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MacNeil M, Hirslund E, Baiocco-Romano L, Kuspinar A, Stolee P. A scoping review of the use of intelligent assistive technologies in rehabilitation practice with older adults. Disabil Rehabil Assist Technol 2024; 19:1817-1848. [PMID: 37498115 DOI: 10.1080/17483107.2023.2239277] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2022] [Revised: 05/30/2023] [Accepted: 07/17/2023] [Indexed: 07/28/2023]
Abstract
PURPOSE There is growing interest in intelligent assistive technologies (IATs) in the rehabilitation and support of older adults, however, the factors contributing to or preventing their use in practice are not well understood. This study aimed to develop an overview of current knowledge on barriers and facilitators to the use of smart technologies in rehabilitative practice with older adults. MATERIALS AND METHODS We undertook a scoping review following guidelines proposed by Arksey and O'Malley (2005) and Levac et al. (2010). A computerised literature search was conducted using the Scopus and Ovid databases, yielding 7995 citations. Of these, 94 studies met inclusion criteria. Analysis of extracted data identified themes which were explored in semi-structured interviews with a purposefully selected sample of seven clinical rehabilitation practitioners (three physical therapists, two occupational therapists, and two speech-language pathologists). RESULTS Barriers and facilitators to using these technologies were associated with accessibility, reported effectiveness, usability, patient-centred considerations, and staff considerations. CONCLUSIONS Collaborative efforts of policy-makers, researchers, manufacturers, rehabilitation professionals, and older persons are needed to improve the design of technologies, develop appropriate funding and reimbursement strategies, and minimise barriers to their appropriate use to support independence and quality of life. Any strategies to improve upon barriers to prescribing smart technologies for older people should leverage the expertise of rehabilitation professionals operating at the interface between older people; their health/mobility; their families; and technology-based solutions.
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Affiliation(s)
- Maggie MacNeil
- School of Nursing, McMaster University, Hamilton, Canada
| | - Emily Hirslund
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
| | | | - Ayse Kuspinar
- School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Paul Stolee
- School of Public Health Sciences, University of Waterloo, Waterloo, Canada
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Tannou T, Lihoreau T, Couture M, Giroux S, Wang RH, Spalla G, Zarshenas S, Gagnon-Roy M, Aboujaoudé A, Yaddaden A, Morin L, Bier N. Is research on 'smart living environments' based on unobtrusive technologies for older adults going in circles? Evidence from an umbrella review. Ageing Res Rev 2023; 84:101830. [PMID: 36565962 DOI: 10.1016/j.arr.2022.101830] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/22/2022] [Revised: 12/17/2022] [Accepted: 12/19/2022] [Indexed: 12/24/2022]
Abstract
CONTEXT AND AIMS To enable ageing in place, innovative and integrative technologies such as smart living environments may be part of the solution. Despite extensive published literature reviews on this topic, the effectiveness of smart living environments in supporting ageing in place, and in particular involving unobtrusive technologies, remains unclear. The main objective of our umbrella review was to synthesize evidence on this topic. METHODS According to the PRIOR process, we included reviews from multiple databases that focused on unobtrusive technologies used to analyze and share information about older adults' behaviors and assessed the effectiveness of unobtrusive technologies to support ageing in place. Selection, extraction and quality appraisal were done independently by two reviewers. RESULTS By synthesizing 17 published reviews that covered 191 distinct primary studies, we found that smart living environments based on unobtrusive technologies had low to moderate effectiveness to support older adults to age in place. Effectiveness appears to be strongest in the recognition of activities of daily living. The results must, however, be interpreted in light of the low overall level of evidence, i.e., low methodological value of the primary studies and poor methodological quality of the literature reviews. Most reviews concluded that unobtrusive technologies are not mature enough for widespread adoption. CONCLUSION There is a necessity to support primary studies that can move beyond the proof-of-concept or pilot stages and expand scientific knowledge significantly on the topic. There is also an urgent need to publish high quality literature reviews to better support policy makers and funding agencies in the field of smart living environments.
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Affiliation(s)
- Thomas Tannou
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Service de Gériatrie, Besançon University Hospital, F-25000, France; Inserm CIC 1431, CHU Besançon, F-25000 Besançon, France; Laboratoire de Recherches Intégratives en Neurosciences et Psychologie Cognitive - UR LINC, UFC, UBFC, Besançon, France.
