Background The impact of dementia for communication skills can result in difficulties in social interactions between people with dementia and their conversation partner, as initiating and maintaining conversations becomes increasingly challenging. The role of technology in enhancing social health and participation for people with dementia is increasing, but the use of technological devices to support social interactions and aid communication quality is still in its infancy. The objective of this literature review is to provide a comprehensive description of technology-driven interventions for people with dementia and their conversation partners to prompt communication and facilitate positive social interactions. Methods A systematic search was conducted using PubMed, CINAHL and PsycINFO, with titles and abstracts independently screened by two researchers. Quality appraisal of the included studies was assessed using the Mixed Methods Appraisal Tool. Results Of the 18 papers included, the technology most commonly used to facilitate communication and interactions was tablet-computers (n = 7), social robots (n = 5) and computers systems (n = 4). By analyzing the impact of the device(s) for social interaction and communication, four major themes emerged: i) breaking the ice; ii) increased interaction; iii) better understanding of the person with dementia; and iv) reduced pressure for the conversation partner. Conclusion While the majority of the included studies are small-scale, they indicate promising findings for the potential of technology to promote interaction in a way that relieves strain on the caregiver, enhances relationships and engages people with dementia in social activities. Rigorous investigation using standard, comparable measurements is needed to demonstrate the effects of technological solutions, as well as to explore and address barriers and potential adverse outcomes.
Background The impact of dementia on communication capabilities can result in difficulties in social interactions and between people with dementia and their conversation partner, as initiating and maintaining conversations becomes increasingly challenging. The role of technology in promoting social health and participation for people with dementia is increasing, but the usage on technological devices as a third party in social interactions to enhance communication quality is still in its infancy. The objective of this literature review is to provide a comprehensive description of technology-driven interventions for people with dementia and their conversation partners to enhance communication and facilitate positive social interactions. Methods A systematic search was conducted using PubMed, CINAHL and PsycINFO, where titles and abstracts were screened by two researchers independently. The reference lists of initially identified papers were hand-searched for further relevant studies. Quality appraisal of the included studies was assessed using the Mixed Methods Appraisal Tool.Results Twenty-six papers were included., where the most common technologies to facilitate communication and interactions were tablet-computers (n=11), social robots (n=7) and PCs (n=4). By analyzing the impacts of the device(s) on social interaction and communication, five major themes emerged: i) increased interaction; ii) better understanding of the person with dementia; iii) improved conversational quality; iv) reducing pressure on the conversation partner; and v) a conversational platform.Conclusion While the majority of the included studies are small-scale, they indicate promising findings on the potential of technology in helping dyads to interact in a way that relieves strain on the caregiver, enhances the relationship and engages people with dementia in social activities. Rigorous investigation using standard, comparable measurements is needed to demonstrate the effects of technological solutions, taking on the perspective on caregiving dyads as an entity rather than looking at outcomes for one member of the dyad in isolation.
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