Mobile app-based interventions to improve the well-being of people with dementia: a systematic literature review

Cheng, Zehang; Zhou, Mi; Sabran, Kamal

doi:10.1080/10400435.2023.2206439

Cited by 5 publications

(5 citation statements)

References 49 publications

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“…From 50 of the included studies, the following were used to promote autonomy: patient monitoring [25], [38], [39], [46], [50], [51], [61], [93]–[95], [100], [101], [103], [105]–[108], [111], [120]–[123], [125], [132], [137], [141], care support [53], [95] and digital therapeutics [21], [22], [25], [30], [32], [33], [38], [39], [49]–[51], [53], [56], [60], [61], [64], [70], [80]–[82], [86], [91], [93]–[95], [100], [104], [105], [107], [109]–[111], [114], [123], [125], [131], [138], [141]. Resilience was also mentioned as a significant factor contributing to enhanced autonomy [41], [62], [129], [130].…”

Section: Resultsmentioning

confidence: 99%

“…The topic of engagement and social interaction was highlighted in 64 studies. They differentiated between cases where DATs increased social interaction [20], [28], [29], [34], [35], [38], [41], [45], [54], [59], [64], [70], [72], [80], [82], [83], [85], [100], [102], [112], [113], [123], [129], [131], [133], [134] and fostered higher engagement (i.e., in therapy settings) [23], [26], [29], [34], [36]–[38], [40]–[42], [45], [53]–[55], [57], [60], [62], [63], [66]–[68], [70], [73], [76]–[79], [84], [85], [87], [88], [90], [91], [96], [100], [109], [112], [114], [116], [118], [122], [127], [130], [131], [133], [135], [136], [138], [139], [141].…”

Section: Resultsmentioning

confidence: 99%

“…62 of the included studies demonstrated that digital therapeutics play a significant role in promoting social interaction and engagement [20], [23], [26], [28], [29], [34]–[38], [40]–[42], [45], [53]–[55], [57], [59], [60], [62]–[64], [66]–[68], [70], [72], [73], [76]–[80], [82], [84], [85], [87], [88], [90], [91], [96], [100], [102], [109], [112]–[114], [116], [118], [123], [127], [129]–[131], [133]–[136], [138], [139], [141], including other DATs from the patient monitoring [123] and care support categories [53], [95].…”

Section: Resultsmentioning

confidence: 99%

“…The varied application of DATs can enhance cognitive abilities, as indicated by 34 studies. They demonstrated that patient monitoring [137], care support [53], [95], digital therapeutics [21], [23]- [26], [38], [39], [41], [44], [51], [53], [55], [58], [60], [61], [64], [65], [67], [69], [70], [72], [74], [76], [87], [93], [95], [98]- [100], [123], [124], [134], [138] can lead to improvements in cognitive functioning.…”

Section: Improving Cognitionmentioning

confidence: 99%

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Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Schneider,

Nißen,

Kowatsch

et al. 2023

Preprint

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BackgroundDigital assistive technologies (DATs) have emerged as promising tools to support the daily life of people with dementia (PWD) by offering support in various aspects of daily life. Quality of life (QOL) is an important consideration when discussing the care of PWD in relation to their autonomy. Current research tends to concentrate either on specific categories of DATs, or provide a generic view. Therefore, it would be of essence to provide a review of the different kinds of DATs, and how they contribute to improving QOL for PWD.ObjectiveThis scoping review aimed to review DATs and their impact on QOL for PWD.MethodFor this scoping review a broad literature search was performed in Cochrane, Embase, PubMed, Scopus, and Web of Science, covering scientific literature from January 2013 and May 2023. Screening and data extraction were conducted, followed by quantitative and qualitative analysis using thematic analysis principles and Digital Therapeutics (DTx) Alliance categories for DAT grouping.ResultsThe literature search identified 6’083 records, with 1’056 duplicates. After screening, 4’560 full-texts were excluded, yielding 122 studies of different designs. The DATs were categorized intodigital therapeutics(n=109),patient monitoring(n=30),digital diagnostics(n=2),care support(n=2), andhealth system clinical software (n=1). These categories were identified to impact various aspects of QOL: preserving autonomy, engagement, and social interaction, health monitoring and promotion, improving activities of daily living, improving cognition, maintaining dignity, managing behavioral and psychological symptoms of dementia (BPSD), and safety/surveillance.ConclusionsVarious DATs offer extensive support, elevating the QOL of PWD.Digital therapeuticsare predominantly used for aging-in-place and independent living through assistance with daily tasks. Future research should focus on less-represented DHT categories, such ascare support, health & wellnessorsoftwaresolutions. Observing ongoing DAT developments and their long-term effects on QOL remains essential.Strengths and limitations of this studyThe study conducted an extensive search across five electronic databases spanning a decade to identify relevant literature on DATs and their impact on the QOL for PWD.By excluding conference proceedings, book chapters, pilot, and feasibility studies, the review might have missed ongoing or planned research that could offer insights into different DATs or QOL impacts.While the scoping review approach allowed for a broad overview, it didn’t assess the quality of included studies or intervention effectiveness, potentially introducing bias and limiting in-depth analysis.The study’s emphasis on patient-facing DATs could have introduced bias, highlightingdigital therapeuticsin the included literature while potentially overlooking other assistive technology categories.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Improving Cognitionmentioning

