Search results for ‘Subject term:"cognitive impairment"’ Sort:
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How using assistive technology for cognitive impairments improves the participation and self-determination of young adults with intellectual developmental disabilities
- Authors:
- SODERSTROM Sylvia, et al
- Journal article citation:
- Journal of Intellectual Disabilities, 25(2), 2021, pp.168-182.
- Publisher:
- Sage
- Place of publication:
- London
In affluent societies how people use technology is symbolic of various values and identities. This article investigates the symbolic values and use of assistive technologies from the world of information and communication technology (ICT) in the daily lives of 11 visually impaired young Norwegians. The article draws on a qualitative interview study and employs an interactionist approach. While the use of ICT is found to symbolise competence, belonging and independence, the use of ICT assistive technologies is found to symbolise restriction, difference and dependency. Thus, ICT and ICT assistive technologies have inherently contradictory sets of associations. To fit in as ordinary young people the visually impaired participants reject ICT assistive technologies whenever possible. The partially sighted participants who are somehow capable of participating in online interactions with their peers without ICT assistive technologies reject them. The blind participants, however, do not have the option of participating online without ICT assistive technologies and, consequently, they accept ICT assistive technologies. (Edited publisher abstract)
Factors affecting the implementation, use, and adoption of real-time location system technology for persons living with cognitive disabilities in long-term care homes: systematic review
- Authors:
- GRIGOROVICH Alisa, et al
- Journal article citation:
- Journal of Medical Internet Research, 23(1), 2021, p.e22831. Online only
- Publisher:
- JMIR Publications
Background: As the aging population continues to grow, the number of adults living with dementia or other cognitive disabilities in residential long-term care homes is expected to increase. Technologies such as real-time locating systems (RTLS) are being investigated for their potential to improve the health and safety of residents and the quality of care and efficiency of long-term care facilities. Objective: The aim of this study is to identify factors that affect the implementation, adoption, and use of RTLS for use with persons living with dementia or other cognitive disabilities in long-term care homes. Methods: We conducted a systematic review of the peer-reviewed English language literature indexed in MEDLINE, Embase, PsycINFO, and CINAHL from inception up to and including May 5, 2020. Search strategies included keywords and subject headings related to cognitive disability, residential long-term care settings, and RTLS. Study characteristics, methodologies, and data were extracted and analyzed using constant comparative techniques. Results: A total of 12 publications were included in the review. Most studies were conducted in the Netherlands (7/12, 58%) and used a descriptive qualitative study design. We identified 3 themes from our analysis of the studies: barriers to implementation, enablers of implementation, and agency and context. Barriers to implementation included lack of motivation for engagement; technology ecosystem and infrastructure challenges; and myths, stories, and shared understanding. Enablers of implementation included understanding local workflows, policies, and technologies; usability and user-centered design; communication with providers; and establishing policies, frameworks, governance, and evaluation. Agency and context were examined from the perspective of residents, family members, care providers, and the long-term care organizations. Conclusions: There is a striking lack of evidence to justify the use of RTLS to improve the lives of residents and care providers in long-term care settings. More research related to RTLS use with cognitively impaired residents is required; this research should include longitudinal evaluation of end-to-end implementations that are developed using scientific theory and rigorous analysis of the functionality, efficiency, and effectiveness of these systems. Future research is required on the ethics of monitoring residents using RTLS and its impact on the privacy of residents and health care workers. (Edited publisher abstract)
The use of smartphones for wayfinding by people with mild dementia
- Authors:
- KWAN Rick Yiu Cho, CHEUNG Daphne Sze Ki, KOR Patrick Pui-Kin
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 19(3), 2020, p.721–735.
