Cognitive Reablement Using Digital Voice Assistants for People Living With Dementia or Mild Cognitive Impairment: A Co‐Design Study.

Background: Digital health technology has the potential to increase access to home‐based reablement programmes for people living with dementia (PLwD) or mild cognitive impairment (MCI) to support everyday living. Digital Voice Assistants (DVAs) offer a possible solution to overcome usability issues...

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Publicado en:Health Expectations Vol. 29; no. 4; pp. 1 - 23
Autores principales: Yiannis, Tracy, Macpherson, Helen, Scott, David, Callisaya, Michele, Gourlay, Caitlyn, Maddison, Ralph, Gvozdenko, Eugene, Jansons, Paul
Formato: research tables/charts Journal Article
Publicado: Wiley-Blackwell Aug2026
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Cognitive Reablement Using Digital Voice Assistants for People Living With Dementia or Mild Cognitive Impairment: A Co‐Design Study.
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          Yiannis, Tracy
          Macpherson, Helen
          Scott, David
          Callisaya, Michele
          Gourlay, Caitlyn
          Maddison, Ralph
          Gvozdenko, Eugene
          Jansons, Paul
        affil: Institute for Physical Activity and Nutrition (IPAN), School of Exercise and Nutrition Sciences, Deakin University, Burwood Victoria,, Australia
      sug:
        subj:
          Dementia Psychosocial Factors
          Mild Cognitive Impairment Psychosocial Factors
          Collaboration
          Caregivers
          Assistive Technology
          Voice Recognition Systems
          Patient Centered Care
          Activities of Daily Living
          Home Health Care
          Caregiver Attitudes Evaluation
          Patient Attitudes Evaluation
          Attitude of Health Personnel Evaluation
          Human
          Male
          Female
          Conceptual Framework
          Data Analysis Software
          Descriptive Statistics
          Qualitative Studies
          Snowball Sample
          Semi-Structured Interview
          Thematic Analysis
          Dementia Patients
          Funding Source
          Digital Health
          Health Services Accessibility
          Psychological Well-Being
          Leisure Activities
          Social Participation
          Middle Age
          Aged
          Aged, 80 and Over
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: Background: Digital health technology has the potential to increase access to home‐based reablement programmes for people living with dementia (PLwD) or mild cognitive impairment (MCI) to support everyday living. Digital Voice Assistants (DVAs) offer a possible solution to overcome usability issues with traditional technologies due to associated cognitive, motor and visual impairments. This paper describes the co‐design of a personalised reablement programme to be delivered via DVA. Methods: PLwD or MCI (n = 9), their care partners (n = 9) and health professionals (n = 8) participated in the co‐design via online workshops and semi‐structured interviews. Phases 1–7 of the IDEAS (Integrate, Design, Assess and Share) framework guided this iterative process to develop a product for future feasibility testing. Consensus on essential functions and features was facilitated using the MoSCoW prioritisation method. Transcripts were analysed using a modified thematic framework to inform the reablement programme. Results: Thematic requirements of a cognitive reablement program to be delivered via DVA included (1) Daily Living (self‐care, household and cooking), (2) Activity Participation (leisure activities, home hobbies and ad hoc appointments), (3) Emotional Well‐being (social connection and coping strategies) and (4) technical requirements (activation, adaptable content, adherence, auditory processing, awareness and training). Conclusions: The IDEAS framework successfully facilitated meaningful engagement from PLwD or MCI, their care partners, and health professionals to integrate user insights and feedback to co‐design a personalised reablement program via DVA for subsequent pilot feasibility testing. Patient or Public Contribution: PLwD and/or MCI, and their care partners contributed by sharing lived experiences for researchers to gain insights; collaboratively identifying behaviours requiring support; creating ideas for solutions; feeding back on prototypes and prioritising program features and functions. Health professionals fed back improvements on prototypes, identifying potential barriers and solutions to implementation of the program.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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