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Preliminary Evaluation of a Digital Diary for Elder People in Nursing Homes
Published in Bruno Bouchard, Smart Technologies in Healthcare, 2017
Laetitia Courbet, Agathe Morin, Jérémy Bauchet, Vincent Rialle
Step 2: evaluation of the participant’s appetence for new technologies. Step 3: testing the web application usability. Each participant was asked to complete a predefined list of tasks including the functionalities provided by the agenda. Level of independence when completing the listed tasks was evaluated thanks to a 6 items scale. Tools developed by occupational therapist, and used for the independent living skills assessment inspired this scale (Dutil et al. 1996). The Dutil’s scale is usually used to develop models for different cognitive tasks. Its measure is based on the level of assistance required to successfully complete the target task. It is evaluated according to six criteria on the clinical dementia rating (CDR): CDR 0 (independent), CDR 0.5 (success with confirmation), CDR 1 (success with incitement), CDR 2 (success with guidance), CDR 3 (success with guidance and slowness of execution), CDR 4 (failure). For each criterion, the level of support provided by the test administrator is scored from 0 to 3 (0 for a subject who performs without any help, 1 for a subject who requires a verbal cue, 2 for a subject who requires physical assistance, and 3 for a subject totally unable to perform that section of the test). All subjects who completed were able to respond to verbal or physical assistance. There was no time limitation to complete the different tasks, and the participant was allowed to ask for assistance to the experimenter.
Investigating the effectiveness of Socially Assistive Robot on Depression and Cognitive Functions of Community Dwelling Older Adults with Cognitive Impairments
Published in Assistive Technology, 2023
Su Kyoung Kim, Jae-Won Jang, Yu Seong Hwang, Othelia EunKyoung Lee, Heui Sug Jo
Older outpatients (N = 118) who visited the department of neurology at the University Hospital were recruited for this study. This teaching hospital primarily serves patients in low resource areas and rural residents. Of the participants, 115 completed the baseline assessment and were randomly assigned to SAR intervention (n = 56) and Control (receiving health information education, n = 59) groups. To screen the eligibility, we have used the following three criteria. All of the potential participants had a diagnosis of MCI or dementia based on the Diagnostic Statistic Manual-5 criteria and a Korean-Mini-Mental Status Exam (K-MMSE) score of 26 or lower. Additionally, clinician’s judgment was indicated by clinical dementia rating (CDR of 0.5–2). There were dropouts for reasons such as “refusing to participate” (34 in the experimental group, 3 in the control group) and “withdrawal” (20 in the experimental group, 11 in the control group). For the final analysis we considered 30 experimental and 29 control participants.
Aging and technology: understanding the issues and creating a base for technology designers
Published in Journal of Medical Engineering & Technology, 2021
It is normal for increasing age to lead to forgetfulness [11]. Older people, particularly those considered to be of "Caucasian ethnicity", have complained about declining memory [12], whereas another study linked those memory complaints to quality of life, acknowledging forgetfulness as a serious issue that needs more attention [13]. Seniors might detect a decline in memory before the mental test could do the same [14]. Memory complaints are a strong predictor of Alzheimer's disease and dementia [14,15]. Dementia has five stages in older people, based on the global rating device known as CDR (Clinical Dementia Rating) [16]. The number of older people with dementia today is estimated to be 24.3 million, and it is predicted that the number will reach 81.1 million by 2040 [17]. The estimate for the prevalence of dementia in people over 65 years ranges from 3.6 to 10 and 23% among 85–89-year-olds. Among all of the behavioural symptoms of aging and dementia, wandering (traveling without a definite destination) is the most problematic in terms of management and safety [18]. Dementia includes a group of symptoms; the most common cause being Alzheimer's disease (AD). The Alzheimer's Association has published seven stages of memory decline [19]. During these stages, patients forget names, words, addresses, and recent events and lose valuable things. Technology could help during the early stages of Alzheimer's, which may develop over a prolonged period.