The experience of using prompting technology from the perspective of people with Dementia and their primary carers

Evans, Nina; Boyd, Hazel; Harris, Nigel; Noonan, Krist A.; Ingram, T.; Jarvis, A.; Ridgers, Jess; Cheston, Richard

doi:10.1080/13607863.2020.1745145

Cited by 24 publications

(29 citation statements)

References 38 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%

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%

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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“…Indeed, such a system is particularly straightforward for caregivers to set up and seemingly helpful for supporting the participants’ task performance. One more advantage of this system is that it is highly affordable in terms of cost and suitable for home environments (Evans et al , 2020). A question one might raise about this system is that the need to operate the prompting may be a progressively significant burden on the participants’ memory function.…”

Section: Discussionmentioning

confidence: 99%

“…People with dementia or acquired cognitive impairment (i.e. forms of the functional decline occurring in the early stages of neurodegenerative diseases or subsequent to neurological damage such as traumatic brain injury) represent a vast and increasing part of the world population and call for medical/pharmacological interventions, as well as behavioral interventions (Gagnon-Roy et al , 2020; Evans et al , 2020). Medical/pharmacological interventions are generally focused on identifying and implementing treatments to halt further deterioration of people’s social and cognitive functions and possibly improve those functions (Liu et al , 2020).…”

Section: Introductionmentioning

confidence: 99%

Technology options to help people with dementia or acquired cognitive impairment perform multistep daily tasks: a scoping review

Lancioni

Desideri

Singh

et al. 2021

JET

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Purpose The purpose of this paper is to review studies that evaluated technology-based prompting systems for supporting participants with dementia or acquired cognitive impairment in their performance of multistep daily tasks. Design/methodology/approach A scoping review was conducted to identify eligible studies through a search of four electronic databases, that is, PubMed, PsycINFO, Web of Science and Institute of Electrical and Electronics Engineers. Findings The search, which covered the 2010–2020 period, led to the identification of 1,311 articles, 30 of which were included in the review. These articles evaluated six different types of prompting systems: context-aware, automatic computer prompting, context-aware, mediated computer prompting, teleoperated robot prompting, self-operated augmented reality prompting, self-operated computer or tablet prompting and time-based (preset) computer, tablet or smartphone prompting. Originality/value Technology-aided prompting to help people with dementia or acquired cognitive impairment perform relevant multistep daily tasks is considered increasingly important. This review provides a picture of the different prompting options available and of their level of readiness for application in daily contexts.

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“…Eight of the 11 carers also felt that their partner who was living with dementia was able to use the prompter independently, and all eight of these participants were able to achieve all of their goals, either fully or partially. As the reasons for success or failure are often likely to be complex and relate not to both cognitive functioning and also to participants' expectations and prior experiences with technology, we will explore this area further in a separate paper (Evans et al, 2020).…”

Section: Gasmentioning

confidence: 99%

A preliminary evaluation of a client-centred prompting tool for supporting everyday activities in individuals with mild to moderate levels of cognitive impairment due to dementia

Harris

Boyd²,

Evans

et al. 2020

Dementia

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Objectives: Technology-based prompting has the potential to support people with dementia to complete multistep tasks in the home. However, these devices can be complex to use. This paper reports a feasibility trial of a personalised touchscreen digital prompter designed for home use. Methodology: A tablet-based prompter suitable for people living with dementia was developed, along with a detailed guidance manual. Carers loaded instructions for completing the task onto the prompter, and the person with dementia then used the tablet independently to complete a task. Eleven couples used the prompter 'out-of-the-box' with no support other than a guidance manual. Results: The majority of participants with dementia could follow the steps on the prompter, and carers were able to breakdown and load tasks onto the prompter. Eight couples used the prompter successfully to complete goals that they had identified in advance. These included preparing simple snacks and using a TV remote control. Successfully achieving goals was associated with more frequent use of the prompting screen on more days, but not higher levels of editing or previewing of tasks. Conclusion: The study provides the preliminary evidence that family caregivers can use a touchscreen tablet, software and manual package to identify specific tasks and break these down into steps and that people living with dementia can then follow the prompts to complete the tasks. This potentially represents an important advance in dementia care. Further testing is required to establish efficacy and to identify any factors that impact on outcomes.

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The experience of using prompting technology from the perspective of people with Dementia and their primary carers

Cited by 24 publications

References 38 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

Technology options to help people with dementia or acquired cognitive impairment perform multistep daily tasks: a scoping review

A preliminary evaluation of a client-centred prompting tool for supporting everyday activities in individuals with mild to moderate levels of cognitive impairment due to dementia

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