Assistive technology for memory support in dementia

Roest, Henriëtte van der; Wenborn, Jennifer; Pastink, Channah; Dröes, Rose-Marie; Orrell, Martin

doi:10.1002/14651858.cd009627.pub2

Cited by 92 publications

(71 citation statements)

References 48 publications

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“…Personal information and performance data were stored in the desk-top unit cumulatively. This allows clinicians and music therapists to plan individual protocols and start therapeutic musical activities [47,48]. This study takes a step toward precision medicine that is beyond hospital-based treatment [49].…”

Section: Discussionmentioning

confidence: 99%

Cognitive Intervention with Musical Stimuli Using Digital Devices on Mild Cognitive Impairment: A Pilot Study

et al. 2020

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The effect of music therapy on cognitive function has been widely reported; however, its clinical implications remain controversial. Performing therapeutic musical activities in groups using individualized instruments can help overcome the issues of engagement and compliance. We aimed to evaluate the effect of a cognitive intervention with musical stimuli using digital devices on mild cognitive impairment (MCI). In this prospective study, 24 patients with MCI (intervention group, 12; and control group, 12) were enrolled. We developed an electronic device with musical instruments and the Song-based Cognitive Stimulation Therapy protocol (SongCST). Patients in the intervention group underwent a 10-week cognitive intervention involving musical stimuli generated by our device. Effect of the intervention on cognitive function was evaluated by the Mini-Mental State Examination-Dementia Screening (MMSE-DS), Montreal Cognitive Assessment-Korean (MOCA-K), and Clinical Dementia Rating Scale Sum of Boxes (CDR-SOB). In the intervention group, MMSE-DS and MOCA-K scores improved significantly after the 10-week intervention. The changes in MOCA-K and CDR-SB scores were significantly different between the intervention and control groups. Our study showed that music therapy with digital devices has a positive effect on the executive function and overall disease severity in patients with MCI. Our study can facilitate individualization of music therapy using digital devices in groups.

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Section: Discussionmentioning

confidence: 99%

Cognitive Intervention with Musical Stimuli Using Digital Devices on Mild Cognitive Impairment: A Pilot Study

et al. 2020

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“…In addition to a theoretical underpinning, there is a need for a meaningful, flexible evaluation framework, based on iterative models of change. This is crucial for the field, because the evidence for a positive impact of new technologies on health, functional, and cognitive outcomes is still lacking . The rapid explosion in new technology for health care, particularly for people with dementia who may be less able to express preference or represent their needs, has not been matched by adequate methods of evaluation of outcomes.…”

Section: The Need For An Evaluation Frameworkmentioning

confidence: 99%

“…The rapid explosion in new technology for health care, particularly for people with dementia who may be less able to express preference or represent their needs, has not been matched by adequate methods of evaluation of outcomes. A recent systematic Cochrane review on the efficacy of AT devices for memory support on various outcomes such as performance of activities of daily living, dependency, and institutionalization and other outcomes, resulted in an “empty” review . The authors had established selection criteria for eligible studies as being randomized controlled trials or clustered randomized trials with blinded outcomes, and control arms.…”

Section: The Need For An Evaluation Frameworkmentioning

confidence: 99%

“…This is crucial for the field, because the evidence for a positive impact of new technologies on health, 54 functional, and cognitive outcomes is still lacking. 55 The rapid explosion in new technology for health care, particularly for people with dementia who may be less able to express preference or represent their needs, has not been matched by adequate methods of evaluation of outcomes. A recent systematic Cochrane review on the efficacy of AT devices for memory support on various outcomes such as performance of activities of daily living, dependency, and institutionalization and other outcomes, resulted in an "empty" review.…”

Section: The Need For An Evaluation Frameworkmentioning

confidence: 99%

“…A recent systematic Cochrane review on the efficacy of AT devices for memory support on various outcomes such as performance of activities of daily living, dependency, and institutionalization and other outcomes, resulted in an "empty" review. 55 The authors had established selection criteria for eligible studies as being randomized controlled trials or clustered randomized trials with blinded outcomes, and control arms.…”

Section: The Need For An Evaluation Frameworkmentioning

confidence: 99%

See 2 more Smart Citations

“Psychogeritechnology” in Japan: Exemplars from a super‐aged society

Leroi

Watanabe

Hird³

et al. 2018

Int J Geriat Psychiatry

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Research evaluating the effectiveness of dementia interventions in low‐ and middle‐income countries: A systematic mapping of 340 randomised controlled trials

Salcher‐Konrad

Cheng

Patel

et al. 2023

Int J Geriat Psychiatry

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Objectives More people with dementia live in low‐ and middle‐income countries (LMICs) than in high‐income countries, but best‐practice care recommendations are often based on studies from high‐income countries. We aimed to map the available evidence on dementia interventions in LMICs. Methods We systematically mapped available evidence on interventions that aimed to improve the lives of people with dementia or mild cognitive impairment (MCI) and/or their carers in LMICs (registered on PROSPERO: CRD42018106206). We included randomised controlled trials (RCTs) published between 2008 and 2018. We searched 11 electronic academic and grey literature databases (MEDLINE, EMBASE, PsycINFO, CINAHL Plus, Global Health, World Health Organization Global Index Medicus, Virtual Health Library, Cochrane CENTRAL, Social Care Online, BASE, MODEM Toolkit) and examined the number and characteristics of RCTs according to intervention type. We used the Cochrane risk of bias 2.0 tool to assess the risk of bias. Results We included 340 RCTs with 29,882 (median, 68) participants, published 2008–2018. Over two‐thirds of the studies were conducted in China (n = 237, 69.7%). Ten LMICs accounted for 95.9% of included RCTs. The largest category of interventions was Traditional Chinese Medicine (n = 149, 43.8%), followed by Western medicine pharmaceuticals (n = 109, 32.1%), supplements (n = 43, 12.6%), and structured therapeutic psychosocial interventions (n = 37, 10.9%). Overall risk of bias was judged to be high for 201 RCTs (59.1%), moderate for 136 (40.0%), and low for 3 (0.9%). Conclusions Evidence‐generation on interventions for people with dementia or MCI and/or their carers in LMICs is concentrated in just a few countries, with no RCTs reported in the vast majority of LMICs. The body of evidence is skewed towards selected interventions and overall subject to high risk of bias. There is a need for a more coordinated approach to robust evidence‐generation for LMICs.

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Assistive technology for memory support in dementia

Cited by 92 publications

References 48 publications

Cognitive Intervention with Musical Stimuli Using Digital Devices on Mild Cognitive Impairment: A Pilot Study

Cognitive Intervention with Musical Stimuli Using Digital Devices on Mild Cognitive Impairment: A Pilot Study

“Psychogeritechnology” in Japan: Exemplars from a super‐aged society

Research evaluating the effectiveness of dementia interventions in low‐ and middle‐income countries: A systematic mapping of 340 randomised controlled trials

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