Assistive technology designed to support self-management of people with dementia: user involvement, dissemination, and adoption. A scoping review

Abstract

Background: Assistive technology is advocated as a key solution to the need for support among people living with dementia. There is growing awareness of the benefits of user involvement in the design and test of these technologies and the need to identifying applicable and effective methods for implementation. The aim of this review was to explore and synthesize research addressing assistive technology designed to be used by people with dementia for self-management. Further research aims were to explore if and how user involvement, dissemination, and adoption of assistive technology were addressed.Method: Electronic databases were searched using specified search terms. Key publications and grey literature sources were hand-searched. Materials published until year end 2018 were included. The results were summarized according to the research aims.Results: Eleven papers derived from eight studies were included. The studies presented data from prototype design and testing, and the review showed great variation in study scope, design, and methodology. User involvement varied from extensive involvement to no user involvement. Methods for adoption also varied widely and only targeted prototype testing. None of the studies addressed dissemination. Conclusion:The results of this review underline the need for well-designed high-quality research into all the aspects that are essential to deliver applicable, effective, and sustainable assistive technology to support self-management of people with dementia. There is a need for evidence-based methods to promote and qualify user involvement, dissemination, and adoption. The results also point to the need for standardized outcome measures and standards for conducting and reporting research to improve its quality and impact.

Emerging Issues of Intelligent Assistive Technology Use Among People With Dementia and Their Caregivers: A U.S. Perspective

“…A recent systematic review by Sriram et al explored the use of IAT by caregivers of those with dementia and the impact of these technologies on carer's lives with the recommendation for a standard and person-centered system be developed (25). A scoping review by Øksnebjerg et al focused on the need for high-quality research into essential aspects of delivering applicable, effective, and sustainable assistive technology to support self-management of people with dementia suggesting the need for evidence-based methods to promote and qualify user involvement, dissemination, and adoption (26). For the most part, this current research articulates concerns for ethics issues such as privacy, security and consent have occurred ex post of the implementation or in the process of use.…”

Evaluating the Facilitators, Barriers, and Medical Outcomes Commensurate with the Use of Assistive Technology to Support People with Dementia: A Systematic Review Literature

“…Research supports the incorporation of technology with dementia patients because it plays a role in preventing their cognitive and physical decline. Technological intervention could further propose solutions to the challenges and barriers that limit care in dementia patients [4].…”

A Novel Integration of IF-DEMATEL and TOPSIS for the Classifier Selection Problem in Assistive Technology Adoption for People with Dementia

“…These are valuable insights supporting the development of classifier selection models that guide practitioners to choose the best algorithm in a particular application context. In this respect, Øksnebjerg et al [25] presented a review to investigate user involvement, dissemination, and adoption of assistive technology by PwD. The papers included in the review were eleven papers from eight studies.…”

“…The papers included in the review were eleven papers from eight studies. Øksnebjerg et al [25] reported that none of the studies considered dissemination, user involvement varied from extensive to none, and methods for adoption also varied and only targeted prototype testing. Some of the adoption methods reported from the reviewed papers were individual introduction, individualized program, audio-based guidance included in an app, a training session and manual for caregivers, and an individualized training session for both participant and caregiver.…”