User experience and acceptance of a device assisting persons with dementia in daily life: a multicenter field study.

Assistive technologies Cognitive impairment Dementia Digital device Independent living Usability testing

Journal

Aging clinical and experimental research
ISSN: 1720-8319
Titre abrégé: Aging Clin Exp Res
Pays: Germany
ID NLM: 101132995

Informations de publication

Date de publication:
Apr 2022
Historique:
received: 08 09 2021
accepted: 18 10 2021
pubmed: 12 11 2021
medline: 11 5 2022
entrez: 11 11 2021
Statut: ppublish

Résumé

Assistive technologies have the potential to facilitate everyday life of people with dementia and their families. Close collaboration with affected people and interdisciplinary research are essential to understand and address the needs of prospective users. In this study, we present the results of the evaluation of such an assistive system prototype. Challenges from the patient and caregiver side, technical and design problems and acceptance and usability with regard to our special target group were evaluated. MEMENTO, a system of two e-ink tablets and a smartwatch, was tested in the domestic environment of dementia patients. Thirty participants from Italy, Spain and Austria took part in a 3-month field trial and compared the MEMENTO system to traditional strategies in everyday life. Quantitative and qualitative data were collected and frequency of use of the system was monitored. There were no significant changes in quantitative measurements, such as activities of daily living and caregiver burden over the duration of the 3-month field trial. More frequent usage was significantly correlated with positive attitude towards technology (r = 0.723, p < 0.05), but not with age. The design of the system was positively emphasized, reducing fear of the technology on the one hand and stigmatization on the other. We show that a positive attitude towards technology is the essential variable for successful implementation of such systems, regardless of age. Participants showed great interest in digital solutions and agreed that technological systems will help in maintaining independency of persons with cognitive dysfunction in the future.

Sections du résumé

BACKGROUND BACKGROUND
Assistive technologies have the potential to facilitate everyday life of people with dementia and their families. Close collaboration with affected people and interdisciplinary research are essential to understand and address the needs of prospective users. In this study, we present the results of the evaluation of such an assistive system prototype.
AIMS OBJECTIVE
Challenges from the patient and caregiver side, technical and design problems and acceptance and usability with regard to our special target group were evaluated.
METHODS METHODS
MEMENTO, a system of two e-ink tablets and a smartwatch, was tested in the domestic environment of dementia patients. Thirty participants from Italy, Spain and Austria took part in a 3-month field trial and compared the MEMENTO system to traditional strategies in everyday life. Quantitative and qualitative data were collected and frequency of use of the system was monitored.
RESULTS RESULTS
There were no significant changes in quantitative measurements, such as activities of daily living and caregiver burden over the duration of the 3-month field trial. More frequent usage was significantly correlated with positive attitude towards technology (r = 0.723, p < 0.05), but not with age. The design of the system was positively emphasized, reducing fear of the technology on the one hand and stigmatization on the other.
CONCLUSION CONCLUSIONS
We show that a positive attitude towards technology is the essential variable for successful implementation of such systems, regardless of age. Participants showed great interest in digital solutions and agreed that technological systems will help in maintaining independency of persons with cognitive dysfunction in the future.

Identifiants

pubmed: 34762252
doi: 10.1007/s40520-021-02013-8
pii: 10.1007/s40520-021-02013-8
pmc: PMC8581127
doi:

Types de publication

Journal Article Multicenter Study

Langues

eng

Sous-ensembles de citation

IM

Pagination

869-879

Subventions

Organisme : Active and Assisted Living programme
ID : AAL-2016-069

Informations de copyright

© 2021. The Author(s).

