Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana

Larnyo, Ebenezer; Dai, Baozhen; Larnyo, Abigail; Nutakor, Jonathan Aseye; Ampon-Wireko, Sabina; Nkrumah, Edmund Nana Kwame; Appiah, Ruth

doi:10.3390/healthcare10020275

Cited by 19 publications

(17 citation statements)

References 96 publications

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“…From 50 of the included studies, the following were used to promote autonomy: patient monitoring [25], [38], [39], [46], [50], [51], [61], [93]–[95], [100], [101], [103], [105]–[108], [111], [120]–[123], [125], [132], [137], [141], care support [53], [95] and digital therapeutics [21], [22], [25], [30], [32], [33], [38], [39], [49]–[51], [53], [56], [60], [61], [64], [70], [80]–[82], [86], [91], [93]–[95], [100], [104], [105], [107], [109]–[111], [114], [123], [125], [131], [138], [141]. Resilience was also mentioned as a significant factor contributing to enhanced autonomy [41], [62], [129], [130].…”

Section: Resultsmentioning

confidence: 99%

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Schneider,

Nißen,

Kowatsch

et al. 2023

Preprint

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BackgroundDigital assistive technologies (DATs) have emerged as promising tools to support the daily life of people with dementia (PWD) by offering support in various aspects of daily life. Quality of life (QOL) is an important consideration when discussing the care of PWD in relation to their autonomy. Current research tends to concentrate either on specific categories of DATs, or provide a generic view. Therefore, it would be of essence to provide a review of the different kinds of DATs, and how they contribute to improving QOL for PWD.ObjectiveThis scoping review aimed to review DATs and their impact on QOL for PWD.MethodFor this scoping review a broad literature search was performed in Cochrane, Embase, PubMed, Scopus, and Web of Science, covering scientific literature from January 2013 and May 2023. Screening and data extraction were conducted, followed by quantitative and qualitative analysis using thematic analysis principles and Digital Therapeutics (DTx) Alliance categories for DAT grouping.ResultsThe literature search identified 6’083 records, with 1’056 duplicates. After screening, 4’560 full-texts were excluded, yielding 122 studies of different designs. The DATs were categorized intodigital therapeutics(n=109),patient monitoring(n=30),digital diagnostics(n=2),care support(n=2), andhealth system clinical software (n=1). These categories were identified to impact various aspects of QOL: preserving autonomy, engagement, and social interaction, health monitoring and promotion, improving activities of daily living, improving cognition, maintaining dignity, managing behavioral and psychological symptoms of dementia (BPSD), and safety/surveillance.ConclusionsVarious DATs offer extensive support, elevating the QOL of PWD.Digital therapeuticsare predominantly used for aging-in-place and independent living through assistance with daily tasks. Future research should focus on less-represented DHT categories, such ascare support, health & wellnessorsoftwaresolutions. Observing ongoing DAT developments and their long-term effects on QOL remains essential.Strengths and limitations of this studyThe study conducted an extensive search across five electronic databases spanning a decade to identify relevant literature on DATs and their impact on the QOL for PWD.By excluding conference proceedings, book chapters, pilot, and feasibility studies, the review might have missed ongoing or planned research that could offer insights into different DATs or QOL impacts.While the scoping review approach allowed for a broad overview, it didn’t assess the quality of included studies or intervention effectiveness, potentially introducing bias and limiting in-depth analysis.The study’s emphasis on patient-facing DATs could have introduced bias, highlightingdigital therapeuticsin the included literature while potentially overlooking other assistive technology categories.

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Section: Resultsmentioning

confidence: 99%

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Schneider,

Nißen,

Kowatsch

et al. 2023

Preprint

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“…The study, using an inductive, qualitative design and semi-structured interviews, found that some healthcare workers seemed to be afraid and distressed by new technology and at times unintentionally tampered with hardware without knowing what they were doing or how to fix it [40]. Technology anxiety can be reduced and addressed by deploying specific strategies for dialog with both the PwD and their caregivers (formal and informal) [40,63].…”

Section: Technology Anxietymentioning

confidence: 99%

Promotors and barriers to the implementation and adoption of assistive technology and telecare for people with dementia and their caregivers: a systematic review of the literature

