Dementia Care, Fall Detection, and Ambient-Assisted Living Technologies Help Older Adults Age in Place: A Scoping Review

Gettel, Cameron J.; Chen, Kevin; Goldberg, Elizabeth M.

doi:10.1177/07334648211005868

Cited by 31 publications

(36 citation statements)

References 71 publications

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“…As dementia is a neurodegenerative disease, people with dementia will eventually experience decline and require assistance to safely complete daily tasks. Technology and telehealth can help people with dementia age in place longer ( 12 , 13 ). Previous research supports our findings that older adults are generally not as interested in adopting and utilizing technology in their daily life ( 14 , 15 ).…”

Section: Discussionmentioning

confidence: 99%

Poor insight and future thinking in early dementia limit patient projections of potential utility of technological innovations and advanced care planning

McLaren

Shin²,

Moo³

2023

Front. Med.

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IntroductionCognitive psychology posits that thinking about the future relies on memory such that those with memory impairment may have trouble imaging their future technology and other needs.MethodsWe conducted a content analysis of qualitative data from interviews with six patients with MCI or early dementia regarding potential adaptations to a mobile telepresence robot. Using a matrix analysis approach, we explored perceptions of (1) what technology could help with day-to-day functioning in the present and future and (2) what technology may help people with memory problems or dementia stay home alone safely.ResultsVery few participants could identify any technology to assist themselves or other people with memory problems and could not provide suggestions on what technology may help them stay home alone safely. Most perceived that they would never need robotic assistance.DiscussionThese findings suggest individuals with MCI or early dementia have limited perspectives on their own functional abilities now and in the future. Consideration of the individuals’ diminished understanding of their own future illness trajectory is crucial when engaging in research or considering novel technological management solutions and may have implications for other aspects of advanced care planning.

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Section: Discussionmentioning

confidence: 99%

Poor insight and future thinking in early dementia limit patient projections of potential utility of technological innovations and advanced care planning

McLaren

Shin²,

Moo³

2023

Front. Med.

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“…In the meantime, however, a growing body of research has shifted attention to identify what functions are important from caregivers' perspective. A recent review article revealed that compared to older adults, caregivers prefer technologies with monitoring functions as these features could reduce their caregiving burden and bring them a greater sense of security (Gettel et al, 2021). Consistent with previous findings, our research suggests that caregivers would appreciate features that go beyond just reporting that a fall has taken place.…”

Section: Discussionmentioning

confidence: 99%

The Context of Caring and Concern for Falling Differentiate Which Mobile Fall Technology Features Chinese Family Caregivers Find Most Important

Mejía

Lan

et al. 2021

J Appl Gerontol

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Falls are not only a leading cause of death and disability, but also a strain on the capacity for caregivers to provide care. This study examined how the context of caregiving relates to the importance of caregiver-defined mobile fall prevention feature sets. A sample of 266 family caregivers, recruited from a Chinese social media platform, reported care for an older adult and interest in mobile fall prevention technology features. Factor analysis identified three caregiver-defined feature sets: automatic fall response, digitized fall prevention tools, and social features. Multiple regression showed caregivers’ concern about falling was the most robust predictor of a feature set’s importance. Poisson regression revealed that caregiver concern and assistance with instrumental activities of daily living were associated with rating more features as important. Our findings suggest that caregivers are interested in mobile fall prevention technologies that support older adults’ independence while also alleviating concerns about falling.

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“…Although the innovation of these technologies is exciting and commendable, the translation from concept to use within aged care services has been slow and fragmented (Pilotto et al, 2018; Peine & Neven, 2019). Uptake of technology has been increasing over the last decade (Anderson & Perrin, 2017), but remains dependent on older adults’ usability of the technology (Gettel et al, 2021). To move beyond this, two key issues have been identified to better harness the potential of technologies used within aged care: (1) a more comprehensive understanding of end-users’ technology needs and preferences (Pilotto et al, 2018; Peine & Neven, 2019; Pruchno, 2019) and (2) greater synergistic and multidisciplinary working collaborations between specialists in gerontology and technology.…”

Section: Introductionmentioning

confidence: 99%

Consumer and Provider Perspectives on Technologies Used Within Aged Care: An Australian Qualitative Needs Assessment Survey

Moyle

Murfield

et al. 2022

J Appl Gerontol

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We undertook a qualitative assessment of aged care technology needs from the perspective of consumers and providers using a cross-sectional survey that assumed a largely open-response format. We recruited a convenience sample of individuals aged 18 years or older, lived in Australia, and self-identified as either an older adult ( n = 133), an informal caregiver of an older adult ( n = 27), and/or clinician, healthcare practitioner, and aged care provider ( n = 148). Survey responses were analyzed using a descriptive qualitative content analysis approach to interpret meaning from written survey responses. We identified seven themes reporting that technologies used in aged care do not appear to be meeting end-user needs. Supporting the Technology Acceptance Model, consumers and providers perceive usefulness of the technology and its actual ease of use as drivers of acceptance toward gerontechnology. Ten recommendations are proposed to support technology use and the quality of aged care.

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Dementia Care, Fall Detection, and Ambient-Assisted Living Technologies Help Older Adults Age in Place: A Scoping Review

Cited by 31 publications

References 71 publications

Poor insight and future thinking in early dementia limit patient projections of potential utility of technological innovations and advanced care planning

Poor insight and future thinking in early dementia limit patient projections of potential utility of technological innovations and advanced care planning

The Context of Caring and Concern for Falling Differentiate Which Mobile Fall Technology Features Chinese Family Caregivers Find Most Important

Consumer and Provider Perspectives on Technologies Used Within Aged Care: An Australian Qualitative Needs Assessment Survey

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