Best Practice Guidance
Human Interaction with Technology in Dementia

Recommendations

Practical, cognitive & social factors to improve usability of technology for people with dementia

Technologies are increasingly vital in today’s activities in homes and communities. Nevertheless, little attention has been given to the consequences of the increasing complexity and reliance on them, for example, at home, in shops, traffic situations, meaningful activities and health care services. The users’ ability to manage products and services has been largely neglected or taken for granted. People with dementia often do not use the available technology because it does not match their needs and capacities. This section provides recommendations to improve the usability of technology used in daily life, for meaningful activities, in healthcare and in the context of promoting the Social Health of people with dementia.
Social Health Domain 3: Technology to promote social participation

Tablet-based interventions should be considered as one effective option to sup-port social participation of community-dwelling people with mild cognitive im-pairment or mild dementia, but the choice to provide such an intervention should be based on user characteristics and needs

Guidance

The choice for a tablet-based intervention should be based on an assessment of the characteristics of the tablet-users and their specific needs and potential to benefit from the intervention. Care providers should consider prioritizing people with MCI and younger people with MCI/mild dementia to receive tablet-based interventions.

Explanation and Examples:

Evidence from the FindMyApps project showed that on average, tablet interventions could be effective to promote participation in social and other meaningful activities. However, the results also showed that tablets seem to be particularly effective for people with a diagnosis of MCI compared to those with a diagnosis of mild dementia. Regardless of the diagnosis, the results also suggest that younger people with MCI/mild dementia also benefit more from tablet-based interventions than older people. The choice for a tablet-based intervention should therefore be based on an assessment of the tablet-user characteristics, in addition to their needs and potential to benefit from it.

Type of evidence

David Neal (DISTINCT ESR6)

Results from a randomized controlled trial, conducted in the Netherlands from January 2020 to November 2022.

References

Neal D., Ettema T., Zwan M., Dijkstra K., Finnema E., Graff M., Muller M., Dröes R. M. FindMyApps compared with usual tablet use to promote social health of community-dwelling people with mild dementia and their informal caregivers: a randomised controlled trial, eClinicalMedicine. 2023. 63. https://doi.org/10.1016/j.eclinm.2023.102169