
and health-care workers, and met with representatives of the AARP. The research
helped dispel several preconceptions about designing for both the over-50
crowd and the elderly.
"Had we just started to draw, we would have had a bunch of 18- to 22-year-olds
designing products for a real world they had never seen or considered,"
says Opie who, like Coughlin, has just turned 40. "This way, we were
able to show the students that they shouldn't think of us as old-brown-shoe
guys. They shouldn't think that older consumers can't handle something innovative.
We want stuff that's innovative. What we don't want is stuff that looks
like it's made for old folks."
Universal design, with its cross-age utility, does hold some interest for
Coughlin and his colleagues. But AgeLab is far more focused on something
Coughlin calls "universal appeal"--a quality exhibited by products,
services, and homes that are as attractive as they are functional. "I
would argue that the concept of universal design does not put enough emphasis
on universal appeal. Moreover, the concept often treats disability and aging
as the same thing. They're not. A disabled person was either born with a
condition or had an event that marked their life with the disability. An
older person is often in denial about the physical environment. It stays
the same while the natural aging process changes them."
"If you've come here to design a better handle for the bathtub, you're
in the wrong course," Coughlin told the students at the RISD course
when he visited the Providence, Rhode Island, campus last spring. "This
course is about the new consumer, and designing for them." Still, some
of the most intriguing and potentially successful products to emerge from
the RISD-MIT course were conceived for seniors. "Anna Estermain, the
student who came up with the Pill Pet idea, worked with the elderly and
with children at a nearby Jewish Community Center," Bettencourt says.
"She noticed that grandparents were buying computerized dolls for their
grandchildren, but that they frequently kept them for themselves. She realized
that many old people are lonely and need interaction."
Pill Pet is a small fur-covered animal form made of a gel-based material
with a screen in its abdomen and intelligence that can be programmed to
remind its owner to eat foods rich in iron or to take a certain medication
with milk. It is also cuddly and can be squeezed. Pill Pet requires a certain
amount of care--it wants to know that you are responding to its reminders.
The device even "dies" a simulated electronic death if its owner
forgets to inform the pet that he or she has taken a medication.
"The technology involved in the Pill Pet is quite simple," Coughlin
says. "It's essentially an alarm. The trouble with alarms is that people
eventually ignore them. They hate them, because alarms act on rational intelligence.
The Pill Pet does something else: it uses affective intelligence--emotional
intelligence. Getting older people to take their meds is a serious problem.
But it's not a problem you can solve with a cold, impersonal engineering
approach. It's a problem whose solution lies in treating a person as a mixture
of intelligence, emotion, and just plain folly."
Two of the most challenging--and far-reaching--sectors of AgeLab's research
involve transportation and health care. "Transportation is not traveling
from point A to point B," Coughlin says. "It's everything. Before
you can do anything, you've got to get there. In most cases, transportation
for seniors is being able to drive. Our public-transit system is not particularly
comfortable for the elderly, and in most places is non-existent. For seniors,
being able to drive is independence and freedom. Once you rip those wheels
out, they begin to deteriorate, both mentally and physically."
Some of AgeLab's transportation experiments aim at creating a smarter, safer
vehicle for seniors. With Miss Daisy, a VW Beetle stripped of motor, transmission,
and fluids and planted in the middle of the second-floor laboratory,
AgeLab researchers experiment with sensors and screens that deliver information
to the driver about route, location, and speed as well as weather, stock
quotes, and potential hazards. "There is a paradox here," Coughlin
says. "As the car grows more sophisticated, the aging driver has more
difficulty assimilating this information. We need to ascertain a level
of information that is useful and not overwhelming."
In health care, Coughlin and his colleagues are less interested in developing
new monitoring and therapeutic technologies than they are in integrating
existing technologies into a system that will provide better coverage and
communication with medical personnel. They also want to ease the increasing
burden on home health-care workers. "Do you want a system to manage
diabetes?" he asks. "To monitor congestive heart failure from
the home? To transmit blood pressure and pulse readings from your bedroom
to your doctor's office? We've got them. The question is, who's going
to use these devices? Right now we pay about $7 an hour for a health-care
worker to visit your house. This worker may or may not have an education
or even 30 days of training and works in an industry with the highest job
turnover rate and one of the highest levels of stress. And you're making
his or her job easier by filling it up with stuff he or she can't understand
or operate?"
Coughlin's strategy to keep America's current and future seniors healthy
is based on making the individual responsible for his or her own well-being
while they're still healthy. This could be accomplished, he suggests, by
installing a health station--an apparatus that can perform a series of medical
tests--in every home. The technology is sophisticated, he says, but similar
devices are already available. As with most AgeLab solutions, the trick
is not in the technology, it's in the psychology of overcoming the stigma
of aging. It is creating new health and lifestyle habits for the healthy
that will be of even greater benefit when they hit old age.
"A sixty-five-year-old baby boomer might not want to purchase
this device for himself," Coughlin admits. "He might look at it
as an unwelcome reminder of decline. But if you market it to him when he's
much younger, get it into his house when he's forty and still living with
kids who wake up with ear infections in the middle of the night and with
parents who wake up with chest pains the next night, he'll see how useful
it can be. And when he's old enough to need it, he'll be glad it's there."