confidence: 99%

See 2 more Smart Citations

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Schneider,

Nißen,

Kowatsch

et al. 2023

Preprint

View full text Add to dashboard Cite

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“…A growing body of literature supports the use of technology to provide feasible and effective psychosocial interventions among older adults, specifically those living with dementia and their care partners [20]. Technological interventions are available in several modalities for this population, including mobile apps to improve independent living and cognition among persons with dementia [21] or web-based life-review therapy to decrease depression and increase well-being [22].…”

Section: Overviewmentioning

confidence: 99%

Bio-Experiential Technology to Support Persons With Dementia and Care Partners at Home (TEND): Protocol for an Intervention Development Study

Rochon,

Sy,

Phillips

et al. 2023

JMIR Res Protoc

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Background Alzheimer disease and related dementias are debilitating and incurable diseases. Persons with dementia and their informal caregivers (ie, dyads) experience high rates of emotional distress and negative health outcomes. Several barriers prevent dyads from engaging in psychosocial care including cost, transportation, and a lack of treatments that target later stages of dementia and target the dyad together. Technologically informed treatment and serious gaming have been shown to be feasible and effective among persons living with dementia and their care partners. To increase access, there is a need for technologically informed psychosocial interventions which target the dyad, together in the home. Objective This study aims to develop the toolkit for experiential well-being in dementia, a dyadic, “bio-experiential” intervention for persons with dementia and their caregivers. Per our conceptual model, the toolkit for experiential well-being in dementia platform aims to target sustained attention, positive emotions, and active engagement among dyads. In this paper, we outline the protocol and conceptual model for intervention development and partnership with design and development experts. Methods We followed the National Institutes of Health (NIH) stage model (stage 1A) and supplemented the model with principles of user-centered design. The first step includes understanding user needs, goals, and strengths. We met this step by engaging in methodology and definition synthesis and conducting focus groups with dementia care providers (N=10) and persons with dementia and caregivers (N=11). Step 2 includes developing and refining the prototype. We will meet this step by engaging dyads in up to 20 iterations of platform β testing workshops. Step 3 includes observing user interactions with the prototype. We will meet this step by releasing the platform for feasibility testing. Results Key takeaways from the focus groups include balancing individualization and the dyadic relationship and avoiding confusing stimuli. As of September 2023, we have completed focus groups with providers, persons with dementia, and their caregivers. Additionally, we have conducted 4 iterations of β testing workshops with dyads. Feedback from focus groups informed the β testing workshops; data have not yet been formally analyzed and will be reported in future publications. Conclusions Technological interventions, particularly “bio-experiential” technology, can be used in dementia care to support emotional health among persons with a diagnosis and caregivers. Here, we outline a collaborative intervention development process of bio-experiential technology through a research, design, and development partnership. Next, we are planning to test the platform’s feasibility as well as its impact on clinical outcomes and mechanisms of action. International Registered Report Identifier (IRRID) DERR1-10.2196/52799

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Measure the Cognitive Decline of People with Dementia Using Games for Cognitive Training

Ciuffreda,

Morresi,

Chieh

et al. 2024

2024 IEEE International Symposium on Medical Measurements and Applications (MeMeA)

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Mobile app-based interventions to improve the well-being of people with dementia: a systematic literature review

Cited by 5 publications

References 49 publications

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Bio-Experiential Technology to Support Persons With Dementia and Care Partners at Home (TEND): Protocol for an Intervention Development Study

Measure the Cognitive Decline of People with Dementia Using Games for Cognitive Training

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