Abstract
Older adults face unique challenges and have differing needs when navigating the urban environment. At the same time, civil servants and policymakers in cities are facing difficulties in promoting age-friendly initiatives due to the lack of knowledge, data, and tools about and for older adults. In this context, smart cities can play a key role in increasing the participation of older adults (i.e., 65 years and older) by collecting the data needed to provide knowledge of and design tools for older adults. However, using smart city data to inform policy making is made more difficult by several existing issues such as aggregated nonage-specific big data, lack of data altogether, and a disparity in access and use of digital technology. This paper endeavors to provide a methodology to ensure that the older adults are represented in the collected data and the translation of this data into automatic policy-making decisions. The Participation for Policy for Older Adults (PAR4POA) method introduces older adults' perspectives from the start of the project and its iterative approach means that older adults will share their needs and values with policymakers at different stages of a project. The use of this method enabled the co-creation of smart city solutions targeted to address the needs of older citizens in the context of 3 European regions. The PAR4POA method is specifically altered for the situation of older adults but could easily be used to include other marginalized populations. Ensuring participation in the automatic policy-making arena will empower marginalized populations and provide representation in data previously not provided.
Introduction
Across Europe, the aging population is expected to increase, by 2050 the projected group of those aged between 75 and 80 will have expanded by 56.1%. By 2050, the total population considered to be an older adult (i.e., 65 and older) will increase by 39.3 million individuals (Ageing Europe Eurostat, ). Policymakers and civil servants are aware of these trends and are already experiencing increased demand for services related to older adults. As a result, policymakers are investigating how to support initiatives aimed at older adults to facilitate autonomous and independent living within an urban environment. The choice of an urban context is predicated on the increase in the European population based in cities (Koceva et al., ), subsequently, there is an increase of city-based older adults. Furthermore, the rapid expansion of the very old, by 2050 it is estimated that there will be a half a million centenarians within the borders of the EU-27 (Ageing Europe Eurostat, ), is a concern for policymakers. As the very old proportionally make more use of social services for health and social care, pensions, and public finances. Which in turn makes it difficult for public services to provide adequate and appropriate services. Datafication understood here to “describe[] a transformation of social action into online quantified data for tracking and predictive analysis” (Sourbati and Behrendt, , p. 3) is seen as an approach to help policymakers in making data-driven decisions to provide for a better quality of urban living. The Global Age-friendly cities initiative by the WHO determined that 8 domains require attention to improve the quality of living for urban older adults (Rémillard-Boilard, ), (see Figure 1).
Figure 1
All these domains can be affected by data-driven decision-making. With mobility as an example: public transport can be adjusted based on usage data or a city can determine its walkability status as being 15 min based on available geospatial data. However, these data-driven approaches encounter several issues when it concerns older adults. For example, the walkability in cities is typically calculated based on the average speed of a pedestrian and does not consider the slower walking speed of an older adult. The walking speed, on average, decreases by 1.2 min/km between the ages of 20 and 60 (Schimpl et al.,
Background
Age-friendly and smart cities
As previously mentioned in 2007 the WHO developed the concept of age-friendly cities. In this section we will explore age-friendliness in the context of smart cities and provide examples of initiatives as encountered in Spain, Finland, and Belgium. The smart city makes use of various data sources and processes them to provide better tracking ability and predictive analysis for the various actors within the city (Sourbati,
Datafication and older adults
Dencik et al. (
Ensuring fair and accurate representation in data is complicated and has many facets. In the case of older adults, it involves ensuring that data is collected and processed in the first place. As their data tends to be discarded or remains uncollected (Rosales and Fernández-Ardèvol,
Involving older adults as experts of their own experience can result in different choices in the collection and processing of data as their perspectives would counter the knowledge gap that is present in the younger researchers/policymakers. Furthermore, to make meaningful age-friendly data-driven policy decisions it is necessary to have disaggregated demographic data to be able to identify the heterogenous group of older adults instead of one age bracket (i.e., 65-plus). Big data “disregards groups that behave differently to the mainstream, something which is more common among older people” (Rosales and Fernández-Ardèvol,
The algorithmic treatment of older adults is relatively underexplored. Rosales and Fernández-Ardèvol (
It is possible to avoid the previously mentioned negative algorithmic experiences. For example, Bardzell and Bardzell (
Laenens et al. (
Figure 2

Original PAR4P method as proposed by Laenens et al. (
Participatory action research for policy with older adult
In the following section, we will argue how to integrate both the principles of PAR4P and empathy for older adults within a framework for participatory design for data-driven policymaking for older adults. The PAR4POA approach is different from other participatory innovations as it focuses on an iterative approach and can be used in all stages of a design process. This means that PAR4POA can be used to inform the initial design choices of a research project as well as the creation of a product, for example. Furthermore, as shown in Figure 3 the involvement of older adults and civil servants occurs on multiple occasions, ensuring that not only information is collected but there is also opportunity for creating shared knowledge and insights into the lifeworld of the older adults through discussion. The PAR4POA framework is introduced in the context of the H2020 URBANAGE project, which aims to address the needs of an aging population in the urban environment through the use of disruptive technologies and the development of digital twins for civil servants (for a comprehensive introduction to digital twins see De Maeyer and Markopoulos,
Figure 3

Overview of the PAR4POA framework demonstrating the link between the various steps.
