Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review.

Cognitive impairments (CI), associated with the consequences of Alzheimer's disease and other dementias, are increasingly prevalent among older adults, leading to deterioration in self-care, mobility, and interpersonal relationships among them. Innovative Assistive Technologies (IAT) such as electro...

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Published in:BioMed Research International pp. 1 - 19
Main Authors: Thordardottir, Björg, Malmgren Fänge, Agneta, Lethin, Connie, Rodriguez Gatta, Danae, Chiatti, Carlos
Format: research systematic review tables/charts Journal Article
Published: Wiley-Blackwell 3/6/2019
Online Access:View this record in EBSCOhost
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      dt: 3/6/2019
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/2019/9196729
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        atl: Acceptance and Use of Innovative Assistive Technologies among People with Cognitive Impairment and Their Caregivers: A Systematic Review.
      aug:
        au:
          Thordardottir, Björg
          Malmgren Fänge, Agneta
          Lethin, Connie
          Rodriguez Gatta, Danae
          Chiatti, Carlos
        affil: Department of Occupational Therapy, Prosthetics and Orthotics, Faculty of Health Sciences, OsloMet – Oslo Metropolitan University, Oslo 0130, Norway
      sug:
        subj:
          Cognition Disorders Psychosocial Factors
          Caregiver Attitudes
          Assistive Technology Utilization
          Health Services Accessibility
          Human
          Systematic Review
          CINAHL Database
          PubMed
          Psycinfo
          Quality Assessment
          Day Care
          Wearable Sensors
          Cognition Disorders Diagnosis
          Motivation
          Equipment Safety
          Age Factors
          Emotional Maturity
          Personality
          Support, Psychosocial
          Health Care Delivery
          Social Work Service
          Program Implementation
      ab: Cognitive impairments (CI), associated with the consequences of Alzheimer's disease and other dementias, are increasingly prevalent among older adults, leading to deterioration in self-care, mobility, and interpersonal relationships among them. Innovative Assistive Technologies (IAT) such as electronic reminders and surveillance systems are considered as increasingly important tools to facilitate independence among this population and their caregivers. The aim of this study is to synthesise knowledge on facilitators and barriers related to acceptance of and use of IAT among people with CI and their caregivers. This systematic review includes original papers with quantitative, qualitative, or mixed methods design. Relevant peer-reviewed articles published in English between 2007 and 2017 were retrieved in the following databases: CINAHL; PubMed; Inspec; and PsycINFO. The Mixed Method Appraisal Tool (MMAT) was used for quality assessment. We retrieved thirty studies, including in total 1655 participants from Europe, USA/Canada, Australia, and Asia, enrolled in their homes, care-residences, day-care centres, or Living Labs. Two-thirds of the studies tested technologies integrating home sensors and wearable devices for care and monitoring CI symptoms. Main facilitators for acceptance and adherence to IAT were familiarity with and motivation to use technologies, immediate perception of effectiveness (e.g., increase in safety perceptions), and low technical demands. Barriers identified included older age, low maturity of the IAT, little experience with technologies in general, lack of personalization, and support. More than 2/3 of the studies met 80% of the quality criteria of the MMAT. Low acceptance and use of IAT both independently and with caregivers remains a significant concern. More knowledge on facilitators and barriers to use of IAT among clients of health care and social services is crucial for the successful implementation of innovative programmes aiming to leverage innovative technologies for the independence of older people with CI.
      pubtype: Academic Journal
      doctype:
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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