Evidence map›Paper›PMID 28582262›Full record

ArticleJMIR rehabilitation and assistive technologies2017

Technologies to Support Community-Dwelling Persons With Dementia: A Position Paper on Issues Regarding Development, Usability, Effectiveness and Cost-Effectiveness, Deployment, and Ethics.

Franka Meiland, Anthea Innes, Gail Mountain, Louise Robinson, Henriëtte van der Roest, J Antonio García-Casal, Dianne Gove, Jochen René Thyrian, Shirley Evans, Rose-Marie Dröes and 10 more

Open access · goldAbstract read
In one paragraph

Article in JMIR rehabilitation and assistive technologies, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 135 papers, 14 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
135citing papers in PubMed, 14 pooled it
40.5field-weighted citation impact, top 1% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

135 citing papers in PubMed, 14 syntheses or guidelines pooled it, 353 citations in OpenAlex.

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  4. Exergaming for dementia and mild cognitive impairment.The Cochrane database of systematic reviews · 2024
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  13. Assistive technology for memory support in dementia.The Cochrane database of systematic reviews · 2017
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75 more citing papers are in PubMed but not listed here.

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

20 authors at 17 institutions in 9 countries.

Franka MeilandDepartment of Psychiatry, VU University medical centre, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-6219-5390
Anthea InnesUniversities of Salford and Stirling UK, Manchester, Stirling, United Kingdom.ORCID http://orcid.org/0000-0002-5591-4083
Gail MountainSchool of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom.ORCID http://orcid.org/0000-0002-5417-7691
Louise RobinsonInstitute for Ageing, Newcastle University, Newcastle, United Kingdom.ORCID http://orcid.org/0000-0003-0209-2503
Henriëtte van der RoestDepartment of General Practice and Elderly Care Medicine, VU university medical centre, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0001-9898-923X
J Antonio García-CasalIberian Research Psychosciences Institute, Psychosocial Rehabilitation Centre, Intras Foundation, Zamora, Spain.ORCID http://orcid.org/0000-0003-0533-4918
Dianne GoveAlzheimer Europe, Luxembourg, Luxembourg.ORCID http://orcid.org/0000-0002-4281-3494
Jochen René ThyrianGerman Center for Neurodegenerative Diseases (DZNE), Site Rostock, Greifswald, Germany.ORCID http://orcid.org/0000-0001-6889-693X
Shirley EvansAssociation for Dementia Studies, University of Worcester, Worcester, United Kingdom.ORCID http://orcid.org/0000-0001-6158-1433
Rose-Marie DröesDepartment of Psychiatry, VU University medical centre, Amsterdam, Netherlands.ORCID http://orcid.org/0000-0002-4812-1229
Fiona KellyCentre for Person-centred Practice Research, Queen Margaret University, Edinburgh, United Kingdom.ORCID http://orcid.org/0000-0002-5608-0332
Alexander KurzTechnische Universität München, Munchen, Germany.ORCID http://orcid.org/0000-0002-5042-7614
Dympna CaseySchool of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland.ORCID http://orcid.org/0000-0001-5341-597X
Dorota SzcześniakDepartment of Psychiatry, Wroclaw Medical University, Wroclaw, Poland.ORCID http://orcid.org/0000-0002-8899-8842
Tom DeningDivision of Psychiatry & Applied Psychology, University of Nottingham, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0003-3387-4241
Michael P CravenNIHR MindTech Healthcare Technology Co-operative, Institute of Mental Health, University of Nottingham Innovation Park, Nottingham, United Kingdom.ORCID http://orcid.org/0000-0001-5682-6360
Marijke SpanWindesheim University of Applied Sciences, Zwolle, Netherlands.ORCID http://orcid.org/0000-0002-7977-8776
Heike FelzmannNational University of Ireland Galway, Galway, Ireland.ORCID http://orcid.org/0000-0002-7355-6451
Magda TsolakiMemory and dementia outpatient clinic, 3rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece.ORCID http://orcid.org/0000-0002-2072-8010
Manuel Franco-MartinIberian Research Psychosciences Institute, Psychiatric Department in Zamora Hospital, Salamanca University, Zamora, Spain.ORCID http://orcid.org/0000-0002-3639-2523
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLOllscoil na Gaillimhe – University of Galway · IEUniversity of Nottingham · GBAlzheimer Europe · LUAmsterdam Public Health · NLAristotle University of Thessaloniki · GRFundación INTRAS · ESGerman Center for Neurodegenerative Diseases · DENewcastle Hospitals - Campus for Ageing and Vitality · GBQueen Margaret University · GBTechnical University of Munich · DEUniversidad de Zamora · MXUniversity of Sheffield · GBUniversity of Stirling · GBUniversity of Worcester · GBWindesheim University of Applied Sciences · NLWroclaw Medical University · PL

Funding

Department of Health NIHR-RP-011-043
6 · The paper itself

Abstract

backgroundWith the expected increase in the numbers of persons with dementia, providing timely, adequate, and affordable care and support is challenging. Assistive and health technologies may be a valuable contribution in dementia care, but new challenges may emerge.

objectiveThe aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research.

methodsReviews of literature and expert opinions were used in our study. Literature searches were conducted on usability, effectiveness and cost-effectiveness, and ethics using PubMed, Embase, CINAHL, and PsycINFO databases with no time limit. Selection criteria in our selected technology fields were reviews in English for community-dwelling persons with dementia. Regarding deployment issues, searches were done in Health Technology Assessment databases.

resultsAccording to our results, persons with dementia want to be included in the development of technologies; there is little research on the usability of assistive technologies; various benefits are reported but are mainly based on low-quality studies; barriers to deployment of technologies in dementia care were identified, and ethical issues were raised by researchers but often not studied. Many challenges remain such as including the target group more often in development, performing more high-quality studies on usability and effectiveness and cost-effectiveness, creating and having access to high-quality datasets on existing technologies to enable adequate deployment of technologies in dementia care, and ensuring that ethical issues are considered an important topic for researchers to include in their evaluation of assistive technologies.

conclusionsBased on these findings, various actions are recommended for development, usability, effectiveness and cost-effectiveness, deployment, and ethics of assistive and health technologies across Europe. These include avoiding replication of technology development that is unhelpful or ineffective and focusing on how technologies succeed in addressing individual needs of persons with dementia. Furthermore, it is suggested to include these recommendations in national and international calls for funding and assistive technology research programs. Finally, practitioners, policy makers, care insurers, and care providers should work together with technology enterprises and researchers to prepare strategies for the implementation of assistive technologies in different care settings. This may help future generations of persons with dementia to utilize available and affordable technologies and, ultimately, to benefit from them.

Indexed as

dementiadiffusion of innovationethicsevaluation studiestechnology

Identifiers

PMID28582262
PMCPMC5454557
OpenAlexW2576439802

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.