دورية أكاديمية

Promotors and barriers to the implementation and adoption of assistive technology and telecare for people with dementia and their caregivers: a systematic review of the literature.

التفاصيل البيبلوغرافية
العنوان: Promotors and barriers to the implementation and adoption of assistive technology and telecare for people with dementia and their caregivers: a systematic review of the literature.
المؤلفون: Boyle LD; Department of Global Public Health and Primary Care, Centre for Elderly and Nursing Home Medicine, University of Bergen, Årstadveien 17, 5009, Bergen, Norway.; Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Årstadveien 17, 5009, Bergen, Norway.; Neuro-SysMed Center, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norge., Husebo BS; Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Årstadveien 17, 5009, Bergen, Norway.; Neuro-SysMed Center, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norge., Vislapuu M; Department of Global Public Health and Primary Care, Centre for International Health, University of Bergen, Årstadveien 17, 5009, Bergen, Norway. maarja.vislapuu@uib.no.; Neuro-SysMed Center, Department of Global Public Health and Primary Care, University of Bergen, Bergen, Norge. maarja.vislapuu@uib.no.
المصدر: BMC health services research [BMC Health Serv Res] 2022 Dec 23; Vol. 22 (1), pp. 1573. Date of Electronic Publication: 2022 Dec 23.
نوع المنشور: Systematic Review; Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101088677 Publication Model: Electronic Cited Medium: Internet ISSN: 1472-6963 (Electronic) Linking ISSN: 14726963 NLM ISO Abbreviation: BMC Health Serv Res Subsets: MEDLINE
أسماء مطبوعة: Original Publication: London : BioMed Central, [2001-
مواضيع طبية MeSH: Self-Help Devices* , Dementia*/therapy, Humans ; Caregivers ; Health Personnel ; Independent Living
مستخلص: Background: One of the most pressing issues in our society is the provision of proper care and treatment for the growing global health challenge of ageing. Assistive Technology and Telecare (ATT) is a key component in facilitation of safer, longer, and independent living for people with dementia (PwD) and has the potential to extend valuable care and support for caregivers globally. The objective of this study was to identify promotors and barriers to implementation and adoption of ATT for PwD and their informal (family and friends) and formal (healthcare professionals) caregivers.
Methods: Five databases Medline (Ovid), CINAHL, Web of Science, APA PsycINFO and EMBASE were searched. PRISMA guidelines have been used to guide all processes and results. Retrieved studies were qualitative, mixed-method and quantitative, screened using Rayyan and overall quality assessed using Critical Appraisal Skills Programme (CASP) and Mixed Methods Assessment Tool (MMAT). Certainty of evidence was assessed using Grading of Recommendations Assessment, Development and Evaluation (GRADE) criteria and assigned within categories of high, moderate, or low. NVivo was used for synthesis and analysis of article content. A narrative synthesis combines the study findings.
Results: Thirty studies (7 quantitative, 19 qualitative and 4 mixed methods) met the inclusion criteria. Identified primary promotors for the implementation and adoption of ATT were: personalized training and co-designed solutions, safety for the PwD, involvement of all relevant stakeholders, ease of use and support, and cultural relevance. Main barriers for the implementation and adoption of ATT included: unintended adverse consequences, timing and disease progress, technology anxiety, system failures, digital divide, and lack of access to or knowledge of available ATT.
Conclusion: The most crucial elements for the adoption of ATT in the future will be a focus on co-design, improved involvement of relevant stakeholders, and the adaptability (tailoring related to context) of ATT solutions over time (disease process).
(© 2022. The Author(s).)
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فهرسة مساهمة: Keywords: Assistive technology; Barriers; Caregivers; Dementia; Implementation; Promotors; Telecare
تواريخ الأحداث: Date Created: 20221222 Date Completed: 20221226 Latest Revision: 20221226
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC9780101
DOI: 10.1186/s12913-022-08968-2
PMID: 36550456
قاعدة البيانات: MEDLINE
الوصف
تدمد:1472-6963
DOI:10.1186/s12913-022-08968-2