ArticleThe Gerontologist2026
Digital health interventions for urinary tract infection prevention and management in people living with dementia and their family caregivers: a scoping review.
Article in The Gerontologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
BACKGROUND AND
objectivesOlder adults with dementia are at higher risk of hospitalized for urinary tract infections (UTIs), with worse health outcomes. Digital interventions, such as smartphone apps, wearable devices, and telehealth, hold promise for improving UTI detection, monitoring, and prevention. However, their effectiveness for people with dementia and their caregivers remains unclear. This review aims to identify: (1) The types of digital interventions and devices used for UTI management and prevention in people with dementia and their caregivers; and (2) The outcome variables and key findings of these interventions. RESEARCH DESIGN AND
methodsA scoping review was conducted using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews framework, searching PubMed, CINAHL, Embase, IEEE Xplore, and Web of Science for studies from 1998 to 2024. The review included quantitative, qualitative, and mixed-method studies that described digital interventions for UTI management in persons with dementia. Studies were excluded if they lacked detailed intervention descriptions or outcome reporting. Data were charted and summarized to address the study aims.
resultsSeven studies were included from 1,800 screened. Three digital interventions were evaluated: Technology Integrated Health Management (TIHM), a real-time locating system (RTLS), and a smart diaper system (SDS). The TIHM and RTLS showed high effectiveness in UTI detection, with sensitivities up to 91%, while the SDS had lower sensitivity. DISCUSSION AND IMPLICATIONS: The review highlights the potential of sensor-based technology and AI in early UTI detection. However, most interventions lack theoretical foundations and preventive strategies, suggesting a need for more comprehensive approaches involving caregivers and clinical guidelines.
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