HACKER Q&A
📣 noodlesUK

Best Video Call Solution for Elderly


Hi HN, I’m looking for a device that I can give to my grandmother that she can use to video call me and other family members from her care home. It needs to either be completely remotely manageable by me, or it needs to not have any real settings that can be changed accidentally (and can be pre-provisioned). Ideally it would be able to connect to the internet over 4g, so it wouldn’t be at the mercy of whether her nursing home has WiFi. Basically what I want is an office phone with a video screen that can connect to a 4g network. Does any such thing exist? If not, does anyone have any suggestions?


  👤 ac2u Accepted Answer ✓
When people make suggestions for this they underestimate how complicated their suggestion can be from a UX perspective.

Sometimes your user is someone who can't text, longs for the days when a telephone rang and the UX was to simply grip the receiver and put it to their ear.

Even a traditional tablet can be a pain because the user has to spend time finding the wake button when it's sometimes styled identically to the volume buttons. And they can't rely on location for memory as the tablet can be oriented different ways.

"Ohh that's not a real problem" you think.

Well, maybe not to you, but what if your eyesight is fading and you have arthritis in your hands? Then, even a touchscreen is a pain, I've watched folks use them where every tap happens three times to get it to "register"

I think an appropriate video device for OP's gran needs to have physical buttons (and not many of them aside from up/down answer(ring)/hangup, and have only one screen orientation.

Even when someone makes such devices they can't help but throw in the kitchen sink by letting it make phone calls as well. Great, now your UX is modal depending on whether you're making an audio or video call.


👤 jedimastert
Somewhat related but I just wanted to brag on my dad:

My dad is a pastor that runs Sunday mornings at a relatively large church. Roughly 600 people on a Sunday morning over a few services; not mega-church, but definitely bigger than the vast majority of Methodist churches. Over time he's become the "technology guy". He's not (or at least wasn't) particularly more competent than most, but wasn't afraid to learn and get his hands dirty, so to speak. Now I would call him plenty sav.

One of his passions is bringing the church to people who can't come to the building. A lot of personal visits to shut ins and hospitals, and recently this meant live streaming. We already had a two camera broadcasting set up, so it was pretty simple to plug it in to the internet (some sort of turn key "send audio and video to this box with an ethernet cable and we"ll stream to everywhere elsed" kinda deals) and off we go.

As an even more aside, I just want to shout out that since the epidemic started he basically started producing 3-4 hours of video each week to live stream.

Anywho, this lead to him asking me how eldery-proof we could make in-home streaming for folks who can't always leave the house, or maybe want to watch VODs if they miss a week or something. I mused that the turn key solution he was using made a few TV streaming options (apps on Fire TV, Roku, Android, etc.) and you could probably set one of those up to start automagically on boot or something.

About two weeks later he calls me up and, to my genuine amazement, has actually come up with a solution. He set up a Roku with a remote that custom app buttons, set up the streaming app (again, this is an app specifically for streaming our church) on one of those buttons, and set the app up in such a way that the first button hops onto the live stream. He even set up pretty good UX studies with a bunch of elderly folks to make sure his instructions were clear!

He ended up getting sponsored for about a hundred of them from a few generous folks around the church and personally set them up in folks homes.


👤 lawrencegs
I have couple of friends who use Facebook Portal for their non-tech savvy grandparents. Seems like the lack of features (compared to other tablets) make it easier for them to use it. Another thing, it integrates with WhatsApp (a big plus for many!)

https://portal.facebook.com/


👤 vlad_ungureanu
My grandparents are in their early 80s or late 70s and aren't very open to learn new technologies.

For the past 7 years they used and iPad (one of the early models 2nd or 3rd generations) and it served them well. I've introduced the the family contacts, put FaceTime and Photo library on the first screen and it seems ok for them. I've also annotated what volume button do and teach them that if they have a problem with it to press the big button (home button).

The only problem with the iPad is that recently there are some connectivity issues (it seems it doesn't always stay connected to Wi-Fi and they don't receive my FaceTime calls). I think this may be due to the old iOS it's using (v10 or v9). So, considering to buy them a newer version.


👤 dtnewman
GrandPad. Ninety four year old grandmother uses it and loves it. Easy to use tablet, great customer support that only works with seniors and their app for other family managers is surprisingly good. It’s literally made for this purpose.

