Avatar Based Technology Use in Dementia: A Review (Preprint)

2018 ◽  
Author(s):  
Joyatee M Sarker ◽  
Richard J. Holden ◽  
Malaz A. Boustani ◽  
Daniel Bateman
Keyword(s):  
Cognitive Function ◽  
Support Groups ◽  
Technology Use ◽  
Healthcare Providers ◽  
Sensor Technology ◽  
Dementia Caregivers ◽  
Potential Applications ◽  
Virtual Experiences ◽  
Emotional Value ◽  
Virtual Support

BACKGROUND The number of Americans with dementia is increasing, and there is a need to assist clinicians, patients, and informal caregivers in the assessment and monitoring of disease progression, and activities of daily living in patients with dementia. Technologies that use avatars to help patients with dementia have become more prevalent and hold promise to assist caregivers and healthcare teams. OBJECTIVE Describe the state of the literature for current and potential applications of avatar technology for individuals with dementia. METHODS Articles were screened using the search engines Pubmed and Google Scholar. The search terms used for the screening were a combination of: “avatar”, “geriatric”, “dementia”, and “mild cognitive impairment”. Each article was assessed by its methodological quality to determine its value for the review. RESULTS Avatars can be beneficial for a range of dementia care objectives. Virtual reality environments with avatar implementations, speech recognition technology and sensor technology can be used to assess a patient’s cognitive function. Gamifying virtual experiences with avatars, conversational artificial intelligence, and avatar-based virtual support groups can improve socialization in patients with dementia and their caregivers. Avatars can also help patients with dementia by prompting sequential tasks, setting reminders, and providing emotional support. We recommend avatars have several characteristics to optimally benefit the older population with dementia. These characteristics include: physical neutrality in terms of gender and ethnicity, emotional value, use of sound and large icons for the benefit of patients with sensory impairments, and adaptability to the patients’ emotions and cognitive function. The devices that implement avatars should be easy to use for the patient using large icons, clickable buttons, and using familiar interfaces. Implementation of these facets into avatar-based technology can help improve their efficacy in patients with dementia. CONCLUSIONS Avatars can assist patients with dementia, caregivers, and healthcare providers in a number of ways. More research is needed in this area of focus.  

scholarly journals THE CLINICAL TRANSLATION OF SENSOR TECHNOLOGY TO IMPROVE PROVIDER AND PATIENT CARE: METHODS AND ACCEPTABILITY

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S831-S831
Author(s):  
Megan Huisingh-Scheetz ◽  
Qianli Xue ◽  
Jennifer A Schrack
Keyword(s):  
Technology Use ◽  
Social Life ◽  
Clinical Care ◽  
Wearable Sensors ◽  
Healthcare Delivery ◽  
Healthcare Providers ◽  
Living Environment ◽  
Sensor Technology ◽  
Technology Research ◽  
Aging Research

Abstract Sensor-based technologies are rapidly emerging and are capable of collecting objective, dynamic, and high resolution health data not captured in the clinical setting. However, the precise clinical applications of such devices are not yet well delineated; extensive challenges to their implementation remain. The objectives of this symposium are to highlight a) opportunities for sensor technology use in clinical practice, b) implementation challenges reported by key stakeholders, and c) an NIH/VA-sponsored initiative to create an open technology research platform to improve aging technology research. Dr. Young will discuss the novel application of wearable sensors for maintaining proper posture/position during patient transfer including the generation of sensor metrics defining proper lifting technique and body mechanics. Dr. Huisingh-Scheetz will report analytic strategies for identifying frailty using wrist-worn accelerometry data collected in the free-living environment in the NIA-supported National Social Life, Health and Aging Project dataset. She will report her work relating hourly activity and between/within subject hourly activity variance to frailty. Ms. Blinka will report qualitative feedback collected from patients, caregivers, and healthcare providers about their perspectives on the utility and challenges of using sensor technology in a clinical context. Dr. Kaye will discuss ongoing developments addressing challenges to implementing technology use in clinical care, with particular attention to the Collaborative Aging Research using Technology (CART) initiative supported by the NIH and VA. Collectively, these presentations will advance sensor technology to improve healthcare delivery.

scholarly journals Person-Centered Care in Persons Living with Dementia: A Systematic Review and Meta-Analysis

2020 ◽  
Author(s):  
Kyung Hee Lee ◽  
Ji Yeon Lee ◽  
Bora Kim
Keyword(s):  
Systematic Review ◽  
Cognitive Function ◽  
Effect Size ◽  
Psychological Symptoms ◽  
Meta Analysis ◽  
Healthcare Providers ◽  
Clinical Excellence ◽  
Dementia Care ◽  
Person Centered Care ◽  
Centered Care

