Assistive technologies in reducing caregiver burden among informal caregivers of older adults: a systematic review

Marasinghe, Keshini Madara

doi:10.3109/17483107.2015.1087061

Cited by 141 publications

(99 citation statements)

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“…A systematic review on occupational therapy for community-dwelling elderly people (Steultjens et al, 2004) presents strong evidence of the efficacy of giving advice on relevant assistive devices. Another systematic review on older adults (Marasinghe, 2016) presents evidence that assistive devices increase the user's independence and contribute to reducing caregiver burden. Furthermore, research suggests that the use of assistive devices may lead to increased satisfaction with ADL performance (Brandt, 2005;Mortenson et al, 2013;Pettersson, Tornquist, & Ahlstrom, 2006) and higher HRQoL (Devitt, Chau, & Jutai, 2004;Jensen, 2014;McMillen & Söderberg, 2002).…”

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confidence: 99%

The association between having assistive devices and activities of daily living ability and health‐related quality of life: An exploratory cross‐sectional study among people with advanced cancer

et al. 2019

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Objective To explore whether people with advanced cancer who had assistive devices had higher or lower ADL ability and/or HRQoL than people with advanced cancer who did not have assistive devices. Methods A cross‐sectional study of 164 participants with advanced cancer. Self‐reported ADL ability and HRQoL were assessed using the ADL—Interview and the EORTC QLQ‐C30. Data regarding assistive devices were collected using a study‐specific questionnaire. Data were analysed using multiple linear regression. The regression coefficients (B) were presented in crude form and adjusted for potential confounding variables (age, gender, cohabiting, receiving help, physical functioning, fatigue and pain). p‐Values (p) < 0.05 were considered statistically significant. Results Having assistive devices was associated with lower ADL ability (B = −0.923, p = <0.0001), but this association was not significant after adjustment where it was found that physical functioning was a confounder positively associated with ADL ability (B = 0.030, p = <0.0001). No significant association was found between having assistive devices and HRQoL. Both fatigue (B = −0.336, p = <0.0001) and pain (B = −0.124, p = 0.010) were negatively associated with HRQoL. Conclusion The participants had the same ADL ability and HRQoL regardless of them having assistive devices. Interventions addressing physical functioning or fatigue and pain might contribute to enhancing ADL ability and HRQoL among people with advanced cancer.

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confidence: 99%

The association between having assistive devices and activities of daily living ability and health‐related quality of life: An exploratory cross‐sectional study among people with advanced cancer

et al. 2019

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“…After removing duplicates, references were screened on title and abstract and then on full text. A total of 68 articles were read in full, 47 of which were selected for review due to their depth analysis of caregiver needs [5,16,39,41,44] and their relevance to the research goals.…”

Section: Approachmentioning

confidence: 99%

“…Assistive technologies have been proposed to overcome elderly problems such as fall risk, chronic disease, dementia, social isolation and poor medication management. Assistive technologies help reduce the burden among ICGs of older adults [39]; these technologies were also found to reduce anxiety in informal carers of people with dementia [40]. Components of HIT such as computerized prescription tools for instance, are clear examples of how risk reduction occurs in the case of a patients' and the informal caregiver are reminded of the correct intake of the prescribed medicine.…”

Section:  Patient Risk Mitigation and Lessening The Burden On Icg (R)mentioning

confidence: 99%

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Health Information Technology and Caregiver Interaction: Building Healthy Ecosystems