Boyle

Husebø

Vislapuu

2022

BMC Health Serv Res

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Background One of the most pressing issues in our society is the provision of proper care and treatment for the growing global health challenge of ageing. Assistive Technology and Telecare (ATT) is a key component in facilitation of safer, longer, and independent living for people with dementia (PwD) and has the potential to extend valuable care and support for caregivers globally. The objective of this study was to identify promotors and barriers to implementation and adoption of ATT for PwD and their informal (family and friends) and formal (healthcare professionals) caregivers. Methods Five databases Medline (Ovid), CINAHL, Web of Science, APA PsycINFO and EMBASE were searched. PRISMA guidelines have been used to guide all processes and results. Retrieved studies were qualitative, mixed-method and quantitative, screened using Rayyan and overall quality assessed using Critical Appraisal Skills Programme (CASP) and Mixed Methods Assessment Tool (MMAT). Certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria and assigned within categories of high, moderate, or low. NVivo was used for synthesis and analysis of article content. A narrative synthesis combines the study findings. Results Thirty studies (7 quantitative, 19 qualitative and 4 mixed methods) met the inclusion criteria. Identified primary promotors for the implementation and adoption of ATT were: personalized training and co-designed solutions, safety for the PwD, involvement of all relevant stakeholders, ease of use and support, and cultural relevance. Main barriers for the implementation and adoption of ATT included: unintended adverse consequences, timing and disease progress, technology anxiety, system failures, digital divide, and lack of access to or knowledge of available ATT. Conclusion The most crucial elements for the adoption of ATT in the future will be a focus on co-design, improved involvement of relevant stakeholders, and the adaptability (tailoring related to context) of ATT solutions over time (disease process).

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“…For example, downloading a pedometer app could help enhance their PA. Moreover, facilitating the use of wearables and making them less noticeable and user-friendly, while providing appropriate operating instructions, could help reduce anxiety about technology use [61,62]. Today, there are different types of products (smartwatches, fitness trackers, smart clothes, implantable gadgets, head-mounted displays, etc) from various manufacturers (Xiaomi, Huawei, Polar, Samsung, Apple, Garmin Ltd, Withings, and Fitbit just to name a few) that are available in the market; the variety of options can be daunting for informal caregivers when making decisions about which wearable device to adopt and use [62,63].…”

Section: Principal Findings and Implications For Policy And Practicementioning

confidence: 99%

Wearable Activity Tracker Use and Physical Activity Among Informal Caregivers in the United States: Quantitative Study

Mahmood¹,

Kim²,

Kedia³

et al. 2022

JMIR Mhealth Uhealth

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Background With an increase in aging population and chronic medical conditions in the United States, the role of informal caregivers has become paramount as they engage in the care of their loved ones. Mounting evidence suggests that such responsibilities place substantial burden on informal caregivers and can negatively impact their health. New wearable health and activity trackers (wearables) are increasingly being used to facilitate and monitor healthy behaviors and to improve health outcomes. Although prior studies have examined the efficacy of wearables in improving health and well-being in the general population, little is known about their benefits among informal caregivers. Objective This study aimed to examine the association between use of wearables and levels of physical activity (PA) among informal caregivers in the United States. Methods We used data from the National Cancer Institute’s Health Information National Trends Survey 5 (cycle 3, 2019 and cycle 4, 2020) for a nationally representative sample of 1273 community-dwelling informal caregivers—aged ≥18 years, 60% (757/1273) female, 75.7% (990/1273) had some college or more in education, and 67.3% (885/1273) had ≥1 chronic medical condition—in the United States. Using jackknife replicate weights, a multivariable logistic regression was fit to assess an independent association between the use of wearables and a binary outcome: meeting or not meeting the current World Health Organization’s recommendation of PA for adults (≥150 minutes of at least moderate-intensity PA per week). Results More than one-third (466/1273, 37.8%) of the informal caregivers met the recommendations for adult PA. However, those who reported using wearables (390/1273, 31.7%) had slightly higher odds of meeting PA recommendations (adjusted odds ratios 1.1, 95% CI 1.04-1.77; P=.04) compared with those who did not use wearables. Conclusions The results demonstrated a positive association between the use of wearables and levels of PA among informal caregivers in the United States. Therefore, efforts to incorporate wearable technology into the development of health-promoting programs or interventions for informal caregivers could potentially improve their health and well-being. However, any such effort should address the disparities in access to innovative digital technologies, including wearables, to promote health equity. Future longitudinal studies are required to further support the current findings of this study.

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Impact of Actual Use Behavior of Healthcare Wearable Devices on Quality of Life: A Cross-Sectional Survey of People with Dementia and Their Caregivers in Ghana

Cited by 19 publications

References 96 publications

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Impact of digital assistive technologies on the quality of life for people with dementia: A scoping review

Promotors and barriers to the implementation and adoption of assistive technology and telecare for people with dementia and their caregivers: a systematic review of the literature

Wearable Activity Tracker Use and Physical Activity Among Informal Caregivers in the United States: Quantitative Study

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