Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial

Alzheimer's and Dementia: Translational Research and Clinical Interventions - Tập 5 - Trang 420-430 - 2019
Kirsty Forsyth1, Catherine Henderson2, Lucy Davis3, Anusua Singh Roy1, Barbara Dunk4, Eleanor Curnow1, Rebecca Gathercole5, Natalie Lam3, Emma Harper3, Iracema Leroi6, John Woolham7, Chris Fox8, John O'Brien9, Andrew Bateman10, Fiona Poland11, Peter Bentham12, Alistair Burns6, Anna Davies13, Richard Gray3, Rosie Bradley3
1School of Health Sciences, Queen Margaret University, Edinburgh, UK
2Personal Social Services Research Unit, London School of Economics and Political Science, London, UK
3Clinical Trial Service Unit, Oxford, UK
4South London and Maudsley NHS Foundation Trust, The Maudsley, UK
5Department of Old Age Psychiatry, Institute of Psychiatry, London, UK
6School of Community Based Medicine, University of Manchester, Manchester, UK
7Social Care Workforce Research Unit, King’s College London, London, UK
8School of Medicine, Health Policy and Practice, University of East Anglia, Norwich, Norfolk, UK
9Department of Psychiatry, University of Cambridge, Cambridge, UK
10Oliver Zangwill Centre for Neuropsychological Rehabilitation, Princess of Wales Hospital, Ely, UK
11School of Allied Health Professionals, University of East Anglia, Norwich, Norfolk, UK
12The Barberry Centre, Birmingham, UK
13School of Community and Health Science, City University, London, UK

Tóm tắt

AbstractIntroductionThe objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home.MethodsThis is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT, established an ATT assessment standard.ResultsATT was delivered by public and not‐for‐profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%), and problem‐solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; P < .000), with ATT recommendations and installations moderately correlated (τ = −0.470; P < .000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations.DiscussionAssessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.

Tài liệu tham khảo

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Alzheimer's and Dementia: Translational Research and Clinical Interventions

Tập 5

420-430

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