Design guidance for video chat system to support social engagement for older adults with and without mild cognitive impairment

Nie, Qiang; Nguyen, Lydia T.; Myers, Dillon; Gibson, A.; Kerssens, Chantal; Mudar, Raksha A.; Rogers, Wendy A.

doi:10.4017/gt.2020.20.1.398.08

Cited by 8 publications

(6 citation statements)

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“…People with MCI who live in a community have more chances to use technology for social connections and participation. Our findings align with previous research indicating that the prevalence of technology use among people with MCI is low ( 89 ). According to the 49th Statistical Report on China’s internet Development released by the China Internet Information Center in February 2022, individuals aged 60 and above accounted for 11.5% of total internet users, with a 1.2% increase since June 2020.…”

Section: Discussionsupporting

confidence: 92%

Social connections and participation among people with mild cognitive impairment: barriers and recommendations

2023

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ObjectiveSocial connections and participation are essential for individuals with mild cognitive impairment (MCI) to prevent the progression of cognitive decline and enhance their overall well-being. However, existing research has primarily focused on environmental barriers, overlooking personal factors and the interconnected nature of these barriers. Moreover, there is a lack of understanding regarding social connections and participation challenges specific to people with MCI in low- and middle-income countries. Therefore, this study aimed to explore the barriers that hinder social connections and participation among people with MCI in China and investigate opportunities to design appropriate supportive interventions.MethodsThirty-one people with MCI (13 males and 18 females; mean age = 82.74 years, SD = 7.69; mean MoCA score = 21.26, SD = 2.44) and 13 caregivers were recruited to attend focus groups. In addition, 10 therapists were interviewed using a semi-structured interview guide. Focus groups and interviews were audio-recorded, transcribed, and analyzed using a framework analysis approach.ResultsWe found that the ability to build social connections among people with MCI is affected by mobility challenges, intensive grandparenting responsibilities, availability of suitable activities, and feelings of exclusion in a closed-minded community environment. Personal reasons, such as lower social efficacy, inability to find suitable social activities, and intensive family responsibilities, discourage people with MCI from social participation. The digital literacy of people with MCI depends on their motivation to learn and use digital tools; people with MCI who live in a community have a higher digital literacy than those living in care centers. The motivation to achieve digital literacy is affected by perceived benefits, costs of technology use, and social influence.ConclusionMultidimensional initiatives are needed to address barriers to social connections, participation, and technology adoption among individuals with MCI. This includes organizing and engaging in social activities, promoting awareness and education on the importance of social participation, and exploring technology-based interventions to improve memory and storytelling abilities. These efforts can create a supportive environment and empower individuals with MCI to participate actively in social interactions, enhancing their overall well-being.

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Section: Discussionsupporting

confidence: 92%

Social connections and participation among people with mild cognitive impairment: barriers and recommendations

2023

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“…The tablet usage data demonstrates that residents used the tablets frequently and that they remained engaged with the tablet each time they used it. The usage seen here also speaks to the growing body of work showing that when older adults are given access to technology that has been designed specifically for them, they are interested, willing, and able to learn and use such technology (13)(14)(15).…”

Section: Discussionmentioning

confidence: 83%

Alzheimer's Association Project VITAL: A Florida Statewide Initiative Using Technology to Impact Social Isolation and Well-Being

Prophater

Fazio

Nguyen

et al. 2021

Front. Public Health

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Lack of social engagement and the resulting social isolation can have negative impacts on health and well-being, especially in senior care communities and for those living with dementia. Project VITAL leverages technology and community resources to create a network for connection, engagement, education, and support of individuals with dementia and their caregivers, and explores the impact of these interventions in reducing feelings of social isolation and increasing mood among residents during the COVID-19 pandemic. Through two phases, 600 personalized Wi-Fi-enabled iN2L tablets were distributed to 300 senior care communities (55% assisted living communities, 37% skilled nursing communities, 6% memory care communities, and 2% adult family-care homes) to connect and engage residents and their families. Different phases also included Project ECHO, a video-based learning platform, Alzheimer's Association virtual and online education and support for family caregivers, evidence-based online professional dementia care staff training and certification, and Virtual Forums designed to explore ways to build sustainable, scalable models to ensure access to support and decrease social isolation in the future. Tablet usage was collected over an 11-month period and an interim survey was designed to assess the effectiveness of the tablets, in preventing social isolation and increasing mood among residents during the COVID-19 pandemic. A total of 105 care community staff (whose community used the tablets) completed the survey and overall, these staff showed a high level of agreement to statements indicating that residents struggled with loneliness and mood, and that the tablet was useful in improving loneliness and mood in residents and allowing them to stay in touch with family and friends. Additional positive results were seen through a variety of other responses around the tablets and Project ECHO. Overall, the tablets were shown to be an effective way to engage residents and connect them with friends and family, as well as being a useful tool for staff members. A third phase is currently underway in the homes of people with dementia and their family caregivers, which includes tablets and direct access to Alzheimer's Association virtual and online education and support programs.

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“…Our intervention was specifically developed to be accessible to a wide range of older adults, including individuals with varying levels of cognitive abilities and computer proficiency. To deliver the intervention, we utilized a video technology platform called OneClick, which is a browser-based platform specifically designed for and tested by a range of older adult users, including those with mild cognitive impairment [ 29 ]. OneClick was developed as an alternative to existing videoconferencing platforms and online social media/meet-up sites.…”

Section: Introductionmentioning

confidence: 99%

Methods and baseline characteristics for a social engagement technology-based randomized controlled trial for older adults

Lydon,

Mois,

Shende

et al. 2024

Contemporary Clinical Trials Communications

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Design guidance for video chat system to support social engagement for older adults with and without mild cognitive impairment

Cited by 8 publications

References 0 publications

Social connections and participation among people with mild cognitive impairment: barriers and recommendations

Social connections and participation among people with mild cognitive impairment: barriers and recommendations

Alzheimer's Association Project VITAL: A Florida Statewide Initiative Using Technology to Impact Social Isolation and Well-Being

Methods and baseline characteristics for a social engagement technology-based randomized controlled trial for older adults

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