Cognitive Function, Consent for Participation, and Compliance With Wearable Device Protocols in Older Adults

Chen, Jen-Hao; Lauderdale, Diane S.

doi:10.1093/gerona/gly032

Cited by 16 publications

(9 citation statements)

References 43 publications

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“…Study participants with cognitive function in the normal to mild dementia range have overall good compliance. 10 , 28 However, studies including participants with mild to moderate dementia found compliance decreased with participants’ cognitive ability, 29 , 30 which is contrary to our finding that participants with the worst cognitive function as indicated by FAST score had better compliance. The marginal sex difference found in our study may partly explain the contradictory results as the two female participants with the worst compliance had better functionality/cognition (FAST score 6a and 6d, respectively).…”

Section: Discussioncontrasting

confidence: 99%

Wrist‐worn actigraphy in agitated late‐stage dementia patients: A feasibility study on digital inclusion

Guu,

Brem,

Albertyn

et al. 2024

Alzheimer's & Dementia

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BACKGROUNDWrist‐worn actigraphy can be an objective tool to assess sleep and other behavioral and psychological symptoms in dementia (BPSD). We investigated the feasibility of using wearable actigraphy in agitated late‐stage dementia patients.METHODSAgitated, late‐stage Alzheimer's dementia care home residents in Greater London area (n = 29; 14 females, mean age ± SD: 80.8 ± 8.2; 93.1% White) were recruited to wear an actigraphy watch for 4 weeks. Wearing time was extracted to evaluate compliance, and factors influencing compliance were explored.RESULTSA high watch‐acceptance (96.6%) and compliance rate (88.0%) was noted. Non‐compliance was not associated with age or BPSD symptomatology. However, participants with “better” cognitive function (R = 0.42, p = 0.022) and during nightshift (F1.240, 33.475 = 8.075, p = 0.005) were less compliant. Female participants were also marginally less compliant (F1, 26 = 3.790, p = 0.062).DISCUSSIONSWrist‐worn actigraphy appears acceptable and feasible in late‐stage agitated dementia patients. Accommodating the needs of both the patients and their carers may further improve compliance.

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Section: Discussioncontrasting

confidence: 99%

Wrist‐worn actigraphy in agitated late‐stage dementia patients: A feasibility study on digital inclusion

Guu,

Brem,

Albertyn

et al. 2024

Alzheimer's & Dementia

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“…Providers' perceptions of the barriers that patients and research participants may face (e.g., age, potential adherence) or perceptions of the risks of research to their patients (e.g., risk of toxicity of an experimental treatment) may limit their referral of older adults to research studies [22,24,30,31]. Some older adults may also not be mentally competent or physically well enough to consent to or adhere to research protocols [28,29,[32][33][34][35]. Individuals eligible for studies have also cited family and friend opposition or perceived burden on caregivers as barriers to participation [22,28].…”

Section: Older Adultsmentioning

confidence: 99%

Barriers to and solutions for representative inclusion across the lifespan and in life course research: The need for structural competency highlighted by the COVID-19 pandemic

LeCroy

Potter

Bandeen‐Roche

et al. 2022

J. Clin. Trans. Sci.

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“…This analysis is limited to those born between 1920 and 1947 (n = 759) (Figure 1), the initial birth-year range. Agreement to participate in the Sleep Study and return of actigraphy data were not themselves related to cognitive function (22).…”

Section: Study Populationmentioning

confidence: 99%

Associations of Sleep Characteristics With Cognitive Function and Decline Among Older Adults

McSorley

Bin

Lauderdale

2019

American Journal of Epidemiology

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Sleep laboratory studies find that restricted sleep duration leads to worse short-term cognition, especially memory. Observational studies find associations between self-reported sleep duration or quality and cognitive function. However self-reported sleep characteristics might not be highly accurate, and misreporting could relate to cognition. In the Sleep Study of the National Social Life, Health, and Aging Project (NSHAP), a nationally representative cohort of older US adults (2010–2015), we examined whether self-reported and actigraph-measured sleep are associated with cross-sectional cognitive function and 5-year cognitive decline. Cognition was measured with the survey adaptation of the multidimensional Montreal Cognitive Assessment (MoCA-SA). At baseline (n = 759), average MoCA-SA score was 14.1 (standard deviation, 3.6) points of a possible 20. In cross-sectional models, actigraphic sleep-disruption measures (wake after sleep onset, fragmentation, percentage sleep, and wake bouts) were associated with worse cognition. Sleep disruption measures were standardized, and estimates of association were similar (range, −0.37 to −0.59 MoCA-SA point per standard deviation of disruption). Actigraphic sleep-disruption measures were also associated with odds of 5-year cognitive decline (4 or more points), with wake after sleep onset having the strongest association (odds ratio = 1.43, 95% confidence interval: 1.04, 1.98). Longitudinal associations were generally stronger for men than for women. Self-reported sleep showed little association with cognitive function.

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Cognitive Function, Consent for Participation, and Compliance With Wearable Device Protocols in Older Adults

Abstract: Impaired cognition does not seem to be a barrier to compliance with simply wearing a device but may affect compliance with additional action such as pressing event markers.

Cited by 16 publications

References 43 publications

Wrist‐worn actigraphy in agitated late‐stage dementia patients: A feasibility study on digital inclusion

Wrist‐worn actigraphy in agitated late‐stage dementia patients: A feasibility study on digital inclusion

Barriers to and solutions for representative inclusion across the lifespan and in life course research: The need for structural competency highlighted by the COVID-19 pandemic

Associations of Sleep Characteristics With Cognitive Function and Decline Among Older Adults

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