👤 sneeuwpopsneeuw
My grandmother has an Ipad and an IPhone. We sometimes video call her on here phone using whatsapp. But this works around 50% of the time correctly and the other times we just call using a regular land line phone. She uses the Ipad only as a image viewer. We showed her multiple times how to google something but that is just to difficult for her. But she understands how to watch the photo's we put on the device, and she really likes to watch the old photo's of all our vacations together. So my recommendation would be use something that your grandmother is already comfortable with and start thinking from there. Introducing something new can be hard for her even if it is simpeler.

👤 at_a_remove
I have helped both my mother and some elderly folks with their computers and have a few observations which may be of some help.

1) UI changes really bother them. A lot of that crew works on muscle memory -- an icon moves and they get lost. They don't easily re-parse a new UI for changes.

2) Click speed decreases, so double-clicks are much harder. A single deliberate click is fine, but the doubles seem to pose problems.

3) The iPad doesn't seem to work for some. When I found there was no easy cheat sheet available (the ones I found seemed either insufficient or were focused on trivia/new-hotness), I made a series of laminated sheets. One described the various screens, one pointed out the parts of an iPad (controls, mostly). The third showed the different "gestures" (the important ones, anyway). This just ... didn't take. She doesn't care for it. Possibly due to #1 -- I am considering getting a laptop and using Classic Shell to fake that it is XP just so she feels comfortable again.

4) Visual acuity varies widely but you're probably on top of that.

5) Plugging things in can be problematic, so some kind of easy docking station or wireless charging might be better if available.

I have been watching this post with interest.


👤 daviroo
I’m using an echo show for this use case. My granddad has dementia and lives at home on his own. I set up some blink cameras in his house to watch for falls and setup an echo show so family could speak with him during lockdown. The big advantage I found about the echo show is the “drop in” feature which allows starting a video call with no interaction from his side.

👤 bartkappenburg
Take a look at KOMP: https://www.noisolation.com/uk/komp/?

Heared some good stories about them in a podcast I recently listened. Not cheap, but the UI/UX should be very good.


👤 el_dev_hell
Video chat and elderly relatives was a pain point in my life for a few years. I spent quite a lot of time finding a solution (spoiler: it's FaceTime and 4G iPads).

Things I tried:

- Initially, I tried Skype on a Windows laptop (around 2011). This was a nightmare for everyone. There were too many points of failure (wifi would disconnect and require a support phone call, Windows would update and require a phonecall to log back in, Skype would require an update and trigger a support call, etc).

- Around 2013, I tried an Android tablet with the Skype App over wifi. This was just as bad as a laptop (the app was also pretty unstable.

- I switched to Google Hangouts. The UI was an issue and was also unstable.

- In 2014/2015, I gifted an old Macbook Air. I set this up with Facetime and also Skype. My relatives preferred Skype initially (since they had experience with the app), but I showed them how to make and answer FaceTime calls over a Christmas weekend and they picked it up in less than an hour. The MacBook setup was great, but it died in 2016.

- In 2016, I gifted them an iPad with 4G. We continued communicating with FaceTime (and iMessage). This has been flawless for the past 4 years. I update the iPad each year over Christmas. I've only had one support call to install Snapchat (so my grandparents can keep in contact with a great-grandchild).

If the iPad dies anytime soon, I would consider Facebook Portal as an alternative.


👤 izacus
I'm also looking for something like this - I tried using an iPad but the experience on newer iOS is just too confusing and error prone for elder users. It also doesn't really support locking to single task well.

I've been looking at Skype desk phones but those were discontinued as well. Google Home smart devices are nice for video calls, but you can't disable Assistant functionality. Happy to hear any other recommendations.


👤 TheGrkIntrprtr
I FULLY recommend the Claris Companion: https://www.clariscompanion.com/. It keeps things as simple as possible, and they provide tech support. I've used them for over a year now I think and I've been very satisfied. My grandfather is in his 90s and is able to use it in his care home.

The UI takes over the normal android UI to make things very simple. It also provides an email/messaging system which blocks out communication from anyone but the approved contacts, so there's no need to worry about email scams etc.

I'm not sure if they ship to the UK but they have a 4G version. But if you can get a 4G device, you could still use their app.

