Emerging topics in dementia care and services

Wolff, Jennifer L.; Benge, Jared F.; Cassel, Christine K.; Monin, Joan K.; Reuben, David B.

doi:10.1111/jgs.17341

Cited by 19 publications

(15 citation statements)

References 73 publications

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“…The greater determinant of smartphone usage and acceptability was prior familiarity with such devices. This result fits the technological reserve hypothesis, 40,42 which predicts that establishing fluency in some technological skills prior to cognitive decline (e.g., texting) is a building block to learning new technological skills (e.g., using a reminder app) and preserving daily functioning. [43][44][45] As the adult population aged 65 and older continues to show an increase in usage of smartphones, the feasibility and acceptability of smartphone-based interventions will increase, even in persons with ADRD.…”

Section: Feasibility and Acceptabilitysupporting

confidence: 80%

Using smartphone technology to improve prospective memory functioning: A randomized controlled trial

Scullin

Jones

Phenis

et al. 2021

J American Geriatrics Society

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Background A decline in the ability to perform daily intentions—known as prospective memory—is a key driver of everyday functional impairment in dementia. In the absence of effective pharmacological treatments, there is a need for developing, testing, and optimizing behavioral interventions that can bolster daily prospective memory functioning. We investigated the feasibility and efficacy of smartphone‐based strategies for prospective memory in persons with cognitive impairment. Methods Fifty‐two older adults (74.79 ± 7.20 years) meeting diagnostic criteria for mild cognitive impairment or mild dementia were enrolled in a 4‐week randomized controlled trial. Participants were trained to use a digital voice recorder app or a reminder app to off‐load prospective memory intentions. Prospective memory was assessed using experimenter‐assigned tasks (e.g., call the laboratory on assigned days), standardized questionnaires, and structured interviews. Secondary dependent measures included days of phone and app usage, acceptability ratings, quality of life, and independent activities of daily living. Results Participant ratings indicated that the intervention was acceptable and feasible. Furthermore, after the four‐week intervention, participants reported improvements in daily prospective memory functioning on standardized questionnaires (p < 0.001, ηp2 = 0.285) and the structured interview (p < 0.001, d = 1.75). Participants performed relatively well on experimenter‐assigned prospective memory tasks (51.7% ± 27.8%), with performance levels favoring the reminder app in Week 1, but reversing to favor the digital recorder app in Week 4 (p = 0.010, ηp2 = 0.079). Correlational analyses indicated that greater usage of the digital recorder or reminder app was associated with better prospective memory performance and greater improvements in instrumental activities of daily living (completed by care partners), even when controlling for condition, age, baseline cognitive functioning, and baseline smartphone experience. Conclusions Older adults with cognitive disorders can learn smartphone‐based memory strategies and doing so benefits prospective memory functioning and independence.

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Section: Feasibility and Acceptabilitysupporting

confidence: 80%

Using smartphone technology to improve prospective memory functioning: A randomized controlled trial

Scullin

Jones

Phenis

et al. 2021

J American Geriatrics Society

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“…They can be used for wayfinding and tracking a person with dementia who is prone to wandering or risk of getting lost, to monitor physiological and biometric data, and set reminders for medications and other therapies [45,46]. They can also intergrate with other forms of technology such as smarthome systems, sensor and survelliance technologies to support the safety, independence, and well-being of people with dementia living at home [47].…”

Section: Andandmentioning

confidence: 99%

“…Similarly, migrant-sending countries such as China, India, and Brazil have the most phone subscribers in the world; in China alone, over 918 million people use smartphones [50 & ]. At the same time, this technology uptake is segmented by age and socioeconomic status with older people and refugee populations often struggling to access these technologies [47]. For example, the US Health and Retirement Study found among 1336 white, African-American, and Hispanic adults, older African-American, and Hispanics were less likely to use health management sites, search the web for health information, and use brain games for their health [51].…”

Section: Andandmentioning

confidence: 99%

“…For example, the US Health and Retirement Study found among 1336 white, African-American, and Hispanic adults, older African-American, and Hispanics were less likely to use health management sites, search the web for health information, and use brain games for their health [51]. Common obstacles to using technology include not having ready access to the prerequisite hardware (e.g., the smartphone device), software (e.g., up to date programs), skills (e.g., to operate the device, know how to seek help, and differentiate mis/dis-information from the facts) and infrastructure (e.g., reliable electricity and internet) [47]. Moreover, technology uptake also comes with risks.…”

Section: New Horizons: the Potential Of Digital Mediamentioning

confidence: 99%

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Inclusive dementia care for ethnically diverse families

Brijnath

Antoniades

Cavuoto

2023

Current Opinion in Psychiatry

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Purpose of review With population ageing and global migration, rates of dementia are set to rapidly increase in ethnically diverse populations. This narrative review examines recent evidence on what constitutes culturally appropriate models of care. Recent Findings Barriers to inclusive care continue to prevail, amplifying dementia disparities in ethnically diverse communities. Cultural models that can address these include ensuring health and aged care staff are culturally competent, language supports are available, and cultural practices are integrated into daily care routines. Fundamentally, systems must be reformed to ensure they meet the needs of diverse end-users. More inclusive and widespread ethno-specific services are needed, and governments need to be mindful of demographic transitions in their populations and plan accordingly to meet future demand. Digital media and new technologies offer promising new ways to deliver culturally appropriate care to ethnically diverse groups, but its full potential is yet to be realised. Summary Persistent dementia disparities in ethnically diverse communities can be overcome by operationalising cultural models of care, leveraging the promise of digital media, and systems redesign.

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“…The materials available on the NIA website provide valuable summaries of the process and outcomes of the 2020 Summit, but do not contain the rich background research that guided the development of the Gaps and Opportunities. To disseminate this important information, the Journal of the American Geriatrics Society and the Journal of the American Medical Directors Association have agreed to publish eight papers (five [4][5][6][7][8] and three [9][10][11] , respectively) that contain content from the scientific background presentations for each Summit theme as well as the Emerging Topics session.…”

mentioning

confidence: 99%