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Brookman R, Parker S, Hoon L, Ono A, Fukayama A, Matsukawa H, Harris CB. Technology for dementia care: what would good technology look like and do, from carers' perspectives? BMC Geriatr 2023; 23:867. [PMID: 38104074 PMCID: PMC10725604 DOI: 10.1186/s12877-023-04530-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/03/2023] [Accepted: 11/29/2023] [Indexed: 12/19/2023] Open
Abstract
BACKGROUND The development of technology in dementia care has largely been without consultation with carers, and has primarily focused on safety, monitoring devices, and supporting activities of daily living. Further, while involving end-users in the design of technology has been recommended, this is yet to become common practice. METHOD We conducted a mixed methods study with the aim of investigating carers' values and priorities for technology development, including prior experiences, barriers to use, and what they would like technology to do. Importantly, we asked carers for their design ideas and bespoke technology solutions for future development. RESULTS Carers of people living with dementia (N = 127), including both unpaid (n = 102) and paid carers (n = 25) residing in Australia, completed an online survey. In addition, a subsample of carers (n = 23) participated in semi-structured interviews. Findings demonstrate that carers want technology to be person-centred, customisable, and to increase opportunities for meaningful social connection. Findings also demonstrate the ability of carers to generate creative design solutions for dementia care. CONCLUSIONS These findings and implications will be discussed in relation to the importance of co-design with carers and engineers during the design phase of assistive technology. Also, the importance of technology to enhance, not replace, human-to-human social interactions is highlighted.
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Affiliation(s)
- Ruth Brookman
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, NSW, Australia.
| | | | | | - Asuka Ono
- Nippon Telegraph and Telephone (NTT), Tokyo, Japan
| | | | | | - Celia B Harris
- MARCS Institute for Brain, Behaviour and Development, Western Sydney University, Penrith, NSW, Australia
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Lund ML, Olofsson A, Malinowsky C. Accessing public space in the digital society: relationship between the use of everyday technology and places visited outside the home after acquired brain injury. Disabil Rehabil 2022; 44:7059-7068. [PMID: 34565262 DOI: 10.1080/09638288.2021.1979666] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/13/2023]
Abstract
PURPOSE In the digital society, people need to make use of a range of everyday technology (ET) when engaging in activities in various places outside home. The aim of this study was to describe and compare the use of ET and places visited outside the home and, also, to describe the relationship between them in people with different severity of disability after acquired brain injury (ABI). MATERIALS AND METHODS Instruments addressing ET use, places visited outside the home and severity of disability were used to assess 74 individuals with ABI. Relationships were analyzed statistically. RESULTS A significantly higher use of personal ET related to public space and public space ET, a higher ability to use ET and more places visited outside the home was found in those with good recovery (GR) compared to those with moderate disability/severe disability (MD/SD). The use of ET was significantly correlated with places visited in the total sample and in those with MD/SD, but for those with GR, no significant correlations were found. CONCLUSIONS To facilitate participation after ABI, the relationship between the use of ET and places visited outside the home needs to be assessed in rehabilitation.Implications for rehabilitationDigitalization has increased the need of everyday technology (ET) when visiting various places in society.The use of ET was positively significantly correlated with the total number of places visited outside the home in the sample of people with acquired brain injury (ABI).Those with severe or moderate disability after their ABI used significantly fewer ET and visited fewer places compared to those with good recovery.Evaluation of the use of ET and places visited outside the home is important in rehabilitation to support participation after ABI.
