A ten-year systematic review of gerontechnologies tested among community-dwelling older adults living with dementia and their family caregivers
Abstract
Purpose To systematically review the literature of gerontechnologies tested in community-dwelling older adults living with dementia and their family caregivers from 2012 to 2022. This information is crucial to help researchers, scientists, clinicians, and the industry to understand the advantages, limitations, and opportunities of their use among dyads of family caregivers and older adults with unimpaired cognition (Moreno et al., 2024a) and individuals with dementia (Moreno et al., 2024b). Method A systematic literature search was conducted in five different databases (CINAHL, Medline, PsycINFO, AgeLine, and Web of Science) and validated by two independent librarians with backgrounds in Psychology and Geriatrics. Using COVIDENCE software, two independent reviewers screened records available in English, French, and Spanish from 2012 to 2022. We included records addressing the use of technology-assisted home support simultaneously in community-dwelling older adults living with dementia and their family caregivers following a qualitative, quantitative, or mixed methods design. Results and Discussion There were 1563 references published between 2012 and 2022. After removing the duplicates, 877 titles and abstracts were screened and the full text of 132 studies was assessed for eligibility, with only 20 studies testing 17 different gerontechnologies for home support in community-dwelling older adults living with dementia and their family caregivers. The results of the independent assessment of the quality of the studies using the Mixed Methods Appraisal Tool (MMAT) indicated that most were relatively good studies in terms of quality standards with a mean MMAT score of 4.2 (SD = 0.6). Gerontechnologies with overlapping functionalities included: a) behavioral monitoring, b) health monitoring, c) caregiver education, d) communication, e) tracking devices, and e) reminders, emergency warnings, and solutions for social isolation and daily activities support. Based on the analysis of these studies, we provide recommendations for clinical practice (e.g., education and accessibility early in the disease process), research (e.g., testing with different dementia severities), technological development (e.g., personalization and technical support), and public policy (e.g., privacy policies) to foster the development and implementation of gerontechnologies in the dementia continuum.
References
Moreno, A., Scola, M. C., Sun, H., Durce, C., Couve, C., Acevedo-Benítez, K. & Gutman, G. (2024a). A systematic review of gerontechnologies to support aging in place among community-dwelling older adults with unimpaired cognition and their family caregivers. Frontiers in Psychology, 14. DOI: 10.3389/fpsyg.2023.1237694
Moreno, A., Durce, H., Cifuentes, C., Múnera, M., Acevedo-Benítez, K., Scola, M. & Gutman, G. (2024b). Technology-assisted home support of community-dwelling older adults living with dementia and their family caregivers: A ten-year systematic review. Neuropsychological Rehabilitation (Under review).
Keywords: Gerontechnology, AgeTech, Dementia, Major neurocognitive disorder, Older Adults, Aging in place, Home support Affiliation: Department of Psychology, Université de Montréal, Montreal, Quebec, Canada ; Centre de recherche de l’institut universitaire de gériatrie de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal, Montreal, Quebec, Canada; Notre-Dame Hospital, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal (CCSMTL), Montreal, Quebec, Canada
Corresponding Author Email: jhon.alexander.moreno.1@umontreal.ca; Authors’ ORCID iDs: 0000-0003-3651-3222
Acknowledgement
Purpose To systematically review the literature of gerontechnologies tested in community-dwelling older adults living with dementia and their family caregivers from 2012 to 2022. This information is crucial to help researchers, scientists, clinicians, and the industry to understand the advantages, limitations, and opportunities of their use among dyads of family caregivers and older adults with unimpaired cognition (Moreno et al., 2024a) and individuals with dementia (Moreno et al., 2024b). Method A systematic literature search was conducted in five different databases (CINAHL, Medline, PsycINFO, AgeLine, and Web of Science) and validated by two independent librarians with backgrounds in Psychology and Geriatrics. Using COVIDENCE software, two independent reviewers screened records available in English, French, and Spanish from 2012 to 2022. We included records addressing the use of technology-assisted home support simultaneously in community-dwelling older adults living with dementia and their family caregivers following a qualitative, quantitative, or mixed methods design. Results and Discussion There were 1563 references published between 2012 and 2022. After removing the duplicates, 877 titles and abstracts were screened and the full text of 132 studies was assessed for eligibility, with only 20 studies testing 17 different gerontechnologies for home support in community-dwelling older adults living with dementia and their family caregivers. The results of the independent assessment of the quality of the studies using the Mixed Methods Appraisal Tool (MMAT) indicated that most were relatively good studies in terms of quality standards with a mean MMAT score of 4.2 (SD = 0.6). Gerontechnologies with overlapping functionalities included: a) behavioral monitoring, b) health monitoring, c) caregiver education, d) communication, e) tracking devices, and e) reminders, emergency warnings, and solutions for social isolation and daily activities support. Based on the analysis of these studies, we provide recommendations for clinical practice (e.g., education and accessibility early in the disease process), research (e.g., testing with different dementia severities), technological development (e.g., personalization and technical support), and public policy (e.g., privacy policies) to foster the development and implementation of gerontechnologies in the dementia continuum.
