Best Practice Guidance
Human Interaction with Technology in Dementia

Recommendations

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

Take into account the level of cognitive impairment when implementing technologies

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Guidance

The level of cognitive impairment must be taken into account in the design of technology because people with severe dementia have different needs vs. mild dementia.

Explanation and Example

People with severe cognitive impairment will have more problems learning to use different and new devices. They need more explanation and a longer learning time, due to limited cognitive capacities. For example, the clinical experience with Gradior shows that people with moderate and severe dementia should have the therapist as a permanent guide. According to this, Gradior possibly would have to adopt new systems and tools to become effective in people with moderate and severe dementia, and in turn, allow a level of autonomy of the person with dementia who uses this technology. Indeed, the help of a therapist in the first steps of applying a technological-based therapy is strategic for implementing and accepting the approach.

Type of evidence

Angie Alejandra Diaz ESR 15

RCT Gradior Validation

References

Fumero Vargas, G., Franco Martin, M.A., Perea Bartolomé, M.V. (2009). Start-up and study of usability of a computer cognitive rehabilitation program “Gradior” in the treatment of neurocognitive deficits (Doctoral thesis), Department of basic psychology, psychobiology and methodology of behavioural sciences, Faculty of psychology, University of Salamanca, Spain.

Toribio Guzmán, J. M., Franco Martin, M.A., Perea Bartolomé, M.V. (2015). Long Lasting Memories, an integrated ICT platform against age-related cognitive decline: usability study. (Doctoral thesis), Department of basic psychology, psychobiology and methodology of behavioural sciences, Faculty of psychology, University of Salamanca, Spain.