Abstract Background and Objectives The concept of person-centered care has been utilized/adapted to various interventions to enhance health-related outcomes and ensure the quality of care delivered to persons living with dementia. A few systematic reviews have been conducted on the use of person-centered interventions in the context of dementia care, but to date, none have analyzed intervention effect by intervention type and target outcome. This study aimed to review person-centered interventions used in the context of dementia care and examine their effectiveness. Research Design and Methods A systematic review and meta-analysis were conducted. We searched through five databases for randomized controlled trials that utilized person-centered interventions in persons living with dementia from 1998 to 2019. Study quality was assessed using the National Institute for Health and Clinical Excellence. The outcomes of interest for the meta-analysis were behavioral and psychological symptoms in dementia (BPSD) and cognitive function assessed immediately after the baseline measurement. Results In total, 36 studies were systematically reviewed. Intervention types were: reminiscence, music, and cognitive therapies, and multisensory stimulation. Thirty studies were included in the meta-analysis. Results showed a moderate effect size for overall intervention, a small one for music therapy, and a moderate one for reminiscence therapy on BPSD and cognitive function. Discussion and Implications Generally speaking, person-centered interventions showed immediate intervention effects on reducing BPSD and improving cognitive function, although the effect size and significance of each outcome differed by intervention type. Thus, healthcare providers should consider person-centered interventions as a vital element in dementia care.

Abstract P851: Embracing Virtual Connection: An Innovative Systemwide Approach to Support Groups

Stroke ◽  
2021 ◽  
Vol 52 (Suppl_1) ◽  
Author(s):  
Carly J Rossi ◽  
Nicole Westensee ◽  
Dienst Elizabeth ◽  
Danielle Hagedorn ◽  
Julie Schafer ◽  
...  
Keyword(s):  
Support Groups ◽  
Support Group ◽  
High Risk Patient ◽  
Stroke Survivors ◽  
Group Leaders ◽  
Caregiver Support ◽  
Stroke Population ◽  
Virtual Platform ◽  
Problem Solve ◽  
Virtual Support

Background: Following a statewide stay-at-home order, Centura Stroke Support Group meetings were postponed indefinitely due to our high-risk patient population. Throughout the organization, stroke coordinators and support group leaders recognized the importance of community and continued support for the stroke population. The objective was to develop a creative survivor & caregiver support offering following social distancing guidelines given the Covid-19 restrictions, while collaborating & expanding opportunities for stroke support across the Centura system. Purpose: We hypothesized that we could successfully support stroke survivors & caregivers through a virtual platform during the pandemic & improve accessibility regardless of participant location or transportation. Methods: Group leaders assessed stroke survivors & caregivers ongoing needs through weekly outreach identifying the importance of the support group and a need for continued group access during the Covid-19 pandemic. Attendee’s indicated an interest in virtual support & a willingness to learn the required virtual platform. Leaders collaborated across the system to organize efforts in reaching survivors & caregivers at each hospital while sharing group curriculum & education systemwide; thus, allowing groups to meet at different times and increasing overall accessibility. Facilitators worked with individuals to problem solve potential issues navigating a virtual format. Results: The virtual format successfully provided support from the comfort & safety of home. Attendance increased in comparison to an in-person format. When asked about preference for an in-person setting only vs. a combination of in-person & virtual format, 80% selected a combination format. Working together across the system, stroke coordinators & group facilitators benefitted from a broader range of resources and connected the greater stroke community across Colorado. Conclusion: Regardless of future restrictions, hospitals should consider virtual support groups to increase accessibility for survivors & caregivers. There are benefits of the virtual platform which expand access to support by reducing barriers such as community availability and transportation.

Dementia: An Overview (Preprint)

2022 ◽  
Author(s):  
Anung Ahadi Pradana
Keyword(s):  
Support Groups ◽  
Health Workers ◽  
Communicable Diseases ◽  
Dementia Caregivers ◽  
Non Communicable Diseases ◽  
People With Dementia ◽  
Professional Health ◽  
The Government ◽  
Financial Burdens ◽  
Caregiver Burdens

BACKGROUND Dementia is a serious terminal and irreversible disease that often does not receive attention from the public compared to other non-communicable diseases. This disease causes a decline in cognitive function in individuals and makes them have to depend on others for 5-20 years of their life span. OBJECTIVE The purpose of this paper is to provide an overview of dementia and other things related to this disease. METHODS The writing method in this article uses a narrative review on several scientific sources and journal articles published in 2011-2021 from several databases such as Google Scholar, CINAHL, ProQuest, PubMed, and EBSCO. RESULTS Dementia is one of the non-communicable diseases that can cause a high burden on individuals, families, communities, and countries as a result of the unproductiveness and total dependence of people with dementia on their surrounding environment due to the decline in body functions that occur. The caregiver burden experienced by caregivers includes physical, psychological, social and financial burdens. Support and assistance from professional health workers for people with dementia as well as caregivers and families can be provided through several efforts such as providing information related to illness, assistance in the care provided, providing counseling to prevent caregiver burdens and other problems, forming support groups for dementia caregivers, and advocacy for people with dementia and their families to get their rights. CONCLUSIONS Change efforts and policy making by the government that are more pro-people with dementia can change the perception that has been in society so far to be more positive and can potentially contribute to people with dementia.