References
Moreno, A., Scola, M. C., Sun, H., Durce, C., Couve, C., Acevedo-Benítez, K. & Gutman, G. (2024a). A systematic review of gerontechnologies to support aging in place among community-dwelling older adults with unimpaired cognition and their family caregivers. Frontiers in Psychology, 14. DOI: 10.3389/fpsyg.2023.1237694
Moreno, A., Durce, H., Cifuentes, C., Múnera, M., Acevedo-Benítez, K., Scola, M. & Gutman, G. (2024b). Technology-assisted home support of community-dwelling older adults living with dementia and their family caregivers: A ten-year systematic review. Neuropsychological Rehabilitation (Under review).
Keywords: Gerontechnology, AgeTech, Dementia, Major neurocognitive disorder, Older Adults, Aging in place, Home support Affiliation: Department of Psychology, Université de Montréal, Montreal, Quebec, Canada ; Centre de recherche de l’institut universitaire de gériatrie de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal, Montreal, Quebec, Canada; Notre-Dame Hospital, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal (CCSMTL), Montreal, Quebec, Canada
Corresponding Author Email: jhon.alexander.moreno.1@umontreal.ca; Authors’ ORCID iDs: 0000-0003-3651-3222
Acknowledgement This research was supported by Ministère de l’Économie, de l’Innovation et de l’Énergie in Quebec, Canada.
Purpose To systematically review the literature of gerontechnologies tested in community-dwelling older adults living with dementia and their family caregivers from 2012 to 2022. This information is crucial to help researchers, scientists, clinicians, and the industry to understand the advantages, limitations, and opportunities of their use among dyads of family caregivers and older adults with unimpaired cognition (Moreno et al., 2024a) and individuals with dementia (Moreno et al., 2024b). Method A systematic literature search was conducted in five different databases (CINAHL, Medline, PsycINFO, AgeLine, and Web of Science) and validated by two independent librarians with backgrounds in Psychology and Geriatrics. Using COVIDENCE software, two independent reviewers screened records available in English, French, and Spanish from 2012 to 2022. We included records addressing the use of technology-assisted home support simultaneously in community-dwelling older adults living with dementia and their family caregivers following a qualitative, quantitative, or mixed methods design. Results and Discussion There were 1563 references published between 2012 and 2022. After removing the duplicates, 877 titles and abstracts were screened and the full text of 132 studies was assessed for eligibility, with only 20 studies testing 17 different gerontechnologies for home support in community-dwelling older adults living with dementia and their family caregivers. The results of the independent assessment of the quality of the studies using the Mixed Methods Appraisal Tool (MMAT) indicated that most were relatively good studies in terms of quality standards with a mean MMAT score of 4.2 (SD = 0.6). Gerontechnologies with overlapping functionalities included: a) behavioral monitoring, b) health monitoring, c) caregiver education, d) communication, e) tracking devices, and e) reminders, emergency warnings, and solutions for social isolation and daily activities support. Based on the analysis of these studies, we provide recommendations for clinical practice (e.g., education and accessibility early in the disease process), research (e.g., testing with different dementia severities), technological development (e.g., personalization and technical support), and public policy (e.g., privacy policies) to foster the development and implementation of gerontechnologies in the dementia continuum.
References
Moreno, A., Scola, M. C., Sun, H., Durce, C., Couve, C., Acevedo-Benítez, K. & Gutman, G. (2024a). A systematic review of gerontechnologies to support aging in place among community-dwelling older adults with unimpaired cognition and their family caregivers. Frontiers in Psychology, 14. DOI: 10.3389/fpsyg.2023.1237694
Moreno, A., Durce, H., Cifuentes, C., Múnera, M., Acevedo-Benítez, K., Scola, M. & Gutman, G. (2024b). Technology-assisted home support of community-dwelling older adults living with dementia and their family caregivers: A ten-year systematic review. Neuropsychological Rehabilitation (Under review).
Keywords: Gerontechnology, AgeTech, Dementia, Major neurocognitive disorder, Older Adults, Aging in place, Home support Affiliation: Department of Psychology, Université de Montréal, Montreal, Quebec, Canada ; Centre de recherche de l’institut universitaire de gériatrie de Montréal, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal, Montreal, Quebec, Canada; Notre-Dame Hospital, Centre intégré universitaire de santé et de services sociaux du Centre-Sud-de-l’Île-de-Montréal (CCSMTL), Montreal, Quebec, Canada
Corresponding Author Email: jhon.alexander.moreno.1@umontreal.ca; Authors’ ORCID iDs: 0000-0003-3651-3222
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