"Psychogeritechnology" in Japan: Exemplars from a super-aged society.

Background: The burgeoning field of gerontechnology, which is the interdisciplinary field of applying technology to ageing issues, has focused primarily on "active ageing" and maintaining independence for older adults. To date, there has been less focus on people who develop dementia. Here, we argue...

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Publicado en:International Journal of Geriatric Psychiatry Vol. 33; no. 12; pp. 1533 - 1541
Autores principales: Leroi, Iracema, Watanabe, Kentaro, Hird, Nick, Sugihara, Taro
Formato: research Journal Article
Publicado: Wiley-Blackwell Dec2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Dec2018
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      pub: Wiley-Blackwell
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        atl: "Psychogeritechnology" in Japan: Exemplars from a super-aged society.
      aug:
        au:
          Leroi, Iracema
          Watanabe, Kentaro
          Hird, Nick
          Sugihara, Taro
        affil: Division of Neuroscience and Experimental Psychiatry, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester UK
      sug:
        subj:
          Dementia
          Geriatrics Methods
          Quality of Life
          Japan
          Community Living
          Aged
          Human
          Validation Studies
          Comparative Studies
          Evaluation Research
          Multicenter Studies
          Clinical Assessment Tools
          Ferrans and Powers Quality of Life Index
          Scales
          Aged: 65+ years
      ab: Background: The burgeoning field of gerontechnology, which is the interdisciplinary field of applying technology to ageing issues, has focused primarily on "active ageing" and maintaining independence for older adults. To date, there has been less focus on people who develop dementia. Here, we argue for the field of gerontechnology to have a greater emphasis on clinical applications for dementia. This can be captured under the rubric of "psychogeritechnology," a term we have coined to describe the range of technology approaches to the prevention, prediction, screening, assessment, diagnosis, management, and monitoring of people at risk of, or living with, dementia.Aim: Using Japan as the world's leading "super-aged' nation as a paradigm, the purpose of this paper is to provide a narrative review of the use of innovative technology for the diagnosis, management and support of people at risk of, or living with, dementia.Methods: By following the "life course" of dementia, we will use clinical exemplars and case studies of psychogeritechnological applications from a Japanese context, specific to each stage of dementia, from the preclinical to the advanced stage. In the preclinical stage, the focus will be on prevention and early detection of degenerative cognitive-functional trajectories. In the early-stage of dementia, we will outline examples of screening, assessment, diagnosis, and clinical monitoring, as well as the use of technology to support independent living and autonomy. In the moderate stage, examples of safety monitoring systems, and assistive technology to foster independence, quality of life will be outlined. Finally, in the advanced stage of dementia, our focus will be on assistive technology in the care home setting, and the need to foster secure and efficient communication among care providers. We will discuss these applications in terms of the evolution of the "technological roadmap" for dementia, and the need for a theoretical underpinning for the field, a meaningful and flexible evaluation framework, and consideration of the "wider perspective" including safety-critical issues, ethical issues, and the relation to policy and health economics.Conclusions: Japan, as a rapidly ageing society, is on the forefront of developing technology to support people with dementia. The new field of psychogeritechnology must harness the potential of such developments, while furthering the methodology to implement and evaluate the changes.
      pubtype: Academic Journal
      doctype:
        research
        Journal Article
      ougenre: Article
    language: English
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