Evidence map›Paper›PMID 34525979›Full record

ArticleBMC medical informatics and decision making2021

Factors associated with access to assistive technology and telecare in home-dwelling people with dementia: baseline data from the LIVE@Home.Path trial.

Nathalie Genevieve Puaschitz, Frode Fadnes Jacobsen, Janne Mannseth, Renira Corinne Angeles, Line Iden Berge, Marie Hidle Gedde, Bettina Sandgathe Husebo

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in BMC medical informatics and decision making, 2021. 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.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
1.5field-weighted citation impact, top 18% 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.

NCT04043364 naunknown statusnot on this map

LIVE@Home.Path: a Mixed Method, Stepped Wedge and Randomized Controlled Trial Innovating the Clinical Pathway for Home-dwelling Persons With Dementia and Their Families

TypeinterventionalSponsorUniversity of BergenRan2019 to 2023Enrolled280ConditionsDementia, Home-dwelling, CaregiverArmsLIVE
NCT06032091 unknown statusnot on this mapstarted 2023, after this paper: background citation

Digital Phenotyping for Changes in Activity at the End of Life in People With Dementia: an Observational Trial Based on Sensing Technology

TypeobservationalSponsorUniversity of BergenRan2023 to 2026Enrolled50ConditionsDementiaArmsNo intervention
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 19 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

7 authors at 4 institutions in 1 country.

Nathalie Genevieve PuaschitzCentre of Care Research (West), Western Norway University of Applied Sciences (HVL), 5009, Bergen, Norway. Nathalie.Puaschitz@hvl.no.
Frode Fadnes JacobsenCentre of Care Research (West), Western Norway University of Applied Sciences (HVL), 5009, Bergen, Norway.
Janne MannsethCentre for Elderly and Nursing Home Medicine (SEFAS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Renira Corinne AngelesCentre of Care Research (West), Western Norway University of Applied Sciences (HVL), 5009, Bergen, Norway.
Line Iden BergeCentre for Elderly and Nursing Home Medicine (SEFAS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Marie Hidle GeddeCentre for Elderly and Nursing Home Medicine (SEFAS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
Bettina Sandgathe HuseboCentre for Elderly and Nursing Home Medicine (SEFAS), Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norway.
University of Bergen · NONORCE Norwegian Research Centre · NOVID Specialized University · NOWestern Norway University of Applied Sciences · NO

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThere is a knowledge gap regarding factors that may influence the access to different devices for home-dwelling people with dementia (PwD). The aim of this study was to identify different assistive technology and telecare (ATT) devices installed in the home and key factors associated with access to such technology.

methodsThe baseline data came from the LIVE@Home.Path trial, a 24-month multi-component intervention including PwDs and their informal caregivers (dyads) and were collected through semi-quantitative questionnaires in three Norwegian municipalities between May and November of 2019. Regression models were applied to detect demographic and clinical factors associated with access to ATT.

resultsOf 438 screened dyads, 276 were included at baseline. The mean ages of the PwDs and caregivers were 82 ± 7.0 and 66 ± 12 years, respectively, and 62.8% of the PwD were female and 73.5% had access to any type of ATT. The majority had traditional equipment such as stove guards (43.3%) and social alarms (39.5%) or everyday technology, e.g. calendar support and door locks (45.3%). Multivariate regression analyses revealed that access to a social alarm was more often available for females than males, at increased age, and when the PwD lived alone, while tracking devices (14.9%) were more often accessible at lower age. Everyday technology was more often available for females, at increased age of the PwD and the caregiver, higher comorbidity, and poor IADL (instrumental activities of daily living) function. For PwDs with severe dementia, access to ATT was significantly associated with poor IADL function, having their children as the main caregiver (61.3%), and having caregivers who contributed 81-100% to their care (49.5%).

conclusionsHome-dwelling PwDs mainly had access to traditional and obligated devices, followed by everyday technology. There is unmet potential for communication, tracking, and sensing technology, especially for devices not offered by the municipalities. Gender, ages of the PwD and caregiver, cohabitation status, and physical function were the main associated factors for access to ATT.

trial registrationClinicalTrials.gov NCT04043364.

Indexed as

DementiaSelf-Help DevicesTelemedicineActivities of Daily LivingAgedAged, 80 and overCaregiversChildFemaleHumansMaleAssistive technologyCaregiversDementiaHome-dwellingTelecare

Identifiers

PMID34525979
PMCPMC8442311
OpenAlexW3199932421

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.