- Publisher:
- Sage
The aim of this study was to explore the acceptability, feasibility and usability of older people with mild dementia to use smartphone for wayfinding. Thirty cognitively normal older people and 16 people with mild dementia were recruited to participate in a wayfinding trial in the free-living environment. Five feasibility and three acceptability markers were compared between the groups. Content analysis on the video-recorded trial processes and individual interviews was employed to identify the usability issues. The results found that there were no significant between-group differences on the feasibility markers, except that the people with mild dementia needed significantly more time to complete the wayfinding trial and workshop; or on the acceptability items. Sensory/cognitive impairment and GPS signal reliability affected their usability. Mild dementia does not limit the older people to use smartphones for wayfinding in the free-living environment. Future studies should examine the efficacy and safety of smartphone to promote outdoor independence of the people with mild dementia. (Edited publisher abstract)
Appropriate talking pattern of an information support robot for people living with dementia: a case study
- Authors:
- NISHIURA Yuko, INOUE Takenobu, NIHEI Misato
- Journal article citation:
- Journal of Assistive Technologies, 8(4), 2014, pp.177-187.
- Publisher:
- Emerald
Purpose: The authors are in the process of exploring an information support robot to support daily activities of people with mild cognitive impairment or dementia. The purpose of this paper is to reveal how the robot should talk to an older woman with dementia to make her perform daily activities. Design/methodology/approach: The robot asked to the participant to do some daily activities; Task A, taking medicine; Task B, measuring blood pressure; and Task C, cleaning up the room in three different ways for each task. In the talking pattern 1 (TP1), the robot simply informed what the tasks were. The talking patterns 2 and 3 (TP2 and TP3) were separated according to the process of activities in two and three steps, respectively. The participant was required to answer “Yes” if she understood what the robot talked to her, and perform the tasks. Findings: The participant was not able to prepare water in the Task A when the robot spoke the TP1 (performance rate (PR) was 71.4 per cent). However, she could perfectly take medicine in the case when the robot spoke the processes of the task by the TP3 (PR was 100.0 per cent). The similar tendencies were observed in the Tasks B and C. Research limitations/implications: Multicentre studies would be required to apply these findings to a larger population. Originality/value: The authors confirmed that it might be important to determine how the robot talked to people with dementia to properly facilitate their daily activities. (Edited publisher abstract)
Use of the global positioning system to measure the out-of-home mobility of older adults with differing cognitive functioning
- Authors:
- SHOVAL Noam, et al
- Journal article citation:
- Ageing and Society, 31(5), July 2011, pp.849-869.
- Publisher:
- Cambridge University Press
To date, the assessment of outdoor mobility of cognitively impaired older adults relied on the reports of family care-givers and institutional staff and used observational approaches. This study aimed to find the usefulness of high-resolution data gathering using a global positioning system (GPS) device attached to 41 mildly demented, mildly cognitively impaired and healthy men and women aged 64–90 years in Tel-Aviv Israel. The participants were tracked for 28 consecutive days using a location kit that combined a GPS with radio frequency identification. The high-resolution spatial and temporal data enabled detailed analysis of the differences in the timing and distance of the participants' daily outdoor mobility patterns. It was found that the spatial range of the mobility of elderly people with cognitive impairment is severely restricted, with most out-of-home time spent in close proximity to their residences. Men were generally more mobile than women and younger participants generally spent more time out-of-home. Although this study was qualitative in nature, the authors concluded that GPS was an advanced research tool able to better record mobility in the study group than other available methods.
Technology options to help people with dementia or acquired cognitive impairment perform multistep daily tasks: a scoping review
- Authors:
- LANCIONI Giulio, et al
- Journal article citation:
- Journal of Enabling Technologies, 15(3), 2021, pp.208-223.
- Publisher:
- Emerald
Purpose: The purpose of this paper is to review studies that evaluated technology-based prompting systems for supporting participants with dementia or acquired cognitive impairment in their performance of multistep daily tasks. Design/methodology/approach: A scoping review was conducted to identify eligible studies through a search of four electronic databases, that is, PubMed, PsycINFO, Web of Science and Institute of Electrical and Electronics Engineers. Findings: The search, which covered the 2010–2020 period, led to the identification of 1,311 articles, 30 of which were included in the review. These articles evaluated six different types of prompting systems: context-aware, automatic computer prompting, context-aware, mediated computer prompting, teleoperated robot prompting, self-operated augmented reality prompting, self-operated computer or tablet prompting and time-based (preset) computer, tablet or smartphone prompting. Originality/value: Technology-aided prompting to help people with dementia or acquired cognitive impairment perform relevant multistep daily tasks is considered increasingly important. This review provides a picture of the different prompting options available and of their level of readiness for application in daily contexts. (Edited publisher abstract)
Training people with dementia/cognitive impairment and their carers in the use of web-based supportive technologies (Innovative practice)
- Authors:
- CUNNAH Katie, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(2), 2021, pp.796-806.
