Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review

Thordardottir, Björg; Fänge, Agneta Malmgren; Lethin, Connie; Gatta, Danae Rodríguez; Chiatti, Carlos

doi:10.1155/2019/9196729

Cited by 105 publications

(113 citation statements)

References 53 publications

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“…Care workers themselves are often ‘late adopters’ of new technology even though it is used in the care provided to their clients. In a recent review of acceptance and use of innovative assistive technologies among people with cognitive impairment and their caregivers, the results showed how important the communication is for the acceptance and use of digital technology, but also the perceived need for the technology and the expected benefits of its use, as highlighted also by Peek et al . Moreover, in line with previous research how and when the technology was introduced as well as the provision of support before and during the implementation, was highly relevant for acceptance and adherence of the technology.…”

Section: Discussionsupporting

confidence: 72%

Using sensor‐based technology for safety and independence – the experiences of people with dementia and their families

Fänge

Carlsson

Chiatti

et al. 2019

Scandinavian Caring Sciences

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Background The majority of people with dementia prefer to live independently and safely in their own home cared for by their family members. Much effort has been invested in the development of technology, such as sensor‐based networks. Many challenges remain, in particular gaining more knowledge about their experiences and perceived benefits. This study aimed to explore experiences, needs and benefits with using sensor‐based technology for safety and independence in the homes of people with dementia and their family members. Methods This study is part of the TECH@HOME project, aiming to evaluate the effects of sensor‐based technology on independence among people with dementia and caregiver stress among their family members. This study applied an inductive, qualitative approach with semi‐structured interviews of people with dementia (n = 9) and family members (n = 21). The participants were interviewed between June and September 2018 after using the technology for at least 6 months. The interviews were analysed with manifest content analysis. Results Our findings highlighted that technology was considered as a precaution and a safety measure that could provide a sense of having control of the everyday life of the person with dementia. Understanding and acceptance of the technology were as important, together with the reliability of the technology. Ethical dilemmas related to the monitoring of the person with dementia in the home were also raised. Conclusion This study provides insights into how people with dementia and family members experience and benefit from using sensor‐based technology in their own homes. The knowledge generated is essential for healthcare professionals and policymakers developing and implementing care and service systems including technology, as well as for the industry.

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Section: Discussionsupporting

confidence: 72%

Using sensor‐based technology for safety and independence – the experiences of people with dementia and their families

Fänge

Carlsson

Chiatti

et al. 2019

Scandinavian Caring Sciences

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“…28 This is an important aspect and reveals that slow adoption can be linked to more than lack of technological maturity or lack of integration of AT into community health care services. 29 It could also be due to a low understanding of the script of the device; that is, understanding the potential of the technology and how it might be configured to a certain user. 30 Lastly, the participants in our study reported frustrations regarding the limits of the AT and its lack of user interface with citizens' capacities, which points to the complexities of implementing a plan for the integration of AT into the homes of people with MCI/D and into action with the contexts of citizens' lives.…”

Section: Discussionmentioning

confidence: 99%

<p>Community Health Care Workers’ Experiences on Enacting Policy on Technology with Citizens with Mild Cognitive Impairment and Dementia</p>

Holthe¹,

Halvorsrud²,

Thorstensen³

et al. 2020

JMDH

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Purpose: Assistive technologies and digitalization of services are promoted through health policy as key means to manage community care obligations efficiently, and to enable older community care recipients with mild cognitive impairment (MCI) and dementia (D) to remain at home for longer. The overall aim of this paper is to explore how community health care workers enacted current policy on technology with home-dwelling citizens with MCI/D. Participants and Methods: Twenty-four community health care workers participated in one of five focus group discussions that explored their experiences and current practices with technologies for citizens with MCI/D. Five researchers took part in the focus groups, while six researchers collaboratively conducted an inductive, thematic analysis according to Braun & Clarke. Results: Two main themes with sub-themes were identified: 1) Current and future potentials of technology; i) frequently used technology, ii) cost-effectiveness and iii) "be there" for social contact and 2) Barriers to implement technologies; i) unsystematic approaches and contested responsibility, ii) knowledge and training and iii) technology in relation to userfriendliness and citizen capacities. Conclusion: This study revealed the complexity of implementing policy aims regarding technology provision for citizens with MCI/D. By use of Lipsky's theory on street-level bureaucracy, we shed light on how community health care workers were situated between policies and the everyday lives of citizens with MCI/D, and how their perceived lack of knowledge and practical experiences influenced their exercise of professional discretion in enacting policy on technology in community health care services. Overall, addressing systematic technology approaches was not part of routine care, which may contribute to inequities in provision of technologies to enhance occupational possibilities and meaningful activities in everyday lives of citizens with MCI/D. Trial registration: NSD project number 47996.

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“…Research shows that digital technology can enhance social participation among older people [9], reinforce existing social relationships [10], and mitigate social isolation [11] among older people with dementia. Few studies have explored social participation in relation to technology use, and among those, there is a tendency to focus on novel technological innovations, such as gaming and self-monitoring, which have been limited by high attrition and low uptake in the everyday lives of older people with and without dementia [11,12]. Research based on how older people perceive social participation in a digitalized society found that digital technologies may be perceived as influencing social opportunities, access to services, and a sense of security; however, this research did not include people with dementia [13].…”

Section: Introductionmentioning

confidence: 99%

Social Participation in Relation to Technology Use and Social Deprivation: A Mixed Methods Study Among Older People with and without Dementia

Gaber

Nygård

Brorsson

et al. 2020

IJERPH

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Social participation is a modifiable determinant for health and wellbeing among older people; however, social participation is increasingly dependent on technology use. This study investigated social participation in relation to Everyday Technology use and social deprivation of the living environment, among older people with and without dementia in the United Kingdom. Sixty-four people with dementia and sixty-four people without dementia were interviewed using standardized questionnaires: The Participation in ACTivities and Places OUTside Home Questionnaire and Everyday Technology Use Questionnaire. A mixed methods approach integrated statistical analyses and content analysis of free-text responses, through data visualizations. Small, statistically significant associations were found between social participation and Everyday Technology use outside home, for participants with dementia (Rs = 0.247; p = 0.049) and without dementia (Rs = 0.343; p = 0.006). A small, statistically significant association was identified between social participation and social deprivation in the living environment, among only participants with dementia (Rs = 0.267, p = 0.033). The content analysis and graphical joint display revealed motivators, considerations that require extra attention, and strategies for managing social participation. The results underline how Everyday Technology use can be assistive to social participation but also the need to consider social deprivation of the living environment, especially among people with dementia.

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Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review

Cited by 105 publications

References 53 publications

Using sensor‐based technology for safety and independence – the experiences of people with dementia and their families

Using sensor‐based technology for safety and independence – the experiences of people with dementia and their families

<p>Community Health Care Workers’ Experiences on Enacting Policy on Technology with Citizens with Mild Cognitive Impairment and Dementia</p>

Social Participation in Relation to Technology Use and Social Deprivation: A Mixed Methods Study Among Older People with and without Dementia

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