| | | | - Mélanie Couture
- Centre for Research and Expertise in Social Gerontology, CIUSSS West-Central Montreal, Côte Saint-Luc, Quebec, Canada
| | - Sylvain Giroux
- Laboratoire DOMUS, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Rosalie H Wang
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Ontario, Canada
| | - Guillaume Spalla
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Laboratoire DOMUS, Université de Sherbrooke, Sherbrooke, Quebec, Canada
| | - Sareh Zarshenas
- Department of Occupational Science & Occupational Therapy, University of Toronto, Toronto, Ontario, Canada
| | - Mireille Gagnon-Roy
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Ecole de réadaptation, Université de Montréal, Montreal, Quebec, Canada; Centre for Interdisciplinary Research in Rehabilitation of Greater Montreal (CRIR), Institut universitaire sur la réadaptation en déficience physique de Montréal du CIUSSS du Centre-Sud-de-l'Île-de-Montréal, Montreal, Quebec, Canada
| | - Aline Aboujaoudé
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Ecole de réadaptation, Université de Montréal, Montreal, Quebec, Canada
| | - Amel Yaddaden
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Ecole de réadaptation, Université de Montréal, Montreal, Quebec, Canada
| | - Lucas Morin
- Inserm CIC 1431, CHU Besançon, F-25000 Besançon, France
| | - Nathalie Bier
- Centre de recherche de l'Institut Universitaire de Gériatrie de Montréal, CIUSSS Centre-sud-de l'île-de-Montréal, Montreal, Quebec, Canada; Ecole de réadaptation, Université de Montréal, Montreal, Quebec, Canada
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Pappadà A, Chattat R, Chirico I, Valente M, Ottoboni G. Assistive Technologies in Dementia Care: An Updated Analysis of the Literature. Front Psychol 2021; 12:644587. [PMID: 33841281 PMCID: PMC8024695 DOI: 10.3389/fpsyg.2021.644587] [Citation(s) in RCA: 33] [Impact Index Per Article: 11.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/21/2020] [Accepted: 02/25/2021] [Indexed: 12/17/2022] Open
Abstract
Objectives: Technology can assist and support both people with dementia (PWD) and caregivers. Recently, technology has begun to embed remote components. Timely with respect to the pandemic, the present work reviews the most recent literature on technology in dementia contexts together with the newest studies about technological support published until October 2020. The final aim is to provide a synthesis of the timeliest evidence upon which clinical and non-clinical decision-makers can rely to make choices about technology in the case of further pandemic waves. Methods: A review of reviews was performed alongside a review of the studies run during the first pandemic wave. PsycInfo, CINAHL, and PubMed-online were the databases inspected for relevant papers published from January 2010. Results: The search identified 420 articles, 30 of which were reviews and nine of which were new studies meeting the inclusion criteria. Studies were first sorted according to the target population, then summarized thematically in a narrative synthesis. The studies targeting technologies for PWD were categorized as follows: monitoring and security purposes, sustaining daily life, and therapeutic interventions. Each category showed potential benefits. Differently, the interventions for caregivers were classified as informative, psycho-education programs, psychosocial-supportive, therapeutic, and cognitive/physical training. Benefits to mental health, skills learning, and social aspects emerged. Conclusions: The evidence shows that technology is well-accepted and can support PWD and caregivers to bypass physical and environmental problems both during regular times and during future pandemic waves. Nevertheless, the lack of a common methodological background is revealed by this analysis. Further and more standardized research is necessary to improve the implementation of technologies in everyday life while respecting the necessary personalization.
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Affiliation(s)
| | - Rabih Chattat
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Ilaria Chirico
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Marco Valente
- Department of Psychology, University of Bologna, Bologna, Italy
| | - Giovanni Ottoboni
- Department of Psychology, University of Bologna, Bologna, Italy.,"G. Prodi" Interdipartimental Center for Cancer Research, Bologna, Italy
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Neal D, van den Berg F, Planting C, Ettema T, Dijkstra K, Finnema E, Dröes RM. Can Use of Digital Technologies by People with Dementia Improve Self-Management and Social Participation? A Systematic Review of Effect Studies. J Clin Med 2021; 10:604. [PMID: 33562749 PMCID: PMC7915697 DOI: 10.3390/jcm10040604] [Citation(s) in RCA: 24] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/17/2020] [Revised: 01/27/2021] [Accepted: 01/29/2021] [Indexed: 12/22/2022] Open
Abstract
There is increasing interest in the use of technology to support social health in dementia. The primary objective of this systematic review was to synthesize evidence of effectiveness of digital technologies used by people with dementia to improve self-management and social participation. Records published from 1 January 2007 to 9 April 2020 were identified from Pubmed, PsycInfo, Web of Science, CINAHL, and the Cochrane Central Register of Controlled Trials. Controlled interventional studies evaluating interventions based on any digital technology were included if: primary users of the technology had dementia or mild cognitive impairment (MCI); and the study reported outcomes relevant to self-management or social participation. Studies were clustered by population, intervention, and outcomes, and narrative synthesis was undertaken. Of 1394 records identified, nine met the inclusion criteria: two were deemed to be of poor methodological quality, six of fair quality, and one of good quality. Three clusters of technologies were identified: virtual reality, wearables, and software applications. We identified weak evidence that digital technologies may provide less benefit to people with dementia than people with MCI. Future research should address the methodological limitations and narrow scope of existing work. In the absence of strong evidence, clinicians and caregivers must use their judgement to appraise available technologies on a case-by-case basis.
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Affiliation(s)
- David Neal
- Department of Psychiatry, Amsterdam University Medical Centre, Location VUMC, 1081 HJ Amsterdam, The Netherlands;
| | - Floor van den Berg
- Department of Linguistics and English as a Second Language, University of Groningen, 9712 EK Groningen, The Netherlands;
| | - Caroline Planting
- Department of Research and Innovation, GGZ inGeest, 1070 BB Amsterdam, The Netherlands;
| | - Teake Ettema
- Department of Psychiatry, Amsterdam University Medical Centre, Location VUMC, 1081 HJ Amsterdam, The Netherlands;
| | - Karin Dijkstra
- Research Group Nursing, Saxion University of Applied Sciences, 7417 DH Deventer, The Netherlands;
| | - Evelyn Finnema
- Health Sciences-Nursing Research, University Medical Centre Groningen, 9713 GZ Groningen, The Netherlands;
- Department of Healthcare, NHL Stenden University of Applied Sciences, 8917 DD Leeuwarden, The Netherlands
- School of Nursing, Hanze University of Applied Sciences, 9747 AS Groningen, The Netherlands
| | - Rose-Marie Dröes
- Department of Psychiatry, Amsterdam University Medical Centre, Location VUMC, 1081 HJ Amsterdam, The Netherlands;
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