Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial
Abstract Introduction The objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home. Methods This is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restri...
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| Format: | Article |
| Language: | English |
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Wiley
2019-01-01
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| Series: | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
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| Online Access: | https://doi.org/10.1016/j.trci.2019.07.010 |
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| author | Kirsty Forsyth Catherine Henderson Lucy Davis Anusua Singh Roy Barbara Dunk Eleanor Curnow Rebecca Gathercole Natalie Lam Emma Harper Iracema Leroi John Woolham Chris Fox John O'Brien Andrew Bateman Fiona Poland Peter Bentham Alistair Burns Anna Davies Richard Gray Rosie Bradley Martin Knapp Stanton Newman Rupert McShane Craig Ritchie Emma Talbot Emma Hooper Rachel Winson Bethany Scutt Victoria Ordonez Samantha Nunn Grace Lavelle Robert Howard |
| author_facet | Kirsty Forsyth Catherine Henderson Lucy Davis Anusua Singh Roy Barbara Dunk Eleanor Curnow Rebecca Gathercole Natalie Lam Emma Harper Iracema Leroi John Woolham Chris Fox John O'Brien Andrew Bateman Fiona Poland Peter Bentham Alistair Burns Anna Davies Richard Gray Rosie Bradley Martin Knapp Stanton Newman Rupert McShane Craig Ritchie Emma Talbot Emma Hooper Rachel Winson Bethany Scutt Victoria Ordonez Samantha Nunn Grace Lavelle Robert Howard |
| author_sort | Kirsty Forsyth |
| collection | DOAJ |
| description | Abstract Introduction The objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home. Methods This is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT, established an ATT assessment standard. Results ATT was delivered by public and not‐for‐profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%), and problem‐solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; P < .000), with ATT recommendations and installations moderately correlated (τ = −0.470; P < .000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations. Discussion Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure. |
| format | Article |
| id | doaj-art-701e4704cc9c4e408201228b53423a21 |
| institution | DOAJ |
| issn | 2352-8737 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Alzheimer’s & Dementia: Translational Research & Clinical Interventions |
| spelling | doaj-art-701e4704cc9c4e408201228b53423a212025-08-20T03:21:59ZengWileyAlzheimer’s & Dementia: Translational Research & Clinical Interventions2352-87372019-01-015142043010.1016/j.trci.2019.07.010Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trialKirsty Forsyth0Catherine Henderson1Lucy Davis2Anusua Singh Roy3Barbara Dunk4Eleanor Curnow5Rebecca Gathercole6Natalie Lam7Emma Harper8Iracema Leroi9John Woolham10Chris Fox11John O'Brien12Andrew Bateman13Fiona Poland14Peter Bentham15Alistair Burns16Anna Davies17Richard Gray18Rosie Bradley19Martin Knapp20Stanton Newman21Rupert McShane22Craig Ritchie23Emma Talbot24Emma Hooper25Rachel Winson26Bethany Scutt27Victoria Ordonez28Samantha Nunn29Grace Lavelle30Robert Howard31School of Health Sciences, Queen Margaret UniversityEdinburghUKPersonal Social Services Research UnitLondon School of Economics and Political ScienceLondonUKClinical Trial Service UnitOxfordUKSchool of Health Sciences, Queen Margaret UniversityEdinburghUKSouth London and Maudsley NHS Foundation TrustThe MaudsleyUKSchool of Health Sciences, Queen Margaret UniversityEdinburghUKDepartment of Old Age PsychiatryInstitute of PsychiatryLondonUKClinical Trial Service UnitOxfordUKClinical Trial Service UnitOxfordUKSchool of Community Based Medicine, University of ManchesterManchesterUKSocial Care Workforce Research UnitKing's College LondonLondonUKSchool of MedicineHealth Policy and PracticeUniversity of East AngliaNorwichNorfolkUKDepartment of PsychiatryUniversity of CambridgeCambridgeUKOliver Zangwill Centre for Neuropsychological RehabilitationPrincess of Wales HospitalElyUKSchool of Allied Health Professionals, University of East AngliaNorwichNorfolkUKThe Barberry CentreBirminghamUKSchool of Community Based Medicine, University of ManchesterManchesterUKSchool of Community and Health Science, City UniversityLondonUKClinical Trial Service UnitOxfordUKClinical Trial Service UnitOxfordUKDepartment of Old Age PsychiatryInstitute of PsychiatryLondonUKSchool of Community and Health Science, City UniversityLondonUKOxford Health NHS Foundation TrustWarneford HospitalHeadington, OxfordUKCentre for Clinical Brain SciencesUniversity of EdinburghEdinburghUKNorfolk and Suffolk NHS Foundation TrustSuffolkUKLantern CentrePrestonUKCambridgeshire Community Services NHS TrustOliver Zangwill CentreElyUKDepartment of Old Age PsychiatryInstitute of PsychiatryLondonUKCambridgeshire Community Services NHS TrustOliver Zangwill CentreElyUKCambridgeshire Community Services NHS TrustOliver Zangwill CentreElyUKDepartment of Old Age PsychiatryInstitute of PsychiatryLondonUKDivision of PsychiatryUniversity College LondonLondonUKAbstract Introduction The objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home. Methods This is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT, established an ATT assessment standard. Results ATT was delivered by public and not‐for‐profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%), and problem‐solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; P < .000), with ATT recommendations and installations moderately correlated (τ = −0.470; P < .000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations. Discussion Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.https://doi.org/10.1016/j.trci.2019.07.010DementiaAssistive technologyTelecareATTILAAssessment of needCommunity‐dwelling |
| spellingShingle | Kirsty Forsyth Catherine Henderson Lucy Davis Anusua Singh Roy Barbara Dunk Eleanor Curnow Rebecca Gathercole Natalie Lam Emma Harper Iracema Leroi John Woolham Chris Fox John O'Brien Andrew Bateman Fiona Poland Peter Bentham Alistair Burns Anna Davies Richard Gray Rosie Bradley Martin Knapp Stanton Newman Rupert McShane Craig Ritchie Emma Talbot Emma Hooper Rachel Winson Bethany Scutt Victoria Ordonez Samantha Nunn Grace Lavelle Robert Howard Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial Alzheimer’s & Dementia: Translational Research & Clinical Interventions Dementia Assistive technology Telecare ATTILA Assessment of need Community‐dwelling |
| title | Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial |
| title_full | Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial |
| title_fullStr | Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial |
| title_full_unstemmed | Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial |
| title_short | Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial |
| title_sort | assessment of need and practice for assistive technology and telecare for people with dementia the attila assistive technology and telecare to maintain independent living at home for people with dementia trial |
| topic | Dementia Assistive technology Telecare ATTILA Assessment of need Community‐dwelling |
| url | https://doi.org/10.1016/j.trci.2019.07.010 |
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