Preparatory phase
Before involving older people in the participatory workshops, it is essential to conduct an action consisting of a series of preparatory steps aimed to gather relevant knowledge about the domain and context in which the data-driven decision-making will be conducted. This step is necessary to ensure that the participatory actions are productive and have a structure that delineates the scope of the research without limiting the contributions and creativity of older adults who take part in the workshops. The described steps do not happen chronologically, they can be taken in conjunction and can influence each other. Firstly, conducting desk research makes it possible to identify all the well-known issues and good practices from the literature (SOTA). Furthermore, it enables the team to acknowledge the known criticalities of the specific context where the data-decision making will be conducted. This process will result in meaningful insights into the various possible domains in the lives of the older adult on which the project could focus. Secondly, a policy analysis of the current policies in place is essential to understand the current policies in place in the various domains concerning older adults. There are several ways of obtaining this insight, to illustrate it is possible to conduct a quick scan analysis of policies (Iordache et al.,
Participatory action 1: Older adults' lived experiences and motivation
This action involves the first co-creation elements of this framework. Involving older adults in technology design is not new, we will discuss various best practices in this section that can assist in ensuring that older adults' needs, lived experiences, motivations, and technological opportunities are uncovered, again we will use the H2020 URBANAGE project as an example.
To ensure that older adults' needs are taken into account it is necessary to acknowledge that the aging population is diverse and their needs are divergent, by ensuring that this is taken into account one of the myths surrounding older adults has been dispelled (Durick et al.,
The workshops can also facilitate further understanding of the motivations and how these relate to older adults' needs and current practices. It is necessary to understand the motivation of older people to participate in technology development to ensure the adoption of the technology later. It is possible to distinguish various motivators as seen in Figure 4, this figure is based on a systematic review by Fischer et al. (
Figure 4

Showing the motivators for older adults to be involved in user research according to Fischer et al. (
The final two elements are interlinked: information about current practices and technological opportunities. The current practices can help determine how older adults currently engage with environments within a city. Furthermore, the current practices can help determine the usability of existing technological opportunities. If older adults use a technological artifact in a way that produces unusable data, these practices help inform changes needed in the collection via existing technological solutions. One hypothetical example to illustrate this: imagine that the data collection happens via Bluetooth technology, however, it becomes apparent in the workshops that your target group of older adults have the current practice to turn off this signal while moving through the city. This means that your data collection will not include this target group. Therefore, it is necessary to understand usage patterns and identify possible pitfalls in current data collection and prevent similar shortcomings in future data collection. To facilitate this type of interaction between older adults and developers it is necessary to have a boundary object, this boundary object is a material or organizational structure that works as an information carrier to bridge the gap between the two groups and create a shared understanding of the situation (Heyman,
Participatory action 2: Policymakers and civil servants
This action consists of a series of expert interviews and co-creation- and information gathering workshops. The first set of expert interviews or reflections with data experts or employees of the necessary departments of a municipality is necessary to reflect on the user journeys created by the older adults and to help determine which kind of data is already available. This is followed by workshops where policymakers and civil servants are invited to provide feedback on the previous activities with older citizens. The goal is to examine how user requirements are present in existing policy and to explore the existing gaps. Here the first step is to find agreement between possible policy objectives and older adults' needs, as not all needs can and should be translated into policy. After this validation, it is necessary to review the existing data sources to determine if it is possible to use them for data-driven decision-making to create policy. If data sources are not yet available, it will be necessary to determine which data should be collected to achieve the policy objectives. In the H2020 URBANAGE project, a co-creation workshop with civil servants was organized in each pilot city or region. The goal was to capture the active initiatives and needs and to validate, align and prioritize the requirements defined by the older adults in the previous action. Thanks to this structure researchers were able to validate the barriers reported by older adults. One example of this is the lack of availability of public toilets reported by older adults in the Flanders pilot. Civil servants were able to respond to this requirement, by explaining that the real issue was to communicate to older citizens where these bathrooms are located, subsequently resulting in a dismissal of this requirement. In the cases where civil servants agreed with the requirements of the older adults, the technical feasibility was determined, meaning the existing data was examined and possible technical solutions were discussed for new data collection. An important aspect of this action is that it is necessary to review the currently available data resources. This means that during this workshop it is necessary to include a stakeholder who is aware of the data and its possibilities. By reviewing the available data, it becomes possible to establish where data can distinguish between older adults and others in the population. This action will result in (1) data needs, (2) it will define technical specifications, and (3) will introduce new possible data collection methods that would work in tandem with the existing data and resources.
