Abstract
INTRODUCTION: To define current assistive technology and telecare (ATT) practice for people with dementia living at home.
METHODS: Randomised controlled trial (N=495) of ATT assessment and ATT installation intervention, compared to control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT; established an ATT assessment standard.
RESULTS: ATT 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<0.000), with ATT recommendations and installations moderately correlated (τ=-0.470; p<0.000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations.
DISCUSSION: Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.
Original language | English |
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Pages (from-to) | 420-430 |
Number of pages | 11 |
Journal | Alzheimer's & Dementia: Translational Research & Clinical Interventions |
Volume | 5 |
Early online date | 3 Sept 2019 |
DOIs | |
Publication status | Published - Sept 2019 |
Keywords
- Dementia
- Assistive technology
Profiles
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Chris Fox
- Norwich Medical School - Honorary Professor
- Institute for Volunteering Research - Member
- Norwich Epidemiology Centre - Member
- Mental Health - Member
Person: Honorary, Research Group Member, Research Centre Member
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Fiona Poland
- School of Health Sciences - Professor of Social Research Methodology
- Norwich Institute for Healthy Aging - Member
- Institute for Volunteering Research - Member
- Volunteering and Health and Social Care - Group Lead
- Critical Volunteering Studies - Member
- Dementia & Complexity in Later Life - Member
Person: Group Lead, Research Group Member, Research Centre Member, Academic, Teaching & Research