Wearables for residents of nursing homes with dementia and challenging behaviour: Values, attitudes, and needs.

Background: Challenging Behaviour (CB) occurs in up to 80% of nursing home residents with dementia. Identifying stressors causing CB is difficult (as residents themselves cannot indicate what is experienced as stressful), thereby hampering the psychosocial approach. Nowadays, stress-related biomedic...

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Publicado en:Gerontechnology Vol. 20; no. 2; pp. 1 - 14
Autores principales: Peeters, Manon W. H., Schouten, Gerard, Wouters, Eveline J.
Formato: pictorial research tables/charts Journal Article
Publicado: International Society for Gerontechnology 2021
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2021
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      pub: International Society for Gerontechnology
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        atl: Wearables for residents of nursing homes with dementia and challenging behaviour: Values, attitudes, and needs.
      aug:
        au:
          Peeters, Manon W. H.
          Schouten, Gerard
          Wouters, Eveline J.
        affil: School for Allied Health Professions, Fontys University of Applied Sciences, Eindhoven, The Netherlands
      sug:
        subj:
          Wearable Sensors
          Nursing Home Residents
          Dementia Patients
          Behavior
          Stakeholder Participation
          Human
          Qualitative Studies
          Focus Groups
      ab: Background: Challenging Behaviour (CB) occurs in up to 80% of nursing home residents with dementia. Identifying stressors causing CB is difficult (as residents themselves cannot indicate what is experienced as stressful), thereby hampering the psychosocial approach. Nowadays, stress-related biomedical variables, such as (aberrant) physical activity, skin temperature, heart activity, and skin conductance, can be measured continuously and relatively easily using wearable sensors. Next to validation of algorithms (i.e. the relationship between wearable data and CB), it is of utmost importance to consider the different values, attitudes, and needs of all stakeholders involved to successfully develop, apply and implement this technology. Objective: To identify the values, needs, and attitudes of multiple stakeholders regarding wearables in the care of people with dementia and CB. Method: A qualitative study was conducted, in which a real-life context was created in a Dutch nursing home. Two residents with CB wore the Empatica E4 wristband for three half-days. Multiple stakeholders (i.e., eight involved nurses and eight informal caregivers) were interviewed. Subsequently, results were used for designing two focus groups. The first focus group included formal (n=6) and informal (n=6) caregivers. The second focus group consisted of community-dwelling people with dementia (n=7) and their informal caregivers (n=5) and case managers (n=2). Results: Stakeholders accepted the wearable as a supportive technology in the care of people with dementia and CB. Expected value, user comfort, need for information, and design (including customizability and stigmatization) were important themes. During the focus groups, explicit recommendations were given by the participants with respect to the wearables' design. Conclusion: In order to enhance the adoption of wearable sensors in CB and dementia on an individual level, information about the technology and the design of the wearable deserves more explicit attention in clinical practice and future research.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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