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Affiliation(s)
- Maria Larsson Lund
- Department of Health, Education and Technology, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Alexandra Olofsson
- Department of Health, Education and Technology, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Camilla Malinowsky
- Department of Neurobiology, Care Science and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Stockholm, Sweden
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Gaber SN, Nygård L, Brorsson A, Kottorp A, Charlesworth G, Wallcook S, Malinowsky C. Social Participation in Relation to Technology Use and Social Deprivation: A Mixed Methods Study Among Older People with and without Dementia. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4022. [PMID: 32516958 PMCID: PMC7312692 DOI: 10.3390/ijerph17114022] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/07/2020] [Revised: 05/29/2020] [Accepted: 06/02/2020] [Indexed: 11/16/2022]
Abstract
Social participation is a modifiable determinant for health and wellbeing among older people; however, social participation is increasingly dependent on technology use. This study investigated social participation in relation to Everyday Technology use and social deprivation of the living environment, among older people with and without dementia in the United Kingdom. Sixty-four people with dementia and sixty-four people without dementia were interviewed using standardized questionnaires: The Participation in ACTivities and Places OUTside Home Questionnaire and Everyday Technology Use Questionnaire. A mixed methods approach integrated statistical analyses and content analysis of free-text responses, through data visualizations. Small, statistically significant associations were found between social participation and Everyday Technology use outside home, for participants with dementia (Rs = 0.247; p = 0.049) and without dementia (Rs = 0.343; p = 0.006). A small, statistically significant association was identified between social participation and social deprivation in the living environment, among only participants with dementia (Rs = 0.267, p = 0.033). The content analysis and graphical joint display revealed motivators, considerations that require extra attention, and strategies for managing social participation. The results underline how Everyday Technology use can be assistive to social participation but also the need to consider social deprivation of the living environment, especially among people with dementia.
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Affiliation(s)
- Sophie N. Gaber
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Brain Sciences, University College London, London WC1E 6BT, UK
| | - Louise Nygård
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
| | - Anna Brorsson
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
| | - Anders Kottorp
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Health and Society, Malmö University, 20506 Malmö, Sweden
| | - Georgina Charlesworth
- Research Department of Clinical, Educational and Health Psychology, University College London, London WC1E 6BT, UK;
- Research and Development Department, North East London NHS Foundation Trust, Maggie Lilley Suite, Goodmayes Hospital, Essex IG3 8XJ, UK
| | - Sarah Wallcook
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
- Faculty of Brain Sciences, University College London, London WC1E 6BT, UK
| | - Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, 14183 Huddinge, Sweden; (S.N.G.); (A.B.); (A.K.); (S.W.); (C.M.)
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Andreassen M, Hemmingsson H, Boman IL, Danielsson H, Jaarsma T. Feasibility of an Intervention for Patients with Cognitive Impairment Using an Interactive Digital Calendar with Mobile Phone Reminders (RemindMe) to Improve the Performance of Activities in Everyday Life. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E2222. [PMID: 32224975 PMCID: PMC7177339 DOI: 10.3390/ijerph17072222] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/16/2020] [Accepted: 03/23/2020] [Indexed: 11/25/2022]
Abstract
The aim of this study is to increase evidence-based interventions by investigating the feasibility of an intervention using an interactive digital calendar with mobile phone reminders (RemindMe) as support in everyday life. Qualitative and quantitative data were collected from participating patients (n = 8) and occupational therapists (n = 7) from three rehabilitation clinics in Sweden. The intervention consisted of delivering the interactive digital calendar RemindMe, receiving an individualized introduction, a written manual, and individual weekly conversations for two months with follow-up assessments after two and four months. Feasibility areas of acceptability, demand, implementation, practicality, and integration were examined. Patients expressed their interest and intention to use RemindMe and reported a need for reminders and individualized support. By using reminders in activities in everyday life their autonomy was supported. The study also demonstrated the importance of confirming reminders and the possible role of habit-forming. Occupational therapists perceived the intervention to be useful at the rehabilitation clinics and the weekly support conversations enabled successful implementation. This study confirmed the importance of basing and tailoring the intervention to patients' needs and thus being person-centered.
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Affiliation(s)
- Maria Andreassen
- Department of Health, Medicine and Caring Sciences, Linköping University, 601 74 Norrköping, Sweden; (H.H.); (T.J.)
| | - Helena Hemmingsson
- Department of Health, Medicine and Caring Sciences, Linköping University, 601 74 Norrköping, Sweden; (H.H.); (T.J.)