Références

Livingston G, Sommerlad A, Orgeta V et al (2017) Dementia prevention, intervention, and care. Lancet 390(10113):2673–2734. PMID: 28735855. https://doi.org/10.1016/S0140-6736(17)31363-6
Van der Roest HG, Wenborn J, Pastink C (2017) Assistive technology for memory support in dementia. Cochrane Database Syst Rev 6:CD009627
pubmed: 28602027
Pappada A, Chattat R, Chirico I (2021) Assistive technologies in dementia care: an updated analysis of the literature. Front Psychol 12:644587
doi: 10.3389/fpsyg.2021.644587
Davis FD (1989) Perceived usefulness, perceived ease of use, and user acceptance of information technology. Mis Quart 13:319–340
doi: 10.2307/249008
Venkatesh V, Morris MG, Davis GB (2003) User acceptance of information technology: toward a unified view. Mis Quart 27:425–478
doi: 10.2307/30036540
Ienca M, Fabrice J, Elger B et al (2017) Intelligent assistive technology for Alzheimer’s disease and other dementias: a systematic review. J Alzheimers Dis 56:1301–1340
doi: 10.3233/JAD-161037
Van der Roest HG, Wenborn J, Pastink C et al (2017) Assistive technology for memory support in dementia. Cochrane Db Syst Rev 2017:CD009627
Davies RJ, Nugent CD, Donnelly MP et al (2009) A user driven approach to develop a cognitive prosthetic to address the unmet needs of people with mild dementia. Pervasive Mob Comput 5:253–267
doi: 10.1016/j.pmcj.2008.07.002
Span M, Hettinga M, Vernooij-Dassen M et al (2013) Involving people with dementia in the development of supportive IT applications: a systematic review. Ageing Res Rev 12:535–551
doi: 10.1016/j.arr.2013.01.002
Topo P (2009) Technology studies to meet the needs of people with dementia and their caregivers a literature review. J Appl Gerontol 28:5–37
doi: 10.1177/0733464808324019
Dankl K, Stögmann E, König T et al (2020) Multidimensional design research for dementia and its methodological opportunities for cross-disciplinary consortia. Design Journal 23:1–23
doi: 10.1080/14606925.2020.1768758
Dankl K, Moritsch S, Pernkopf F et al (2019) Memento for living, working and caring: an ‘Archetypal Object’ for being with dementia. In: Brankaert RIW (ed) 4th dementia lab conference. Eindhoven. Springer Nature Switzerland AG, Netherlands, pp 114–127
McKhann GM, Knopman DS, Chertkow H et al (2011) The diagnosis of dementia due to Alzheimer’s disease: recommendations from the National Institute on Aging-Alzheimer’s association workgroups on diagnostic guidelines for Alzheimer’s disease. Alzheimer’s Dementia 7:263–269
doi: 10.1016/j.jalz.2011.03.005
Graf C (2009) The lawton instrumental activities of daily living (IADL) scale. Medsurg Nurs: Off J Acad Med-Surg Nurses 18:315–316
Nucci M, Mapelli D, Mondini S (2012) Cognitive reserve index questionnaire (CRIq): a new instrument for measuring cognitive reserve. Aging Clin Exp Res 24:218–226
pubmed: 21691143
Üstün TB, Kostanjsek N, Chatterji S et al (2010) Measuring health and disability: manual for WHO disability assessment schedule (WHODAS 2.0). World Health Organization, Geneva, CH
Federici S, Meloni F, Mancini A (2009) World Health Organization disability assessment schedule II: contribution to the Italian validation. Disabil Rehabil 31:553–564
doi: 10.1080/09638280802240498
Logsdon RG, Gibbons LE, McCurry SM (1999) Quality of life in Alzheimer’s disease: patient and caregiver reports. J Mental Health Aging 5:21–32
Galasko D, Bennett D, Sano M et al (1997) An inventory to assess activities of daily living for clinical trials in Alzheimer’s disease. The Alzheimer’s disease cooperative study. Alzheimer Dis Assoc Disord 11:S33-89
doi: 10.1097/00002093-199700112-00005
Cummings JL, Mega M, Gray K et al (1994) The neuropsychiatric inventory: comprehensive assessment of psychopathology in dementia. Neurology 44:2308–2314
doi: 10.1212/WNL.44.12.2308
Zarit SH, Reever KE, Bach-Peterson J (1980) Relatives of the impaired elderly: correlates of feelings of burden. Gerontologist 20:649–655
doi: 10.1093/geront/20.6.649
O’Brian HL, Toms EG (2009) The development and evaluation of a survey to measure user engagement. J Am Soc Inf Sci Technol 61:50–69
doi: 10.1002/asi.21229
Brooke J (1996) SUS: a “quick and dirty” usability scale. Taylor and Francis, London
Asghar I, Cang S, Yu HN (2018) Usability evaluation of assistive technologies through qualitative research focusing on people with mild dementia. Comput Hum Behav 79:192–201
doi: 10.1016/j.chb.2017.08.034
Boger J, Craig T, Mihailidis A (2013) Examining the impact of familiarity on faucet usability for older adults with dementia. Bmc Geriatr 13:63
doi: 10.1186/1471-2318-13-63
Wilkinson C, Gandhi D. Future Proofing Tomorrow’s Technology: UX for an Aging Population. (2015) User Experience Magazine, 15(1). https://uxpamagazine.org/future-proofing-tomorrows-technology/ . Accessed 6 October 2021
Schlomann A, Seifert A, Zank S et al (2020) Assistive technology and mobile ICT usage among oldest-old cohorts: comparison of the oldest-old in private homes and in long-term care facilities. Res Aging 42:163–173
doi: 10.1177/0164027520911286
Boulton-Lewis GM, Buys L, Lovie-Kitchin J (2006) Learning and active aging. Educ Gerontol 32:271–282
doi: 10.1080/03601270500494030
Wilkowska W, Offermann-van Heek J, Laurentius T et al (2021) Insights into the older adults’ world: concepts of aging, care, and using assistive technology in late adulthood. Front Public Health 9:653931
doi: 10.3389/fpubh.2021.653931
Rosenberg L, Nygard L (2012) Persons with dementia become users of assistive technology: a study of the process. Dementia-London 11:135–154
doi: 10.1177/1471301211421257
King AC, Dwan C (2019) Electronic memory aids for people with dementia experiencing prospective memory loss: a review of empirical studies. Dementia-London 18:1994–2007
doi: 10.1177/1471301217735180
Robinson L, Brittain K, Lindsay S et al (2009) Keeping In Touch Everyday (KITE) project: developing assistive technologies with people with dementia and their carers to promote independence. Int Psychogeriatr 21:494–502
doi: 10.1017/S1041610209008448
Gedde MH, Husebo BS, Erdal A et al (2021) Access to and interest in assistive technology for home-dwelling people with dementia during the COVID-19 pandemic (PAN.DEM). Int Rev Psychiatr 33:404–411. https://doi.org/10.1080/09540261.2020.1845620
Hwang MY, Hong JC, Hao YW et al (2011) Elders’ usability, dependability, and flow experiences on embodied interactive video games. Educ Gerontol 37:715–731
doi: 10.1080/03601271003723636

