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

被引：15

作者：

Forsyth, Kirsty ^{[1
]}

Henderson, Catherine ^{[2
]}

Davis, Lucy ^{[3
]}

Roy, Anusua Singh ^{[1
]}

Dunk, Barbara ^{[4
]}

Curnow, Eleanor ^{[1
]}

Gathercole, Rebecca ^{[5
]}

Lam, Natalie ^{[3
]}

Harper, Emma ^{[3
]}

Leroi, Iracema ^{[6
]}

Woolham, John ^{[7
]}

Fox, Chris ^{[8
]}

O'Brien, John ^{[9
]}

Bateman, Andrew ^{[10
]}

Poland, Fiona ^{[11
]}

Bentham, Peter ^{[12
]}

Burns, Alistair ^{[6
]}

Davies, Anna ^{[13
]}

Gray, Richard ^{[3
]}

Bradley, Rosie ^{[3
]}

Knapp, Martin ^{[5
]}

Newman, Stanton ^{[13
]}

McShane, Rupert ^{[14
]}

Ritchie, Craig ^{[15
]}

Talbot, Emma ^{[16
]}

Hooper, Emma ^{[17
]}

Winson, Rachel ^{[18
]}

Scutt, Bethany ^{[5
]}

Ordonez, Victoria ^{[18
]}

Nunn, Samantha ^{[18
]}

Lavelle, Grace ^{[5
]}

Howard, Robert ^{[19
]}

机构：

[1] Queen Margaret Univ, Sch Hlth Sci, Edinburgh, Midlothian, Scotland

[2] London Sch Econ & Polit Sci, Personal Social Serv Res Unit, London, England

[3] Clin Trial Serv Unit, Oxford, England

[4] South London & Maudsley NHS Fdn Trust, Maudsley, London, England

[5] Inst Psychiat, Dept Old Age Psychiat, London, England

[6] Univ Manchester, Sch Community Based Med, Manchester, Lancs, England

[7] Kings Coll London, Social Care Workforce Res Unit, London, England

[8] Univ East Anglia, Sch Med Hlth Policy & Practice, Norwich, Norfolk, England

[9] Univ Cambridge, Dept Psychiat, Cambridge, England

[10] Princess Wales Hosp, Oliver Zangwill Ctr Neuropsychol Rehabil, Ely, England

[11] Univ East Anglia, Sch Allied Hlth Professionals, Norwich, Norfolk, England

[12] Barberry Ctr, Birmingham, W Midlands, England

[13] City Univ London, Sch Community & Hlth Sci, London, England

[14] Oxford Hlth NHS Fdn Trust, Warneford Hosp, Oxford, England

[15] Univ Edinburgh, Ctr Clin Brain Sci, Edinburgh, Midlothian, Scotland

[16] Norfolk & Suffolk NHS Fdn Trust, Norwich, Suffolk, England

[17] Lantern Ctr, Preston, Lancs, England

[18] Cambridgeshire Community Serv NHS Trust, Oliver Zangwill Ctr, Ely, England

[19] UCL, Div Psychiat, London, England

来源：

ALZHEIMERS & DEMENTIA-TRANSLATIONAL RESEARCH & CLINICAL INTERVENTIONS | 2019年 / 5卷 / 01期

基金：

美国国家卫生研究院;

关键词：

Dementia; Assistive technology; Telecare; ATTILA; Assessment of need; Community-dwelling; SERVICES; MODEL;

D O I：

10.1016/j.trci.2019.07.010

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

IntroductionThe 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 (tau =0.242; P<.000), with ATT recommendations and installations moderately correlated (<tau>=-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.

引用

页码：420 / 430

页数：11

共 28 条

[1]

Bjorneby S., 1999, Technology, Ethics and dementia: A Guide Book on How to Apply Technology in Dementia Care

[2] Predicting the Rate of Cognitive Decline in Alzheimer Disease: Data From the ICTUS Study [J].

Canevelli, Marco ;

Kelaiditi, Eirini ;

del Campo, Natalia ;

Bruno, Giuseppe ;

Vellas, Bruno ;

Cesari, Matteo .

ALZHEIMER DISEASE & ASSOCIATED DISORDERS, 2016, 30 (03) :237-242

[3] Developing and evaluating complex interventions: the new Medical Research Council guidance [J].

Craig, Peter ;

Dieppe, Paul ;

Macintyre, Sally ;

Michie, Susan ;

Nazareth, Irwin ;

Petticrew, Mark .

BMJ-BRITISH MEDICAL JOURNAL, 2008, 337 (7676) :979-983

[4]

Department of Health, 2005, OLD PEOL DIS DIV BUI

[5]

Department of Health, 2009, DEMENTIA

[6] Market adoption barriers of multi-stakeholder technology: Smart homes for the aging population [J].

Ehrenhard, Michel ;

Kijl, Bjorn ;

Nieuwenhuis, Lambert .

TECHNOLOGICAL FORECASTING AND SOCIAL CHANGE, 2014, 89 :306-315

[7] The provision of assistive technology products and services for people with dementia in the United Kingdom [J].

Gibson, Grant ;

Newton, Lisa ;

Pritchard, Gary ;

Finch, Tracy ;

Brittain, Katie ;

Robinson, Louise .

DEMENTIA-INTERNATIONAL JOURNAL OF SOCIAL RESEARCH AND PRACTICE, 2016, 15 (04) :681-701

[8] The everyday use of assistive technology by people with dementia and their family carers: a qualitative study [J].

Gibson, Grant ;

Dickinson, Claire ;

Brittain, Katie ;

Robinson, Louise .

BMC GERIATRICS, 2015, 15

[9] What is quality in assisted living technology? The ARCHIE framework for effective telehealth and telecare services [J].

Greenhalgh, Trisha ;

Procter, Rob ;

Wherton, Joe ;

Sugarhood, Paul ;

Hinder, Sue ;

Rouncefield, Mark .

BMC MEDICINE, 2015, 13

[10]

Hoffmann TC, 2014, BMJ-BRIT MED J, V348, DOI [10.1136/bmj.g1687, 10.1055/s-0041-111066]

← 1 2 3 →