The key thing is absolute simplicity of interface and use, and this service is great for that.

Sorry this sounds like an ad, but it's seriously provided so much value to me in being able to keep in touch with and see my grandfather from 1000s of kms away.


👤 detaro
Tablet with Kid/Kiosk mode to only allow one app? E.g. iPad with Facetime?

👤 syrgian
An Echo Show device matches most of your requirements: low configuration, remotely manageable, plus it's voice-managed. Sadly there are no 4G versions, but you could solve it with a small plugged 4G router.

👤 DEADBEEFC0FFEE
A Chromebook with a sim, and a USB receiver. Chrome books can be managed, I'm not sure if they have Sim slots. Possibly not, in which case a 4G USB device or 4G wifi might have to do.

👤 bouvin
I use a combination of a conventional phone with FaceTime on an iPad with my 90 years old mother. I call her on the phone (which works much better with her hearing aid), and then I connect through FaceTime for the video. If there are any technical issues, I can walk her through them. We have been doing this every evening for the past three months without any insurmountable problems. Having the iPad on a dock helps, as it keeps the orientation constant.

👤 Yetanfou
I use a combination of Nextcloud Talk (for 1-on-1 conversations) and Jitsi Meet (for larger groups) with my 82yo mother, she has NC Talk and Jitsi on her phone and tablet and access to both through the browser on her laptop. We use Telegram to schedule meetings through Jitsi Meet or for those cases where NC Talk doesn't notify the called party that someone is calling. It works fine, we use it for ~30 minutes per day, every day.

👤 andylynch
An basic iPad/iPhone could work well - even when he was too young to unlock and use it much, my son was able to voice dial with 'Hey Siri, call Dad on Facetime' etc, and it was easy to make it to work from the lock screen. He didn't even need to touch it - turning on auto answer in the accessibility settings helped too.

👤 jtchang
Hi. I am actually working on a solution for this. My grandma has a bit of dementia combined with hearing loss and a language barrier. This led me a solution of a remotely managed box with video camera hooked up to a TV. I'd love to chat with you and get to know your use case more. Feel free to e-mail me.

👤 macca321
Sadly these ipad/iphone/facetime combos only work if everyone in your family is on Apply. In the ROTW, that's not so common...

My mum, who's got dementia, can just about work her portal to make and receive calls.

I've heard giving them an android tablet with Skype app set to auto-answer may be the most foolproof x-platform way.


👤 lancewiggs
iPad and FaceTime. Keep it simple. Bonus - others in the facility will have the same, including staff.

👤 ntnlabs
I'm thinking about on-premise solution for my family, but that would involve a point-to-point calls only and LAN stretched thru all my family networks connected with VPN devices. But that is a bit overkill for Your scenario I guess...

👤 INTPenis
If you prep their phone with Jitsi Meet then it's very simple to use. My elderly mother even managed to follow the Jitsi link I sent her in a text message, to the Play store, install the app and connect.

👤 Spooky23
Seriously, iPad. If they can’t handle the old navigation, setup an MDM and put it in single app mode with managed contacts.

I have a client who uses this as a quick and dirty reception system in 3-4 offices.


👤 torresjrjr
This is probably relevant to your search for good UX

https://news.ycombinator.com/item?id=23589798


👤 numpad0
I think Amazon Echo Show line has video call auto-answer with a time window to refuse, so once configured the remote side don’t have to be able to understand how to stop ringtone and start talking.

👤 rspoerri
the mother of my gf has problems keeping devices loaded. mostly because she has alzheimer, but dont forget about that aspect.

also, how are you calling, is it always on, is the speaker loud enough and microphone good and lastly is her privacy not compromised?

a solution to easily start a video chat without user registration is whereby.com , but thats mostly good if you already have a remote device, but no control over it.

elderly people are not stupid, they have different experiences and interests. if they want to learn how to use a device, they are likely able to do so.


👤 m_eiman
Perhaps some sort of telepresence system is what would work best, but I don't know if there are any such systems available for non-enterprise uses?

👤 Synaesthesia
My grandpa loves his iPad. Best computer for old people.

👤 codingdave
I'm not understanding why a smartphone, with parental controls enabled to prevent her accidentally changing settings, would not work?

👤 mister_hn
A Kindle Fire HD with Telegram would be really good and easy to use.