Auteurs

Theresa König (T)

Department of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria.

Martina Pigliautile (M)

Department of Medicine and Surgery, Section of Gerontology and Geriatrics, University of Perugia, Perugia, Italy.

Oscar Águila (O)

Bidaideak - Sociedad Vasca de Minusválidos, Bilbao, Spain.

Jon Arambarri (J)

VirtualWare 2007 S.A., Basauri, Spain.

Christophoros Christophorou (C)

Citard Services Ltd., Nicosia, Cyprus.

Matteo Colombo (M)

Department of Medicine and Surgery, Section of Gerontology and Geriatrics, University of Perugia, Perugia, Italy.

Argyris Constantinides (A)

Citard Services Ltd., Nicosia, Cyprus.

Rosario Curia (R)

Innovation Lab, Integris S.P.A., Rende and Pisa, Italy.

Kathrina Dankl (K)

Design School Kolding, Kolding, Denmark.

Sten Hanke (S)

University of Applied Sciences-FH Joanneum GmbH, Graz, Austria.

Christopher Clemens Mayer (CC)

Center for Health and Bioresources, Biomedical Systems, AIT Austrian Institute of Technology, Vienna, Austria.

Stefan Moritsch (S)

Bkm Design Working Group, Vienna, Austria.

Markus Müllner-Rieder (M)

Center for Health and Bioresources, Biomedical Systems, AIT Austrian Institute of Technology, Vienna, Austria.

Fritz Pernkopf (F)

Fritz Pernkopf Industrial Design, Vienna, Austria.

Christian Schüler (C)

Wetouch E.U., Vienna, Austria.

Maria Stillo (M)

Innovation Lab, Integris S.P.A., Rende and Pisa, Italy.

Patrizia Mecocci (P)

Department of Medicine and Surgery, Section of Gerontology and Geriatrics, University of Perugia, Perugia, Italy.

Elisabeth Stögmann (E)

Department of Neurology, Medical University of Vienna, Währinger Gürtel 18-20, 1090, Vienna, Austria. elisabeth.stoegmann@meduniwien.ac.at.

Articles similaires

[Redispensing of expensive oral anticancer medicines: a practical application].

Lisanne N van Merendonk, Kübra Akgöl, Bastiaan Nuijen
1.00
Humans Antineoplastic Agents Administration, Oral Drug Costs Counterfeit Drugs

Smoking Cessation and Incident Cardiovascular Disease.

Jun Hwan Cho, Seung Yong Shin, Hoseob Kim et al.
1.00
Humans Male Smoking Cessation Cardiovascular Diseases Female
Humans United States Aged Cross-Sectional Studies Medicare Part C
1.00
Humans Yoga Low Back Pain Female Male

Classifications MeSH