Digital prompting technology to support people

Transcript:Digital prompting technology to support people:
Digital prompting technology to support people with early dementia Hazel Boyd ( User Interface Engineer, Designability) Nina Evans ( Research Occupational Therapist, Designability) Jess Ridgers (Product Designer, Designability) Nigel Harris (Chief Executive, Designability) Richard Cheston (Professor of Mental Health Research, UWE ) Krist Noonan (Research and Development Operations Manager, AWP) Aron Jarvis (Research Psychologist, RICE) Tom Ingram ( Assistant Clinical Studies Officer, NIHR CRN) This research has been funded by the Dunhill Medical Trust Symptoms of dementia Short term memory loss Impaired communication Difficulty thinking and problem solving In a survey of 1,000 carers most (96%) reported problems with the management of activities of daily living (Georges et al 2008) Multi-step tasks become increasingly problematic ( Wherton and Monk 2010) Why prompt? A strategy routinely used by professionals and carers is to deconstruct tasks into steps which can be supported by prompts ( Small et al 2003, Wilson et al 2013) Paper or digital prompts? ELECTRONIC Shows text in bitesize steps Can combine audio and text Easy to illustrate with personalised photographs Timed Add alarms PAPER Familiar aide memoir Full instruction list on page Inexpensive Digital Prompter Research questions Can the training materials enable carers to choose and breakdown tasks into suitable steps and successfully load this task information onto a tablet computer? Can individuals with dementia understand and use the prompting technology to carry out tasks or activities in the home Mixed methods design (observational and experimental) Phase 1: supported home testing Training session Tablet and instruction manual 4 week home trial Goal setting Weekly telephone calls Semi structured recorded interviews pre and post intervention Phase 2: independent home testing “ Out of the box” experience Tablet and instruction manual 4 week home trial Goal setting Weekly telephone calls Semi structured recorded interviews pre and post intervention Sample Person diagnosed with mild Alzheimer's disease / vascular dementia/mixed dementia and primary carer 26 dyads (26 pre and 23 post intervention interviews) Majority spouses Majority living in same home 14 male / 12 female participants Majority of carers were female (6:20) Age range 67 to 94 (Average 80) Psychometric testing Addenbrooke’s Cognitive Examination-III(ACE III) (>50) Delis-Kaplan Executive Function System (D-KEFS) Trail Making Test California Verbal Learning Test-II(CVLT-II) Bristol Activities of Daily Living Scale (BADLS)(>5) Participants and carer’s use of technology (Phase 2 only) 2 out of 14 couples did not have a computer, laptop, tablet or smart phone 10 participants were