Literature review: technological interventions and their impact on quality of life for people living with dementia

Sanders, David; Scott, Philip

doi:10.1136/bmjhci-2019-100064

Cited by 22 publications

(32 citation statements)

References 31 publications

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“…Deterioration of functional and cognitive resources [22] • Increasing level of suspicion [22] • Advantages and challenges of involving people with dementia in early-stage development [18,22,36,40,48] • Timing and pace of technology introduction [14,18,22,39,40,43,44] • Adaptation of technology along the disease progression [14,31,42,44] Comorbidities, sociocultural influences…”

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confidence: 99%

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Factors Influencing Implementation of eHealth Technologies to Support Informal Dementia Care: Umbrella Review

Bastoni¹,

Wrede²,

Silva³

et al. 2021

JMIR Aging

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Background The worldwide increase in community-dwelling people with dementia underscores the need for innovative eHealth technologies that aim to provide support to both patients and their informal caregivers in the home setting. However, sustainable implementation of eHealth technologies within this target group can be difficult. Objective The goal of this study was to gain a thorough understanding of why it is often difficult to implement eHealth technologies in practice, even though numerous technologies are designed to support people with dementia and their informal caregivers at home. In particular, our study aimed to (1) provide an overview of technologies that have been used and studied in the context of informal dementia care and (2) explore factors influencing the implementation of these technologies. Methods Following an umbrella review design, five different databases were searched (PubMed, PsycINFO, Medline, Scopus, and Cochrane) for (systematic) reviews. Among 2205 reviews retrieved, 21 were included in our analysis based on our screening and selection procedure. A combination of deductive and inductive thematic analyses was performed, using the Nonadoption, Abandonment, Scale-Up, Spread, and Sustainability (NASSS) framework for organizing the findings. Results We identified technologies designed to be used “by informal caregivers,” “by people with dementia,” and “with people with dementia.” Within those groups, most of the represented technologies included, respectively: (i) devices for in-home monitoring of lifestyle, health, and safety; (ii) technologies for supporting memory, orientation, and day structure; and (iii) technologies to facilitate communication between the informal caregiver and person with dementia. Most of the identified factors influencing implementation related to the condition of dementia, characteristics of the technology, expected/perceived value of users, and characteristics of the informal caregiver. Considerably less information has been reported on factors related to the implementing organization and technology supplier, wider institutional and sociocultural context of policy and regulations, and continued adaptation of technology over time. Conclusions Our study offers a comprehensive overview of eHealth technologies in the context of informal dementia care and contributes to gaining a better understanding of a broad range of factors influencing their implementation. Our results uncovered a knowledge gap regarding success factors for implementation related to the organizational and broader context and continuous adaptation over the long term. Although future research is needed, the current findings can help researchers and stakeholders in improving the development and implementation of eHealth technologies to support informal dementia care.

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confidence: 99%

“…Unobtrusive and familiar design (including physical appearance, simplicity, and usability) [22,23,36,39,42,44] • Stigmatizing design [23,36,43] Knowledge needed to use…”

mentioning

confidence: 99%

Factors Influencing Implementation of eHealth Technologies to Support Informal Dementia Care: Umbrella Review

Bastoni¹,

Wrede²,

Silva³

et al. 2021

JMIR Aging

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“…Several technological solutions exist for PLWD and their carers [ 97 , 98 , 99 ]. Some of these solutions have no predefined interaction or expect any pre-existing knowledge from the PLWD.…”

Section: Resultsmentioning

confidence: 99%

State-of-the-Art Sensors for Remote Care of People with Dementia during a Pandemic: A Systematic Review

Behera

Condell

Dora

et al. 2021

Sensors

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In the last decade, there has been a significant increase in the number of people diagnosed with dementia. With diminishing public health and social care resources, there is substantial need for assistive technology-based devices that support independent living. However, existing devices may not fully meet these needs due to fears and uncertainties about their use, educational support, and finances. Further challenges have been created by COVID-19 and the need for improved safety and security. We have performed a systematic review by exploring several databases describing assistive technologies for dementia and identifying relevant publications for this review. We found there is significant need for appropriate user testing of such devices and have highlighted certifying bodies for this purpose. Given the safety measures imposed by the COVID-19 pandemic, this review identifies the benefits and challenges of existing assistive technologies for people living with dementia and their caregivers. It also provides suggestions for future research in these areas.

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“…Older people are receptive to new technology for intellectually stimulating experiences (Coley et al, 2018; Tyack et al, 2017), and technology has the potential to facilitate meaningful engagement and social interaction (Neal et al, 2019). Assistive technology has emerged as a tool to promote the psychological, emotional and physical health of people living in RACFs and may support staff in providing engaging and stimulating activities (Sanders & Scott, 2020).…”

Section: Introductionmentioning

confidence: 99%

Effects of a virtual group cycling experience on people living with dementia: A mixed method pilot study

et al. 2020

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Social isolation and sedentary behaviour are common in residential aged care facilities (also known as nursing homes or long-term care). Use of new technologies such as virtual and augmented reality are currently under investigation for their potential to provide exciting and engaging activities for older people in residential aged care facilities. However, there is limited evidence on whether these technologies can promote physical activity in a small group setting for people with cognitive impairment. Using mixed methods, we examined the use of a virtual cycling experience in a sample of 10 participants with cognitive impairment living in residential aged care facilities. In a randomised crossover design, participants engaged in a 25-minute, self-paced, facilitated seated virtual cycling experience and a time-matched seated physical activity session in groups of five. All participants completed a brief pre- and post-intervention mood questionnaire. Video analysis was used for both conditions to compare levels of environmental stimulation, apathy and engagement using both the Person–Environment Apathy Rating Scale and the Engagement of a Person with Dementia Scale. A thematic analysis of semi-structured interviews following the virtual cycling experience was also performed. No differences were observed between conditions for all outcomes except for environmental stimulation, where there was a lower response in the intervention than the control condition ( p = 0.032). This was primarily driven by lower scores for the virtual cycling experience than control in physical accessibility ( p = 0.012). Participants reported the virtual cycling experience to be immersive and challenging and reminisced about cycling earlier in life. The activity manager observed that the virtual cycling experience was an overall positive experience and emphasised benefits of safety screening and preparation prior to the activities. The findings of this study support the use of the virtual cycling experience as an immersive and engaging alternative to usual activities, which might encourage higher levels of physical activity in residential aged care facilities.

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Literature review: technological interventions and their impact on quality of life for people living with dementia

Cited by 22 publications

References 31 publications

Factors Influencing Implementation of eHealth Technologies to Support Informal Dementia Care: Umbrella Review

Factors Influencing Implementation of eHealth Technologies to Support Informal Dementia Care: Umbrella Review

State-of-the-Art Sensors for Remote Care of People with Dementia during a Pandemic: A Systematic Review

Effects of a virtual group cycling experience on people living with dementia: A mixed method pilot study

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