- Department of Special Education, Stockholm University, 106 91 Stockholm, Sweden
| | - Inga-Lill Boman
- Department of Rehabilitation Medicine, Danderyd University Hospital, 182 88 Stockholm, Sweden;
| | - Henrik Danielsson
- The Swedish Institute for Disability Research and The Department of Behavioural Sciences and Learning, Linköping University, 581 83 Linköping, Sweden;
| | - Tiny Jaarsma
- Department of Health, Medicine and Caring Sciences, Linköping University, 601 74 Norrköping, Sweden; (H.H.); (T.J.)
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Malinowsky C, Olofsson A, Nyman A, Lund ML. Patterns of participation: Facilitating and hindering aspects related to places for activities outside the home after stroke. Scand J Occup Ther 2019; 27:204-212. [DOI: 10.1080/11038128.2019.1668958] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Affiliation(s)
- Camilla Malinowsky
- Division of Occupational Therapy, Department of Neurobiology, Care Science and Society (NVS), Karolinska Institutet, Stockholm, Sweden
| | - Alexandra Olofsson
- Department of Health Science, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Anneli Nyman
- Department of Health Science, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
| | - Maria Larsson Lund
- Department of Health Science, Occupational Therapy, Luleå University of Technology, Luleå, Sweden
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Lindqvist E, PerssonVasiliou A, Hwang AS, Mihailidis A, Astelle A, Sixsmith A, Nygård L. The contrasting role of technology as both supportive and hindering in the everyday lives of people with mild cognitive deficits: a focus group study. BMC Geriatr 2018; 18:185. [PMID: 30119653 PMCID: PMC6098644 DOI: 10.1186/s12877-018-0879-z] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/05/2018] [Accepted: 08/13/2018] [Indexed: 09/29/2023] Open
Abstract
BACKGROUND It is well known that people with mild cognitive deficits face challenges when performing complex everyday activities, and that the use of technology has become increasingly interwoven with everyday activities. However, less is known of how technology might be involved, either as a support or hindrance, in different areas of everyday life and of the environments where challenges appear. The aim of this study was to investigate the areas of concern where persons with cognitive deficits meet challenges in everyday life, in what environments these challenges appear and how technology might be involved as part of the challenge and/or the solution to the challenge. METHODS Data were gathered through four focus group interviews with participants that live with cognitive deficits or cohabit with a person with cognitive deficits, plus health professionals and researchers in the field. Data were transcribed, coded and categorized, and finally synthesized to trace out the involvement of technology. RESULTS Five areas of concern in everyday life were identified as offering challenges to persons with cognitive deficits: A) Managing personal finances, B) Getting around, C) Meeting family and friends, D) Engaging with culture and media and, E) Doing everyday chores. Findings showed that the involvement of technology in everyday activities was often contrastive. It could be hindering and evoke stress, or it could bring about feelings of control; that is, being a part of the solution. The involvement of technology was especially obvious in challenges linked to Managing personal finances, which is a crucial necessity in many everyday activities. In contrast, technology was least obviously involved in the area Socializing with family and friends. CONCLUSIONS The findings imply that technology used for orientation and managing finances, often used outside home, would benefit from being further developed in order to be more supportive; i.e. accessible and usable. To make a positive change for many people, the ideas of inclusive design fit well for this purpose and would contribute to an age-friendly society.
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Affiliation(s)
- Eva Lindqvist
- Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Fack 23 200, SE-141 83 Huddinge, Sweden
| | - Annika PerssonVasiliou
- Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Fack 23 200, SE-141 83 Huddinge, Sweden
| | - Amy S. Hwang
- University of Toronto and Toronto Rehab Institute-UHN, Toronto, Canada
| | - Alex Mihailidis
- University of Toronto and Toronto Rehab Institute-UHN, Toronto, Canada
| | | | | | - Louise Nygård
- Department of Neurobiology, Care Sciences and Society (NVS), Division of Occupational Therapy, Karolinska Institutet, Fack 23 200, SE-141 83 Huddinge, Sweden
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