Best Practice Guidance
Human Interaction with Technology in Dementia


Implementation of technology in dementia care: facilitators & barriers

Successful implementation of technology in dementia care depends not merely on its effectiveness but also on other facilitating or impeding factors related to e.g. the personal living environment (privacy, autonomy and obtrusiveness); the outside world (stigma and human contact); design (personalisability, affordability and safety), and ethics on these subjects.  This section provides recommendations on the implementation of technology in everyday life, for meaningful activities, healthcare technology and technology promoting Social Health.
Health care technologies

Digital Health Technologies are recommended to support fully Comprehensive Geriatric Assessments, because they improve communication and data transfer of patient medical data, health decision-making, and sharing of assessment responsibility between different professionals, thereby reducing the psychological burden of individual healthcare professionals


To provide high-quality elderly and dementia care, Digital Health Technologies (DHTs) can potentially help achieve the full capacity of Comprehensive Geriatric Assessments (CGAs). In addition they can improve communication and data transfer on patients’ medical and treatment plan information between care settings and stakeholders as well as improve health decision-making. Finally, they can help to share the responsibility of the geriatric assessment between professionals, thereby avoiding overloading the workload of individual users and reducing their psychological stress.

Explanation and Examples:

Due to the higher rate of transitions between care settings in older populations, associated with the complexity of an ageing population and the shift from institutional care to home care, CGAs have become an important assessment tool as they encompass multiple domains and address the variety of complex problems in frail older people. They are considered as multidimensional assessments, using quantitative assessment scales, that support multidisciplinary care teams in clinical decision-making and personalized care planning to meet the needs of older people, their families and carers, focusing on functional status and quality of life.

However, to reach the full potential of CGAs, their implementation should be supported by electronic data systems, which provide relevant outputs and allow timely sharing of information within multidisciplinary teams of healthcare professionals and between different healthcare settings. The use of DHTs can potentially help them reach their full capacity and overcome the data transfer limitations between care settings and stakeholders. To improve the usability and implementation of these DHTs, the following features are recommended: a) accessibility of individual assessment by multiple healthcare professionals and the possibility of splitting sections according to professional expertise to share responsibility for assessments; b) the use of secure data storage, such as clouds; c) automatization of real-time calculation of scales and outcomes with a graphical representation of the person’s profile and health status; d) automatic alerts, notifications and continuous monitoring of item completion; and e) provision of personalized care plans according to the data collected.

Well-designed digital health technologies can contribute to the safety of the potential users (e.g. healthcare professionals and stakeholders) and reduce psychological stress, including burnout and low morale, by avoiding overloading the workload of healthcare professionals. For example, by sharing the responsibility for carrying out the assessments between different professionals.

Type of evidence

Mauricio Molinari-Ulate (DISTINCT ESR7)

Systematic review


Molinari-Ulate, M., Mahmoudi Asl, A., Franco Martin, M., & van der Roest, H. (2022). Psychometric Characteristics of Comprehensive Geriatric Assessments (CGAs) for long-term care facilities and community care: A Systematic Review. Ageing Research Reviews, 81.

Molinari-Ulate M, Mahmoudi A, Parra-Vidales E, Muñoz-Sánchez J-L, Franco-Martín MA, van der Roest HG. Digital health technologies supporting the application of comprehensive geriatric assessments in long-term care settings or community care: A systematic review. DIGITAL HEALTH. 2023;9. (view PDF)

Useful links

Psychometric features of CGAs, access to publication: