Developing a Service Platform for Health and Wellbeing in a Living Lab Setting

316 Pages·2016·4.26 MB·English

Developing a
Service Platform
for Health and Wellbeing
in a Living Lab Setting
An Action Design Research Approach
Wally Keijzer-Broers
Developing a Service Platform for Health and Wellbeing in a Living Lab Setting Wally Keijzer-Broers
Developing a Service Platform
for Health and Wellbeing
in a Living Lab Setting
An Action Design Research Approach
Proefschrif
ter verkrijging van de graad van doctor
aan de Technische Universiteit Delf,
op gezag van de Rector Magnifcus prof. ir. K.C.A.M. Luyben
voorzitter van het College voor Promoties,
in het openbaar te verdedigen op
vrijdag 28 oktober 2016 om 10.00 uur
Door
Walthera Johanna Wilhelmina KEIJZER-BROERS
Master of Business Administration, geboren te Delf, Nederland
Tis dissertation has been approved by the
Promotor: Prof. dr. Y. Tan
Copromotor: Dr. ir. G.A. de Reuver
Composition of the doctoral committee:
Rector Magnifcus chairman
Prof. dr. Y. Tan Delf University of Technology (TPM), promotor
Dr. ir. G.A. de Reuver Delf University of Technology (TPM), co-promotor
Independent members:
Prof. mr. dr. J.A. de Bruijn Delf University of Technology (TPM)
Prof. dr. W.A.G.A. Bouwman Delf University of Technology (TPM)/
Abo Akademi University Finland
Prof. dr. J. van Hillegersberg University of Twente
Prof.dr. M. Rossi Aalto University School of Business Finland
Reserve member:
Prof. dr. ir. M.F.W.H.A. Janssen Delf University of Technology (TPM)
Keywords:
smart living, aging-in-place, elderly people, platform, design science, action design
research, capability approach, social innovation
Parts of this research were funded by ZonMW (VIMP Implementation grant) and the
Ambient Assisted Living Joint Programme (
To Joop and our magnifcent quartet:
Kevin, Doreth, Julian and Beaudine
Developing a Service Platform for Health and Wellbeing in a Living Lab Setting
Twenty years from now you will be more disappointed by the
things that you didn’t do than by the ones you did do. So throw
of the bowlines. Sail away from the safe harbor. Catch the trade
winds in your sail. Explore. Dream. Discover. – Mark Twain
Acknowledgements
During my PhD journey, I was privileged to have the support of knowledgeable,
inspiring and warm-hearted colleagues, friends and family. My acknowledgements
cannot do justice to the valuable input, time, enthusiasm and expertise of those who
accompanied me the last few years. Nevertheless, I would like to express my explicit
gratitude to some of them, at the risk of not being complete.
First and foremost, I would like to thank my co-promotor Mark de Reuver, who was
the best coach one could ever wish for. His loyal support and calm yet analytical
attitude assured me that he always had my back. I remember that you told me that,
as a supervisor, you were allowed to let PhD researchers move around freely within a
certain space, visualizing that space with a fence, but that you decided to open the gate
for me, because you had the impression that otherwise I would jump over the fence
anyway. You fgured me out very quickly ;-) Dear Mark, I learned a lot from you and
appreciate your encouragements to make my research output more explicit by ‘writing
down the obvious’. Hopefully I have been able to give you some insight into the world
of communication and marketing in return, and I hope we can work together with new
research projects in the near future.
I would also like to thank my promotor Yao-Hua Tan for his confdence and for the
freedom to explore my ideas for a social innovation. Tanks as well to my external
supervisor Nick Guldemond from UMC Utrecht, who inspired me with his in-depth
knowledge of the health and wellbeing domain, involved me in the Ambient Assistant
Living project
Acknowledgements
the end I cannot agree with you more that you pushed me to the edge to improve my
work. You really did me a big favor to force me out of my comfort zone more than once,
and I will always keep your lessons in mind.
Tanks a lot to my wonderful Living Lab partners: Jan-Marc Verlinden (Medvision360),
Mark van Deursen (Neobis), Ron van der Starre and Nicky Hekster (IBM), Jeroen
Cival and Gert-Jan van der Hout (Municipality Rotterdam), Frenk Storm and Ruud
Honkoop (Ziggo), Peter Bergman (ICTU), Sjaak Tuwanakotta (representative of the
informal caretakers), Martin van Meurs (Foundation Zo-Dichtbij and representative
of the elderly people), Kyra Roest (Burst) Tom Higler and Arno Schots (Oracle) and
our new partners Pieter van der Honing and Roderick OudeVrielink (UL). We had
wonderful conversations about our social innovation and I am looking forward to
working with you in the valorization phase of the platform. Tank you Geja Langerveld
from ZonMW, who helped me to get our project rewarded with a VIMP grant, which
supported the implementation phase of the platform. I would like to thank the private
investor for believing in me, as well as the social innovation. Let us start our big
adventure of valorizing the platform.
My deepest gratitude goes to my Expert Team: Ineke van Beek, Jos Kleijweg, Margot
Lindeman and Jan-Olav Drenth. With your critical comments, practical insights from
the Care and Cure domain, and marvelous ideas, we managed to make a dream come
true. A special word of thanks to Margot, who not only acted as my personal assistant,
but also unburdened me with all kinds of practical arrangements in the fnal part of my
PhD. In addition, I would like to thank all the participants who helped me out during
my research, like in the interviews, surveys and focus groups.
Furthemore, I wish to thank all my dear colleagues from the faculty and especially
Marijn Janssen, Jolien Ubacht, Klara Pigmans and Alexia Athanasopoulou, as well
as my special ofce-mates, who have become new friends for life: Fatemeh Nikayin,
Sam Solaimani and Anneke Zuijderwijk. Tank you for the numerous brainstorming
discussions and the fun we had together. It is good to have kind-hearted people around
who struggle with the same typical PhD frustrations, or who have been there. Tank
you all for your guidance to make me acquainted with the academic world in such a
short notice.
I am also very thankful to our supportive secretaries for their assistance: Eveline, Jo-
Ann, Laura and Diones. In addition, I had the privilege to supervise very smart research
Developing a Service Platform for Health and Wellbeing in a Living Lab Setting
assistants: Lucas Florez, Stijn Pieper, Carlos Hidalgo, Jemal Mohamed, Edwin van den
Houdt, Wirawan Agahari, and Ruben Greve. Your enthusiasm for a topic related to an
aging population, which is obviously ‘far from your bed’, kept me going.
On a personal note, I want to thank my loyal friends Piet & Ineke, Loek & Anjo, Peet &
Ria as well as Margot, Carolien and the rest of my tennis mates, who dragged me from
my laptop from time to time for a walk, a tennis match or just to enjoy the moment.
Tanks as well to my ‘A Meezing Stuf ’ band partners Peter Jacobs, Peter & Eugene
Mooijman and Martin Harteveld, who regularly forced me to empty my mind, fll it
with music and just enjoy our performances. A special word of thanks to my loyal
friend and former colleague Hein Burgering, for the visualization of Zo-Dichtbij and
taking care of the layout of my dissertation,
Finally, I am greatly indebted to my family. Especially my remarkable brother Pascal,
who advised me numerous times with regard to legal aspects and the Zo-Dichtbij
Foundation, as well as my kind-hearted parents Joske and Paul, who have always
encouraged and empowered me. At the age of 80+ they manage to be surrounded by
young and enthusiastic people and enjoy life to the fullest, like playing tennis four times
a week. I admire your unbridled energy and big heart for other people. You are my role
models.
Tank you my dear sisters-in-law, Anne, Lizet and Trudy, for your help and practical
advice what informal caretaking means in practice. You are the perfect examples of the
sandwich generation: taking care of family members, while studying and working at
the same time.
I’m very blessed to be surrounded by my magnifcent kids: Kevin, Doreth, Julian and
Beaudine. Although I’m aware that it was not always easy for them to understand why
I made such a fuzz about my research, and sometimes it seemed as though they had to
take care of me instead of the other way around, I am very proud of my mature and very
special quartet. In addition, I am honored to have my two daughters as my paranymphs
during my defense. Tis means the world to me.
Last, but certainly not least, I am proud and very grateful to spend my life with my
extra-ordinary husband Joop. Dear Joop, thanks for your unconditional support and
love. Even though, next to the care of our family, you had to run your own company, you
always managed to keep things in perspective. As a witness of the enormous amount of
Acknowledgements
work that goes with this research, even in tough times you found ways to let me smile
and keep me motivated. Tank you for your support the entire time. I suppose, we soon
can close this chapter and go back to normal, until ......the next proper opportunity
reveals itself. You never can tell.
Now, haven said this, fasten your seatbelts and I hope you will enjoy the read as much
as I enjoyed my magnifcent PhD journey at the ICT section from Delf University of
Technology.
Wally Keijzer
Delf, October 1, 2016
Disclaimer: Te author initiated, designed and executed the study reported in this dissertation. Under the
supervision of the author, several research assistants contributed to data collection in specifc parts of the
study. Tese specifc contributions are related to the frst prototypes (Chapter 8, Florez 2015); end-user survey
(Chapter 9, Agahari 2016), architecture development (Chapter 9, Greve 2016), business model (Chapter 10,
Hidalgo 2016), and experimental evaluation (Chapter 11, Van den Houdt 2016). All responsibility remains
with the author.