Participatory action 3 create user journey together
The third participatory action involves older people and civil servants. The goal is to validate, prioritize, and collect missing user requirements. In this activity, civil servants and policymakers are paired in groups with older adults and are invited to place the different user requirements in a user journey and to include new requirements if needed. This will facilitate civil servants to understand the barriers from the older people's perspective and facilitate older people into prioritizing the requirements according to their daily experience. In the URBANAGE project, each couple of participants was given a user journey and asked to indicate the moments or objects that influenced their route positively and negatively. To do so, they were invited to use a set of elements representing the prioritized requirements (e.g., data sources and functionalities) collected during the previous workshops. Each user journey was accompanied by a question designed following the project and the pilot scope. In Flanders, for example, older people were asked to describe their route from their home to the doctor or supermarket during extreme weather conditions (snow, rain, ice, and heat). For that, they were given positive and negative elements such as dangerous steps, unsafe sidewalks, greenery, good and bad furniture, and acceptable walking distance. If the older adults identified an influential element was missing participants were able to create new tokens to represent that element. Thanks to this activity the URBANAGE pilots were able to validate the features and data sources to be integrated. Moreover, the outcomes of this activity also informed the different stakeholders about the existing data gaps related to older citizens. The input and participation are essential to this project as it aims to address the needs of the older population in the urban environment through the use of disruptive technologies and digital twins.
This participatory action is the moment where the iterative nature of this framework is tested. Within this workshop the policymakers and the older adults together review the reprioritizing done in the previous action separately by the policymakers and civil servants. It includes the presentation of the available data sources and a review of the user journeys taking into account this new knowledge of where and how data is gathered. The two groups together review and refine the adjusted user journeys and recalibrate the journeys to incorporate previously discarded priorities if deemed necessary. In our example, we used the user journeys as a necessary boundary object to enable discussion and to create a shared medium for older adults and civil servants to create understanding and enable easy adjustments. Using the user journeys, it is possible to reflect on their daily practices. The result of these sessions will be readjusted and validated user journeys that can form the basis for the recommendations for the next step. As these user journeys are informed by both older adults and civil servants it can also lead to further informed communication strategies for public outreach regarding initiatives.
Recommendations for data-driven policy
In this phase the results of the activities of the previous phases are translated into an actionable document, for example, one or more user requirements reports. The actionable document should briefly describe the methodology, the main outcomes of the desk research, the outcomes of each activity, and finally, it should contain an analysis of the final requirements as determined by older adults and civil servants. This will be the base for an implementation plan. To facilitate the technical team in prioritizing data sources to be integrated and features to be developed, it is important to include a list of the prioritized user requirements. In this way, the technical team will be able first to assess which data sources need to be integrated or reused. In the case of the URBANAGE project, this actionable document consisted of two reports, one related to the activities themselves and one reporting on the results which in this instance ultimately resulted in an implementation plan. The user requirements report also provided meaningful insights about common needs and challenges in all the pilot sites faced by older people and civil servants. For instance, in all the pilot sites older people reported issues related to the lack of maintenance of the urban infrastructure, the presence of obstacles on the sidewalks, and the lack of resting places. When addressing the needs of older citizens in the urban environment, civil servants reported common technical, urban, and communication challenges. Among the technical challenges, they reported issues related to the lack of data, the difficulty in filtering extensive data sources, and the difficulty of linking different data sources coming from different departments and urban scales. These technical challenges often result in a lack of urban or policy action as civil servants are not aware of what spaces are not accessible for older adults or where they should prioritize policy and interventions. In addition, the lack of good communication channels with older people is making it difficult for them to inform older people about the different existing initiatives and resources. This further complicates information collection about the older citizens' needs and preferences. It is recommended to organize an event to share the findings of the actionable document, these dissemination events ensure that the reports act as a new boundary object for those in different departments on a city level and participants can see tangible results of their active participation ensuring that they remain engaged for future activities. The URBANAGE project on the basis of the earlier mentioned guidelines organizes dissemination activities to ensure continued engagement from all participants. The activities are held periodically both reporting on work in progress and achieved goals. This gives the participants a clear idea of the value of their input to the project overall and to present them with the estimated impact their participation will have. Furthermore, these events can act as a moment of reflection and accountability as the various stakeholders can discuss the project's achievements and objectives in a neutral setting.
