A Clock That Does Not Tell the Time: How the Day Clock Meets the Needs of People Living with Dementia

Boyd, Hazel; Evans, Nina; Harris, Nigel

doi:10.1007/978-3-319-29498-8_14

Cited by 3 publications

(7 citation statements)

References 3 publications

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“…Professionals like Occupational Therapists (Swinson et al 2016) and Community Psychiatric Nurses (Crosse, Broomfield, Davies and Evans 2008) advise on orientation strategies and devices however in practice little robust evidence exists to support these interventions for dementia (Greenway, Duncan andSmith 2013, Parr andDown 2013) Technology presents new opportunities to automate calendar reminders to support engagement in activity. There are examples of electronic AT specifically designed for time management such as the "Forget Me Not Calendar" (Holthe, Hagan and Bjorneby 1999) evaluated as part of the Enabling Technologies for People with Dementia (ENABLE) project (2001) and the "Day Clock" (Boyd, Evans and Harris 2016) which displays information in a format easier for people with dementia to intuitively understand.…”

Section: Calendars Remindersmentioning

confidence: 99%

“…Technology presents new opportunities to automate calendar reminders to support engagement in activity. There are examples of electronic AT specifically designed for time management such as the “Forget Me Not Calendar” (Holthe, Hagen, & Bjorneby, 1999) evaluated as part of the Enabling Technologies for People with Dementia (ENABLE) Project (2001) and the “Day Clock” (Boyd, Evans, & Harris, 2016) which displays information in a format easier for people with dementia to intuitively understand.…”

Section: Introductionmentioning

confidence: 99%

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An exploration of the experience of using calendar reminders for people with dementia and family carers

Evans

Collier

2017

Dementia

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People with dementia and family carers often use calendars to support time orientation to maintain routine. However, little is known about the use of calendars as a compensatory strategy. This study examines the experience and practicalities of using calendar reminders from the perspective of people with dementia and family carers. Six dyads were recruited and interviewed at home. Interpretative Phenomenological Analysis was used to develop a narrative interpreted from an occupational therapy perspective. The themes were reflected on during two subsequent focus groups. Findings suggested that calendars are used either intensively as external memory records or more casually and randomly for reassurance. The familiarity and location of the calendar and its utility to the person with dementia and carer, all contribute to its efficacy. For carers the experience of supporting calendar reminders encompasses practical, cognitive and emotional effort. There was little awareness amongst participants of electronic assistive technology.

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Section: Calendars Remindersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

An exploration of the experience of using calendar reminders for people with dementia and family carers

Evans

Collier

2017

Dementia

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“…A product called the Day Clock was developed in consultation with people with cognitive impairment, carers, and professionals, and was made available on the market. The effect of time disorientation on people with cognitive impairment was well understood before this evaluation, but the impact of time disorientation on the carers of people with cognitive impairment was greater than anticipated and can be a significant source of anxiety and conflict (Boyd et al, 2016). The simplicity and standalone nature of the Day Clock design, while queried by some critics, is…”

Section: Large Face Clocksmentioning

confidence: 98%

“…Products exist to support people with cognitive impairment, typically showing the time and date. However people with cognitive impairment seem to need a simpler display which shows only the day of the week and part of the day (Boyd, Evans, & Harris, 2016). A product called the Day Clock was developed in consultation with people with cognitive impairment, carers, and professionals, and was made available on the market.…”

Section: Large Face Clocksmentioning

confidence: 99%

“…shown to be a valid approach which fits a specific market demographic (those with time disorientation who can still read but cannot make sense of the exact time or date) (Boyd et al, 2016). The negative impact of time disorientation on people with cognitive impairment and their family/whānau has been highlighted by the goals identified during the evaluations, and this impact can be reduced by using the right product.…”

Section: Large Face Clocksmentioning

confidence: 99%

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Patient Safety of Older Adults with Cognitive Impairment: Evaluation of a Service Improvement Initiative

Patel¹

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Background The safety of older adults with cognitive impairment is linked to falls and to aggressive incidents, therefore patient safety is an important aspect of care for this group of older adults. Environmental changes to create a more ‘dementia-friendly’ setting can create a safer space for patient care. The Kings Fund Healing the Healthy Environmental tool was used to make small changes to a ward environment. The changes included; large face clocks, identification of bed spaces, lavender oil diffusor, and viewing gardens, to improve patient safety. Research Objectives -To assess the impact of environmental changes on patient reportable events (falls and aggression) in older persons’ wards, through a comparative analysis of incidents in the wards – one (Ward A) with environmental changes and the other (Ward B) with usual environment. -To obtain staff perspectives of the changes implemented in the service initiative. Method A practice-based impact evaluation using mixed methods was undertaken to evaluate the service initiative. The methods included an analysis of data from an established database that captured reported falls and aggressive behaviour (quantitative data), and a survey of healthcare staff about the effectiveness of environmental changes (qualitative data). Results The results show that the environmental changes implemented through the service initiative reduced the number of reported falls and aggressive incidents in Ward A in the high visible room. Following the environmental change, the rate of falls per 100 nights in Ward A high visible room was 2.43 compared with a rate of 3.23 times in Ward B. The number of aggressive incidents was 10 in Ward A and 9 in Ward B. The survey findings indicated staff valued the environmental changes particularly the large face clocks. Conclusion While the quantitative data results are not statistically significant the results indicate that the environmental changes implemented (large face clocks, identification of bed spaces, lavender oil diffusor, and viewing gardens) led to a lower number of reportable events for falls in Ward A. Any reduction in the numbers of falls and aggressive behaviour is clinically significant given the impact of such events on patient health and length of stay. The dementia-friendly environmental changes implemented were shown to be an effective service initiative. Clinical and research implications Wards that cater for older people with cognitive impairment should consider implementing low-cost environmental changes such as introducing large face clocks, clear identification of bed spaces, lavender oil diffusors, and viewing gardens. Further research using a larger patient population (a longer time frame or several wards) is required to obtain an adequately powered study.

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Beyond the Clock: Rethinking Time in Technologies for People with Dementia

Khot,

Lee,

Brankaert

et al. 2024

Extended Abstracts of the CHI Conference on Human Factors in Computing Systems

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A Clock That Does Not Tell the Time: How the Day Clock Meets the Needs of People Living with Dementia

Cited by 3 publications

References 3 publications

An exploration of the experience of using calendar reminders for people with dementia and family carers

An exploration of the experience of using calendar reminders for people with dementia and family carers

Patient Safety of Older Adults with Cognitive Impairment: Evaluation of a Service Improvement Initiative

Beyond the Clock: Rethinking Time in Technologies for People with Dementia

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