Assistive Technology Addressing Safety Issues in Dementia: A Scoping Review

Gagnon-Roy, Mireille; Bourget, Annick; Stocco, Stéphanie; Courchesne, Annie-Claude Lemieux; Kühne, Nicolas; Provencher, Véronique

doi:10.5014/ajot.2017.025817

Cited by 39 publications

(29 citation statements)

References 43 publications

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“…The care providers’ perception of the technology having risks for residents impeded the implementation [86]. The reports of risky situations during implementation of IATs [87] emphasise how the care service managers and staff are experienced risk assessors who continuously mitigated risk with promotion of the independence of persons with dementia and reduction of the care burden. To a large degree, however, the care providers and their managers did not have the competence to assess risks created by the digital monitoring technology [88], which inhibited balancing of implementation decisions [18] so that the technology did not impose threats to patient safety.…”

Section: Discussionmentioning

confidence: 99%

Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia

Dugstad

Eide

Nilsen

et al. 2019

BMC Health Serv Res

128

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Background Implementation of digital monitoring technology systems is considered beneficial for increasing the safety and quality of care for residents in nursing homes and simultaneously improving care providers’ workflow. Co-creation is a suitable approach for developing and implementing digital technologies and transforming the service accordingly. This study aimed to identify the facilitators and barriers for implementation of digital monitoring technology in residential care for persons with dementia and wandering behaviour, and explore co-creation as an implementation strategy and practice. Methods In this longitudinal case study, we observed and elicited the experiences of care providers and healthcare managers in eight nursing homes, in addition to those of the information technology (IT) support services and technology vendors, during a four-year implementation process. We were guided by theories on innovation, implementation and learning, as well as co-creation and design. The data were analysed deductively using a determinants of innovation framework, followed by an inductive content analysis of interview and observation data. Results The implementation represented radical innovation and required far more resources than the incremental changes anticipated by the participants. Five categories of facilitators and barriers were identified, including several subcategories for each category: 1) Pre-implementation preparations; 2) Implementation strategy; 3) Technology stability and usability; 4) Building competence and organisational learning; and 5) Service transformation and quality management. The combination of IT infrastructure instability and the reluctance of the IT support service to contribute in co-creating value with the healthcare services was the most persistent barrier. Overall, the co-creation methodology was the most prominent facilitator, resulting in a safer night monitoring service. Conclusion Successful implementation of novel digital monitoring technologies in the care service is a complex and time-consuming process and even more so when the technology allows care providers to radically transform clinical practices at the point of care, which offers new affordances in the co-creation of value with their residents. From a long-term perspective, the digital transformation of municipal healthcare services requires more advanced IT competence to be integrated directly into the management and provision of healthcare and value co-creation with service users and their relatives.

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Section: Discussionmentioning

confidence: 99%

Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia

Dugstad

Eide

Nilsen

et al. 2019

BMC Health Serv Res

128

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“…Yet, little is known about the experiences of carers using AT and what impact AT has on carer health and wellbeing [25]. This review, aims to fill the gap in literature that so far has predominantly looked at AT from the perspective of people living with dementia and its use within institutional settings [7, 26, 27] as well as identifying carer wellbeing when using AT. This information could benefit carers and persons with dementia considering AT solutions for use at home, help healthcare professionals who prescribe and set up AT solutions, as well as developers/inventors of AT.…”

Section: Why It Is Important To Do This Reviewmentioning

confidence: 99%

Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

2019

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Background Dementia is a health and care priority globally. Caring for persons with dementia is a challenge and can lead to negative psychological, physiological and financial consequences for informal carers. Advances in technology have the potential to assist persons with dementia and their carers, through assistive technology devices such as electronic medication dispensers, robotic devices trackers and motion detectors. However, little is known about carers’ experience and the impact of these technologies on them. This review aims to investigate the outcomes and experience of carers of persons with dementia, who live at home and use assistive technology. Methods A systematic search in seven databases and manual searches were carried out using pre-defined inclusion and exclusion criteria to identify studies on carers of persons with dementia involving the use of assistive technology. The search identified 56 publications with quantitative, qualitative and mixed-method designs. Results The studies reported positive and negative findings and focused on a wide variety of assistive technology devices. There were large differences in the uses of assistive technology, outcome measures used and the quality of studies. Knowledge and acceptance, competence to use and ethical issues when using assistive technology were themes that emerged from the studies. Carers generally appreciated using assistive technology and their experience of use varied. Conclusions The intention of this systematic review is to list and classify the various types of assistive technology used by carers of persons with dementia and explores the positive and negative aspects, knowledge, acceptance and ethical issues in the use of assistive technology by carers of persons with dementia. We recommend the use of a standard and person-centred system of classifying and naming assistive technology devices and systems and for future research efforts in assistive technology to incorporate a family/carer centred model. Systematic review registration PROSPERO - CRD42017082268 . Electronic supplementary material The online version of this article (10.1186/s12877-019-1169-0) contains supplementary material, which is available to authorized users.

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“…Though research on the acceptability and utility of RAM has advanced, there are few randomized controlled studies of the effectiveness of RAM for adults living with ADRD or their family caregivers (Gagnon-Roy et al, 2017;Reeder et al, 2013). Available randomized controlled trials feature smaller samples (N ≤ 60), but suggest potentially positive effects of RAM for family caregivers and older adults (Rowe et al, 2009;Torkamani et al, 2014).…”

Section: Background: Efficacy and Effectiveness Of Remote Activity Momentioning

confidence: 99%

Six-Month Effectiveness of Remote Activity Monitoring for Persons Living With Dementia and Their Family Caregivers: An Experimental Mixed Methods Study

Gaugler¹,

Zmora

Mitchell

et al. 2018

The Gerontologist

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We found that the early months spent calibrating and modifying RAM are potentially challenging for families, which may prevent this technology from improving caregiving outcomes during initial months of use. Remote activity monitoring may work optimally for caregivers of persons living with ADRD in specific situations (e.g., earlier stages of dementia; wandering risk), which suggests the need for appropriate needs assessments that can better target such innovations.

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Assistive Technology Addressing Safety Issues in Dementia: A Scoping Review

Cited by 39 publications

References 43 publications

Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia

Towards successful digital transformation through co-creation: a longitudinal study of a four-year implementation of digital monitoring technology in residential care for persons with dementia

Informal carers’ experience of assistive technology use in dementia care at home: a systematic review

Six-Month Effectiveness of Remote Activity Monitoring for Persons Living With Dementia and Their Family Caregivers: An Experimental Mixed Methods Study

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