Cultural adaptation in television technology for older adults with dementia in care settings

Abstract

IntroductionThere is a lack of literature on the cultural adaptation of technologies for dementia care. This paper presents an example of the cultural adaptation of a television video about drinking water for older Chinese adults with dementia in care settings, in Vancouver, Canada.MethodWe refer to the cultural adaptation process (CAP) model to guide the cultural adaptation process by collecting and incorporating feedback from different parties into the culturally adapted video, including Phase 1 local consultations and information gathering, phase 2 iterative testing and adaptation, and phase 3 finalizing adaptation.ResultsWe also referred to the Ecological Validity Model (EVM) to present the adjustments we made to the video from the cultural adaptation. We adjusted the video on seven domains suggested by the EVM: goal, context, content, language, people, concept, and method.DiscussionWe draw attention to the opportunities and challenges of the cultural adaptation of technology into a new community. Based on our lessons, we outline concrete suggestions about what aspects of, and how, cultural adaptation can be made to promote cultural inclusivity in technology development and implementation.

How can equity, diversity, and inclusion (EDI) principles be incorporated into research excellence with industry and community partners? Lessons learnt from Canada andAustralia

“…From January 2022 to December 2023, our project involved co-creating, implementing, and evaluating dementia-friendly videos (Zinnia TV) in a hospital and a long-term care home. [11][12][13] Our interdisciplinary team included industry partners, patients, family members, healthcare providers (nurses, care aides, and rehabilitation staff), researchers, and trainees. Zinnia TV is an industry partner offering a series of dementia-friendly TV videos designed for people with moderate to severe dementia.…”

“…For details on how we made cultural adaptations of videos to meet the cultural needs of older adults living with dementia from diverse cultural backgrounds, please see our publication. [13] In the context of Verily Connect, the signi cant underrepresentation of male volunteers and caregivers, albeit unintentional, emerged as a notable issue due to self-selection bias. This disparity raised pertinent questions concerning the Verily Connect model's e cacy in catering to this demographic cohort's needs.…”

The Perspective of Nurses and Healthcare Providers on the use of Television Videos with People with Moderate to Severe Dementia

“…Dementia-friendly TV is a growing field aiming to develop TV videos tailored to the specific needs of people with dementia ( Wong & Hung, 2023 ; Wong et al, 2023 ). (An example of a dementia-friendly TV video is at this link: https://watch.zinniatv.com/videos/dog-friends ).…”

Facilitators and barriers to using AI-enabled robots with older adults in long-term care from staff perspective: a scoping review protocol

“…1 Providing high-quality care to long-term care (LTC) residents presents complex challenges associated with comorbidities and diverse cultural backgrounds. 2 3 The rapid advancement of technology has brought significant changes to the quality of care for the older people, accelerated by the impact of the COVID-19 pandemic. Artificial intelligence (AI)-enabled robots with advanced intelligence capabilities may offer personalised services for LTC) residents and may provide efficient support to staff.…”