Assistive technology designed to support self-management of people with dementia: user involvement, dissemination, and adoption. A scoping review

Assistive technology designed to support self-management of people with dementia: user involvement, dissemination, and adoption. A scoping review
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旨在支持痴呆症患者自我管理的辅助技术:用户参与、传播和采用。

DOI:
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发表时间:
2019
影响因子:
7
通讯作者:
G. Waldemar
G. Waldemar
中科院分区:
医学1区
文献类型:
--
作者:
Laila Øksnebjerg;J. Janbek;B. Woods;G. Waldemar

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背景:辅助技术被认为是解决痴呆症患者支持需求的关键解决方案。人们日益认识到用户参与这些技术的设计和测试的好处,以及确定适用和有效的实施方法的必要性。本综述的目的是探索和综合研究,解决痴呆患者用于自我管理的辅助技术。进一步的研究目的是探讨是否以及如何解决辅助技术的用户参与、传播和采用问题。方法:采用指定检索词对电子数据库进行检索。手工检索主要出版物和灰色文献来源。包括2018年底之前出版的材料。根据研究目的对研究结果进行了总结。结果:纳入了来自8项研究的11篇论文。这些研究提供了来自原型设计和测试的数据,回顾显示了研究范围、设计和方法的巨大差异。用户参与从广泛参与到不参与不等。采用的方法也有很大的不同,而且只针对原型测试。没有一项研究涉及传播问题。结论:本综述的结果强调需要对所有方面进行精心设计的高质量研究,这些研究对于提供适用、有效和可持续的辅助技术以支持痴呆症患者的自我管理至关重要。需要以证据为基础的方法来促进和限定用户的参与、传播和采用。研究结果还指出,需要制定标准化的结果衡量标准和开展和报告研究的标准,以提高研究的质量和影响。
ABSTRACT Background: Assistive technology is advocated as a key solution to the need for support among people living with dementia. There is growing awareness of the benefits of user involvement in the design and test of these technologies and the need to identifying applicable and effective methods for implementation. The aim of this review was to explore and synthesize research addressing assistive technology designed to be used by people with dementia for self-management. Further research aims were to explore if and how user involvement, dissemination, and adoption of assistive technology were addressed. Method: Electronic databases were searched using specified search terms. Key publications and grey literature sources were hand-searched. Materials published until year end 2018 were included. The results were summarized according to the research aims. Results: Eleven papers derived from eight studies were included. The studies presented data from prototype design and testing, and the review showed great variation in study scope, design, and methodology. User involvement varied from extensive involvement to no user involvement. Methods for adoption also varied widely and only targeted prototype testing. None of the studies addressed dissemination. Conclusion: The results of this review underline the need for well-designed high-quality research into all the aspects that are essential to deliver applicable, effective, and sustainable assistive technology to support self-management of people with dementia. There is a need for evidence-based methods to promote and qualify user involvement, dissemination, and adoption. The results also point to the need for standardized outcome measures and standards for conducting and reporting research to improve its quality and impact.