Abstract 229: Cardiopulmonary Resuscitation Compliance of Clinical Nurses Using Feedback Technology from the Zoll R Series Defibrillator

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_4) ◽  
Author(s):  
Martha A Boudreau
Keyword(s):  
Visual Feedback ◽  
Chest Compression ◽  
Technology Use ◽  
Healthcare Providers ◽  
Rest Period ◽  
Visual Display ◽  
Chest Compressions ◽  
Compression Performance ◽  
Clinical Nurses ◽  
Use Of Technology

Use of technology driven devices aimed at providing audio-visual feedback during CPR have been developed, however research is limited to their usefulness effecting chest compression quality of clinical nurses who are often first to respond and begin chest compression on patients experiencing cardiac arrest. This study aimed to examine CPR chest compression compliance of nurses with and without feedback from the Zoll R Series® defibrillator on a manikin. Hypothesis: Audio-visual feedback technology use from the Zoll R Series defibrillator improves the percentage of appropriate chest compression depth and rate of nurses during a CPR manikin demonstration exercise. Methods: Thirty-four nurses participated using an AHA approved manikin. Each nurse performed two minutes of uninterrupted chest compressions without feedback, followed by a rest period and two minutes of uninterrupted chest compressions using feedback technology from the defibrillator. Compression data for rate and depth and total compressions in target within AHA 2015 ECC Guidelines were recorded by the defibrillator and entered into Zoll RescueNet® software. Demographics obtained for years of BLS and ACLS certification. Results: Of the 34 nurses, mean years of ACLS certification was 3.4 years and 11.7 certified years of BLS. Compressions performed with feedback showed a higher percentage of compressions in target (M = 87.37, SD= 15.95) including rate (M= 86.33, SD =15.13) and depth (M= 97.12, SD = 5.63) of compressions compared to percent compressions in target without feedback (M= 64.42, SD = 30.54) including rate (M= 65.73, SD = 32.44) and depth (M=93.34, SD = 19.99) of compressions. Twenty nine or 85% of the 34 nurses improved chest compression performance using feedback. No significant correlation found between years of BLS and ACLS certification and pre and post feedback compliance. Conclusions: Defibrillators offering verbal encouragement and a visual display allow for adjustments in rate and depth of compressions to maintain chest compressions compliance within ECC Guidelines. Further studies should investigate whether the incorporation of feedback technology use in mock code and CPR training sessions could improve CPR performance of healthcare providers including nurses.

Why Do People Resist Patient Portal Systems?

2019 ◽  
pp. 407-428 ◽  
Author(s):  
Bahae Samhan
Keyword(s):  
Technology Use ◽  
Structural Equation ◽  
Factor Model ◽  
Resistance To Change ◽  
Healthcare Providers ◽  
Equation Modeling ◽  
Universal Theory ◽  
Patient Portal ◽  
Healthcare Settings ◽  
Use Of Technology

The implementation of patient portal systems (PPS) has potential benefits to both healthcare providers and their patients. However, evidence shows that PPS are being resisted by patients. Little research in IS has addressed this phenomenon. To understand PPS resistance, this study uses the dual factor model of IT usage to develop an integration of the user resistance model (URM) with the universal theory of acceptance and use of technology (UTAUT). Survey data were used to test the integrative model. A total of 265 responses were gathered from patients at a large international hospital. The data were analyzed using structural equation modeling (EQM). The results revealed resistance to change as an inhibitor to intentions to use the PPS. This study demonstrated the importance of integrating resistance to change with the technology use research, especially in healthcare settings. Moreover, this study is considered to be among the few studies in IS to incorporate patients' perspectives regarding new healthcare technology.

scholarly journals GIVE A PIECE OF YOUR MIND: A CONTENT ANALYSIS OF A FACEBOOK SUPPORT GROUP FOR DEMENTIA CAREGIVERS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S850-S850
Author(s):  
Jenny A Lagervall ◽  
Madeline R Lag ◽  
Sophie Brickman ◽  
Rebecca E Ingram ◽  
Leilani Feliciano
Keyword(s):  
Support Groups ◽  
Caregiver Burden ◽  
Support Group ◽  
Coping Strategy ◽  
Online Support ◽  
Online Support Groups ◽  
Dementia Caregivers ◽  
Caregiver Support ◽  
Emotional Tone ◽  
Grief Reactions

Abstract The online environment offers individuals a means of obtaining information, support, and social connection. Older adults are growing users of the internet1. Online support groups (e.g., Facebook groups) have been found to provide health-related information and encourage mental well-being2. They may be particularly advantageous for caregivers of individuals diagnosed with dementia, as it is difficult to leave loved ones with dementia alone. However, the mechanisms by which online support groups engage caregivers, and the content of support, have yet to be explored. In the current study, content from 100 posts from a private Facebook caregiver support group were evaluated for gender of post author, relationship to the person receiving care, distress, emotional tone, grief reaction, caregiver burden, and coping strategy. Results indicated that caregiver distress was associated with the presence of grief reactions, negative emotional tone, and higher caregiver burden. Utilizing venting as a coping strategy was associated with higher caregiver burden, similar to what is observed in a traditional in-person support group. Online communication for caregivers may provide an indication of caregivers’ psychological well-being, as specific coping strategies and grief reactions indicated higher levels of caregiver burden and distress. Research on interventions for dementia caregivers may benefit from a focus on online social support as a means of accessing caregivers and treatment delivery.

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