Evidence map›Paper›PMID 33588768›Full record

Trial reportBMC geriatrics2021

Placing assistive technology and telecare in everyday practices of people with dementia and their caregivers: findings from an embedded ethnography of a national dementia trial.

Matthew Lariviere, Fiona Poland, John Woolham, Stanton Newman, Chris Fox

Open access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in BMC geriatrics, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 5% 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

17 citing papers in PubMed, 1 synthesis or guideline 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

5 authors at 4 institutions in 1 country.

Matthew LariviereCentre for Research on Health and Social Care, School for Policy Studies, University of Bristol, Bristol, BS8 1TZ, UK. matthew.lariviere@bristol.ac.uk.ORCID 0000-0001-6901-3115
Fiona PolandSchool of Health Sciences, University of East Anglia, Queen's Building, Norwich, NR4 7TJ, UK.
John WoolhamHealth and Social Care Workforce Research Unit, King's College London, Kingsway, London, WC2R 2LS, UK.
Stanton NewmanSchool of Health Sciences, City University of London, Northampton Square, London, EC1V 0HB, UK.
Chris FoxNorwich Medical School, University of East Anglia, Norwich, NR4 7TJ, UK.
University of East Anglia · GBCity, University of London · GBKing's College London · GBUniversity of the West of England · GB

Funding

Health Technology Assessment Programme 10/50/02Norfolk and Suffolk NHS Foundation Trust (GB) NoneUniversity of East Anglia None.
6 · The paper itself

Abstract

backgroundPolicy makers and care providers see assistive technology and telecare as potential products to support people with dementia to live independently in their homes and communities. Previous research rarely examined how people with dementia and their caregivers actually use such technology. The study examined how and why people living with dementia and their caregivers used assistive technology and telecare in their own homes.

methodsThis study used an ethnographic design embedded within the NIHR-funded Assistive Technology and Telecare to maintain Independent Living At home for people with dementia (ATTILA) randomised controlled trial. We collected 208 h of observational data on situated practices of ten people with dementia and their ten caregivers. We used this data to construct extended cases to explain how technologies supported people with dementia in home and community settings.

resultsWe identified three themes: placing technology in care, which illustrates how people with dementia and caregivers 'fit' technology into their homes and routines; replacing care with technology, which shows how caregivers replaced normal care practices with ones mediated through technologies; and technology displacing care and everyday life, which highlights how technologies disrupted the everyday lives of people with dementia. DISCUSSION: This study exemplifies unintended and unanticipated consequences for assistive technology and telecare uptake in 'real world' community-based dementia care. It underlines the need to identify and map the context of technological provision over time within the changing lives of people with dementia and their caregivers.

Indexed as

DementiaSelf-Help DevicesTelemedicineAnthropology, CulturalCaregiversHumansCareHomeImplementationQualitative methodsUptake

Identifiers

PMID33588768
PMCPMC7885439
OpenAlexW3101200289

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.