- Publisher:
- Sage
Little is known about the training and support people with dementia and their carers need to use digital solutions. This paper shares learning from a bespoke programme that successfully trained people with dementia or mild cognitive impairment and their informal carers to use a social networking website. This work was undertaken as part of the European Horizon 2020 Caregiverspro-mmd trial (ISRCTN15654731). The training methods described offer an improved understanding of how best to deliver digital skills training that meets the needs of a diverse client group. The effectiveness of the programme is evidenced with qualitative and quantitative data. (Edited publisher abstract)
Non‐medical interventions for individuals with Rett syndrome: a systematic review
- Authors:
- AMOAKO Annika Nina, HARE Dougal Julian
- Journal article citation:
- Journal of Applied Research in Intellectual Disabilities, 33(5), 2020, pp.808-827.
- Publisher:
- Wiley
Background: Research into Rett syndrome has included various medical interventions. Non‐medical interventions are relatively under‐researched. Recent technological communication intervention advances have contributed to the evidence base in Rett syndrome. Method: The Embase, PsycINFO and MEDLINE were systematically searched for peer‐reviewed papers describing non‐medical interventions for Rett syndrome. All identified papers were evaluated for methodological quality. Results: Thirteen studies of adequate methodological quality were reviewed (across N = 60 participants). Interventions were primarily communication interventions including music, assistive technology, augmentative and alternative communication strategies, attentional training and cognitive rehabilitation training. All studies reported positive outcomes across communication, quality of life, brain stem activity, physical fitness and a reduction in stereotyped behaviour. However, methodological challenges to generalizability, standardization, lack of follow‐up and/or small‐N samples were common. Conclusions: The review highlights the paucity of high‐quality research. Future research is needed to build on current research and improve validity and generalizability of interventions. (Edited publisher abstract)
Technology use to improve everyday occupations in older persons with mild dementia or mild cognitive impairment: a scoping review
- Authors:
- PATOMELLA Ann-Helen, et al
- Journal article citation:
- British Journal of Occupational Therapy, 81(10), 2018, pp.555-565.
- Publisher:
- Sage
Introduction: Technology use is a highly relevant part of everyday occupations and difficulties can lead to challenges among older adults with cognitive impairments. The aim of this study was to review empirical studies reporting on the use of technology for improving performance in everyday occupations and evaluate the effect of training strategies in technology use in older people with mild-stage dementia or mild cognitive impairment. Method: A scoping review methodology was used. Key databases were searched, covering January 2000 to October 2016, to identify studies, which were screened and assessed for inclusion. Results: In total, 14 studies were included. Most studies used quantitative designs with small sample sizes. The methods used to measure performance in everyday occupations differed. Six studies focussed on the use of technology for improving performance. Eight studies evaluated the effect of training strategies in technology use. Conclusion: Although positive effects of technology use and training in technology use have been reported for instrumental activities of daily living outcomes, the evidence supporting the use of technology in enhancing performance in occupations in people with mild-stage dementia or mild cognitive impairment is limited. Future studies should focus specifically on people with mild cognitive impairment, use more rigorous designs and include standardised methods. (Publisher abstract)
Design and management features of everyday technology that challenge older adults
- Authors:
- PATOMELLA Ann-Helen, KOTTORP Anders, NYGARD Louise
- Journal article citation:
- British Journal of Occupational Therapy, 76(9), 2013, pp.390-398.
- Publisher:
- Sage
The management of everyday technologies could present too difficult a challenge for older adults with cognitive impairments, leading to their exclusion from participation. This study aims to identify and describe features that make everyday technologies more or less difficult for older adults, whether with or without cognitive difficulties. (Edited publisher abstract)