Conclusion
The invisibility of older adults in the datafication of urban life can become a problem if this incomplete data is used for policymaking. Therefore, the representation of those vulnerable to digital exclusion should be a focus when introducing data-driven decision-making for creating policy. The PAR4POA framework and the use-case of URBANAGE present a means to ensure that the needs and requirements of older adults are considered when creating data-driven policy. Our framework was partially incorporated in the URBANAGE project, here the successful participation of older adults informed a final report that will enable policymakers and civil servants in the pilot areas to make informed choices in their future data-driven policymaking.
Figure 5 shows the idealized PAR4POA framework and the actual steps taken in the URBANAGE project. Although not completely implemented in the URBANAGE project the framework was tested sufficiently to state that its use should enable representation of older adults' data within policy making. Ideally, we would propose the use of the PAR4POA with various groups within one project to ensure that the various lived experiences and needs of citizens are considered while developing tools for automatic policymaking. The inclusion of older adults within the smart-city data will enable policymakers to provide solutions that are significantly able to improve the urban experience for older adults. At the same time by using this method the policymakers will be able to datify social actions and habits that were previously invisible to them. This last will ensure that predictions and analysis based on the available data would be more accurate. The PAR4POA as envisioned here has not yet been fully tested as Figure 5 shows and future research should be done to reflect on the effectiveness of the full application of this framework in different settings. We finish this article by restating that inclusion of older adults within datasets used for policy making is essential. Especially as their inclusion would ensure that older adults remain able to fully participate in smart cities and enjoy an autonomously existence.
Figure 5

Shows the original PAR4POA framework (above) and the steps actual applied in the H2020 project URBANAGE (below) to enable comparison.
Funding
The research leading to these results has received funding from the European Union's Horizon 2020 Research and Innovation Program Under Grant Agreement No. 101004590 and by SBO-Grant S005221N, funded by The Research Foundation—Flanders FWO.
Publisher's note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
Statements
Data availability statement
The original contributions presented in the study are included in the article/supplementary material, further inquiries can be directed to the corresponding author.
Ethics statement
Ethical review and approval was not required for the study on human participants in accordance with the local legislation and institutional requirements. The patients/participants provided their written informed consent to participate in this study.
Author contributions
CL took the lead in writing the article and was in charge of organizing and editing. JD contributed in both content as well as writing. IM and AJ provided feedback and advice on writing as well as editing. All authors contributed to the article and approved the submitted version.
Acknowledgments
The Digital Ageing Consortium is composed of researchers from Vrije Universiteit Brussel and University of Antwerp: Ignace Glorieux, Dimitri Mortelmans, AJ, Anina Vercruyssen, Nico De Witte, IM, Werner Schirmer, Bram Spruyt, CL, Jorrit Campens, and Nelly Geerts. The authors would like to thank the other members of the Digital Ageing Consortium. Furthermore, we would like to thank Silvia Urra from TECNALIA and Basque Research and Technology Alliance (BRTA) in Derio, Spain for her assistance and organization.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
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Summary
Keywords
participatory design, smart city, ageism, age-friendly cities, digital inclusion
Citation
van Leeuwen C, Devis Clavijo J, Mariën I and Jacobs A (2022) Invisible in the smart city: Using participatory design methods for age-friendly solutions. Front. Sustain. Cities 4:956787. doi: 10.3389/frsc.2022.956787
Received
30 May 2022
Accepted
07 July 2022
Published
04 August 2022
Volume
4 - 2022
Edited by
Shenja Van Der Graaf, University of Twente, Netherlands
Reviewed by
Joost Van Hoof, The Hague University of Applied Sciences, Netherlands; Le Anh Nguyen Long, University of Twente, Netherlands
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Copyright
© 2022 van Leeuwen, Devis Clavijo, Mariën and Jacobs.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Cora van Leeuwen cora.van.leeuwen@vub.be
This article was submitted to Social Inclusion in Cities, a section of the journal Frontiers in Sustainable Cities
Disclaimer
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.