The Effects of the Digital Platform Support Monitoring and Reminder Technology for Mild Dementia (SMART4MD) for People With Mild Cognitive Impairment and Their Informal Carers: Protocol for a Pilot Randomized Controlled Trial

被引:25
作者
Anderberg, Peter [1 ]
Barnestein-Fonseca, Pilar [2 ]
Guzman-Parra, Jose [2 ]
Garolera, Maite [3 ]
Quintana, Maria [3 ]
Mayoral-Cleries, Fermin [2 ]
Lemmens, Evi [4 ]
Berglund, Johan Sanmartin [1 ]
机构
[1] Blekinge Inst Technol, Dept Hlth, Valhallavagen 1, S-37179 Karlskrona, Sweden
[2] Hosp Reg Univ Malaga, Inst Invest Biomed Malaga, Res Unit, La Unidad Gest Clin Mental Hlth, Malaga, Spain
[3] Consorci Sanitari Terrassa, Brain Cognit & Behav Clin Res, Barcelona, Spain
[4] Univ Coll Leuven Limburg, Genk, Belgium
基金
欧盟地平线“2020”;
关键词
dementia; mild cognitive impairment; tablet; app; carer; eHealth; mHealth; QUALITY-OF-LIFE; WORLD-HEALTH-ORGANIZATION; MINI-MENTAL-STATE; OLDER-ADULTS; ALZHEIMERS-DISEASE; MEDICATION ADHERENCE; ASSESSMENT WHOQOL; CAREGIVER BURDEN; INTERVENTIONS;
D O I
10.2196/13711
中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Background: Many countries are witnessing a trend of growth in the number and proportion of older adults within the total population. In Europe, population aging has had and will continue to have major social and economic consequences. This is a fundamentally positive development where the added life span is of great benefit for both the individual and the society. Yet, the risk for the individual to contract noncommunicable diseases and disability increases with age. This may adversely affect the individual's ability to live his or her life in the way that is desired. Cognitive conditions constitute a group of chronic diseases that predominantly affects older people. Recent technology advancements can help support the day-to-day living activities at home for people with cognitive impairments. Objective: A digital platform (Support Monitoring and Reminder for Mild Dementia; SMART4MD) is created to improve or maintain the quality of life for people with mild cognitive impairment (PwMCI) and their carers. The platform will provide reminders, information, and memory support in everyday life, with the purpose of giving structure and lowering stress. In the trial, we will include participants with a diagnosed neurocognitive disorder as well as persons with an undiagnosed subjective memory problem and cognitive impairment, that is, 20 to 28 points on the Mini-Mental State Examination. Methods: A pragmatic, multicenter RCT is being conducted in Spain, Sweden, and Belgium. The targets for recruitment are 1200 dyads-split into an intervention group and a control group that are in usual care. Intervention group participants will be provided with a data-enabled computer tablet with the SMART4MD app. Its core functionalities, intended to be used daily at home, are based on reminders, cognitive supporting activities, and sharing health information. Results: Inclusion of participants started in December 2017, and recruitment is expected to end in February 2019. Furthermore, there will be 3 follow-up visits at 6, 12, and 18 months after the baseline visit. Conclusions: This RCT is expected to offer benefits at several levels including in-depth knowledge of the possibilities of introducing a holistic multilayered information and communication technology solution for this group. SMART4MD has been developed in a process involving the structured participation of PwMCI, their informal carers, and clinicians. The adoption of SMART4MD faces the challenge of this age group's relative unfamiliarity with digital devices and services. However, this challenge can also be an opportunity for developing a digital device tailored to a group at risk of digital exclusion. This research responds to the wider call for the development of digital devices which are accessible and affordable to older people and this full scale RCT can hopefully serve as a model for further studies in this field.
引用
收藏
页数:12
相关论文
共 62 条
[1]   A Novel Instrument for Measuring Older Peo ple's Attitudes Toward Technology (TechPH): Development and Validation [J].
Anderberg, Peter ;
Eivazzadeh, Shahryar ;
Berglund, Johan Sanmartin .
JOURNAL OF MEDICAL INTERNET RESEARCH, 2019, 21 (05)
[2]  
[Anonymous], LSE RES ONLINE
[3]   The Zarit Burden Interview:: A new short version and screening version [J].
Bédard, M ;
Molloy, DW ;
Squire, L ;
Dubois, S ;
Lever, JA ;
O'Donnell, M .
GERONTOLOGIST, 2001, 41 (05) :652-657
[4]   LCaregiver Burden and Psychoeducational Interventions in Alzheimer's Disease: A Review [J].
Beinart, N. ;
Weinman, J. ;
Wade, D. ;
Brady, R. .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS EXTRA, 2012, 2 (01) :638-648
[5]  
Birks J, 2006, COCHRANE DB SYST REV, DOI [10.1002/14651858.CD001190.pub2, 10.1002/14651858.CD001190.pub3]
[6]   Changes in caregiver burden and health-related quality of life of informal caregivers of older people with Dementia: evidence from the European RightTimePlaceCare prospective cohort study [J].
Bleijlevens, Michel H. C. ;
Stolt, Minna ;
Stephan, Astrid ;
Zabalegui, Adelaida ;
Saks, Kai ;
Sutcliffe, Caroline ;
Lethin, Connie ;
Soto, Maria E. ;
Zwakhalen, Sandra M. G. .
JOURNAL OF ADVANCED NURSING, 2015, 71 (06) :1378-1391
[7]   Adherence to Cholinesterase Inhibitors in Alzheimer's Disease: A Review [J].
Brady, Roseanna ;
Weinman, John .
DEMENTIA AND GERIATRIC COGNITIVE DISORDERS, 2013, 35 (5-6) :351-363
[8]   Effectiveness of assistive technology in improving the safety of people with dementia: a systematic review and meta-analysis [J].
Brims, Lucy ;
Oliver, Kathryn .
AGING & MENTAL HEALTH, 2019, 23 (08) :942-951
[9]   Medication Adherence in Older Adults With Cognitive Impairment: A Systematic Evidence-Based Review [J].
Campbell, Noll L. ;
Boustani, Malaz A. ;
Skopeljia, Elaine N. ;
Gao, Sujuan ;
Unverzagt, Fred W. ;
Murray, Michael D. .
AMERICAN JOURNAL OF GERIATRIC PHARMACOTHERAPY, 2012, 10 (03) :165-177
[10]   Caregiver burden for informal caregivers of patients with dementia: A systematic review [J].
Chiao, C. -Y. ;
Wu, H. -S. ;
Hsiao, C. -Y. .
INTERNATIONAL NURSING REVIEW, 2015, 62 (03) :340-350