Evidence map›Paper›PMID 28183323›Full record

Trial reportTrials2017

The TECH@HOME study, a technological intervention to reduce caregiver burden for informal caregivers of people with dementia: study protocol for a randomized controlled trial.

Agneta Malmgren Fänge, Steven M Schmidt, Maria H Nilsson, Gunilla Carlsson, Anna Liwander, Caroline Dahlgren Bergström, Paolo Olivetti, Per Johansson, Carlos Chiatti, TECH@HOME Research Group

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Trials, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 11 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 2 pooled it
3.3field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT02733939 nacompletednot on this map

Åldrande: en Innovativ Och teknologistödd hemmiljö för äldre Patienter Med Alzheimers Sjukdom, TECH@HOME.

TypeinterventionalSponsorLund UniversityRan2016 to 2019Enrolled90ConditionsDementiaArmsHome monitoring kit
NCT04912245 nacompletednot on this mapstarted 2021, after this paper: background citation

A Telehealth Advance Care Planning Intervention in Those With Mild Cognitive Impairment or Unrecognized Dementia (Tele Voice)

TypeinterventionalSponsorWake Forest University Health SciencesRan2021 to 2022Enrolled152ConditionsAdvance Care Planning, Telemedicine, Mild Cognitive Impairment, Unrecognized DementiaArmsTelehealth visit
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 2 syntheses or guidelines pooled it, 39 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 3 institutions in 2 countries.

Agneta Malmgren FängeDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden. agneta.malmgren_fange@med.lu.se.
Steven M SchmidtDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
Maria H NilssonDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
Gunilla CarlssonDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
Anna LiwanderDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
Caroline Dahlgren BergströmDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
Paolo OlivettiScientific Direction, Italian National Institute of Health and Science on Ageing (INRCA), Ancona, Italy.
Per JohanssonInstitute of Medicine, The Sahlgrenska Academy University of Gothenburg Department of Internal Medicine (Endocrinology), Gothenburg, Sweden.
Carlos ChiattiDepartment of Health Sciences, Health Sciences Centre (HSC), Lund University, Baravägen 3, 222 41, Lund, Sweden.
TECH@HOME Research Group
Lund University · SEIstituto Nazionale di Riposo e Cura per Anziani · ITUniversity of Gothenburg · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIt is estimated that global dementia rates will more than triple by 2050 and result in a staggering economic burden on families and societies. Dementia carries significant physical, psychological and social challenges for individuals and caregivers. Informal caregiving is common and increasing as more people with dementia are being cared for at home instead of in nursing homes. Caregiver burden is associated with lower perceived health, lower social coherence, and increased risk of morbidity and mortality. The aim of this trial is to evaluate the effects of information and communication technology (ICT) on caregiver burden among informal caregivers of people with dementia by reducing the need for supervision. METHODS/

designThis randomized controlled trial aims to recruit 320 dyads composed of people with dementia living in community settings and their primary informal caregivers. In the intervention group, people with dementia will have a home monitoring kit installed in their home while dyads in the control group will receive usual care. The ICT kit includes home-leaving sensors, smoke and water leak sensors, bed sensors, and automatic lights that monitor the individual's behavior. Alerts (text message and/or phone call) will be sent to the caregiver if anything unusual occurs. All study dyads will receive three home visits by project administrators who have received project-specific training in order to harmonize data collection. Home visits will take place at enrollment and 3 and 12 months following installation of the ICT kit. At every home visit, a standardized questionnaire will be administered to all dyads to assess their health, quality of life and resource utilization. The primary outcome of this trial is the amount of informal care support provided by primary informal caregivers to people with dementia. DISCUSSION: This is the first randomized controlled trial exploring the implementation of ICT for people with dementia in a large sample in Sweden and one of the first at the international level. Results hold the potential to inform regional and national policy-makers in Sweden and beyond about the cost-effectiveness of ICT and its impact on caregiver burden.

trial registrationClinicalTrials.gov, NCT02733939 . Registered on 10 March 2016.

Indexed as

Adaptation, PsychologicalCost of IllnessProtective DevicesRemote Sensing TechnologyTransducers, PressureActivities of Daily LivingCaregiversCognitionCost-Benefit AnalysisDementiaEquipment DesignHealth Care CostsHumansMedical InformaticsQuality of LifeResearch DesignCaregiver burdenCognitive impairmentHealth-economic evaluationInformal care

Identifiers

PMID28183323
PMCPMC5301412
OpenAlexW2587504999

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.