Badr¹,

Sorrentino

Marco

2018

Exploring Service Science

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This qualitative study explores the widely recognized role of the informal caregivers (ICGs) as key co-producers in the delivery of effective and sustainable healthcare systems. The central argument is that to enhance the quality of care in non-clinical settings and the healthcare ecosystem as a whole, developers of Health Information Technology (HIT) need to harness the knowledge and experiences of the ICGs to better align their products to practice. The paper has two aims: to improve the understandability of informal caregivers' role in non-traditional healthcare settings, and to identify and formulate valuable guidelines for the development of "fit for use" HIT solutions that acknowledge the needs of the ICGs.Health Information Technology is the application of information technology to health and healthcare. The fact that Health Information Technology ('HIT') brings together the management and computerization of health information with a wide range of stakeholders means it has far-reaching effects on the delivery and consumption of healthcare and health-related services [1: iv]. In this paper, HIT is defined as the use of information and communication technology (ICT) by formal (i.e., professional) and informal caregivers to deliver healthcare services in non-traditional settings. Basically, caregivers would combine the use of social media, collaborative platforms, online portals, bedside terminals, assistive technologies, handhelds, electronics, and electronic medical records into "effective means of accessing, communicating and storing information to improve patient care and population health, and reduce healthcare expenditures" [2: 476, 3, 4]. The sustained care of informal caregivers (ICGs) could enable people with chronic diseases, e.g., cancer [5], AIDS [6], Alzheimer's [7], stroke [8], Severe Multiple Sclerosis [9], and certainly the aging [10], to be assisted by family members either at the hospital or at home [11]. Nevertheless, to provide an effective care package, healthcare providers who enlist informal caregivers as active patient care partners [12] need to pay careful attention to the interactions between the ICGs, the healthcare professionals and the patients [13]. HIT has done much to make the informal caregivers part of healthcare service delivery ecosystems [14] but the evidence so far suggests that, overall, it is not enough to improve outcomes across the care continuum [2,15]. Prior studies have demonstrated significant advances in knowledge but uncertain improvements in skills [16] -in particular, in the training of disease management planning. The attitude of the healthcare provider to the ICG as a user of HIT is often the result of a mutual misunderstanding of needs [17,18]. On the other hand, the perception of the ICGs and care recipients is that they are at the mercy of the healthcare professionals.  MotivationThe difference between an informal caregiver (or family carer or caregiver, informal carer or care provider or caregiver) and a healthcare professional (e.g. clinical staff, nur...

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“…Society is facing vast challenges associated with the imbalance between people in need of healthcare and resources available to meet those needs [1][2][3]. Representatives from the governments as well as from the public and private health sectors have proposed that eHealth interventions are a possible solution to the current challenges [4][5][6]. eHealth is here understood as applications such as alarms and remote monitoring of care needs using information and communication technologies [7].…”

Section: Introductionmentioning

confidence: 99%

Identifying Motives for Implementing eHealth by using Activity Theory

Svensson¹

2020

Sustainability

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eHealth interventions are utilized as a solution to address the current demographic challenges in society, as the number of old people increases. Thus, working life, work practice, and professional requirements needed for providing healthcare services will be transformed. The aim of this paper is to explore contradictive motives regarding the professionals' work practice when introducing innovative eHealth technologies in Scandinavian healthcare services at a municipal level. The study is based on two qualitative group interviews where nurses, assistant nurses, occupational and physiotherapists, as well as project managers participated. Two persons from an IT department were also interviewed. The interviews were analyzed by thematic analysis. The activity theory is used to explore the individuals' different contradictive motives in this work practice. The work practice consists of a collaborative activity, where expansive learning is important in this transformation of work to obtain a sustainable society. The motives identified in this study are to (1) improve quality of life for the patients, (2) create attractive and interesting work for the employees, (3) save money for the municipality, (4) learn about new technology, and (5) use the municipality's resources effectively.

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Assistive technologies in reducing caregiver burden among informal caregivers of older adults: a systematic review

Cited by 141 publications

References 13 publications

The association between having assistive devices and activities of daily living ability and health‐related quality of life: An exploratory cross‐sectional study among people with advanced cancer

The association between having assistive devices and activities of daily living ability and health‐related quality of life: An exploratory cross‐sectional study among people with advanced cancer

Health Information Technology and Caregiver Interaction: Building Healthy Ecosystems

Identifying Motives for Implementing eHealth by using Activity Theory

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