4.5 Article

The experience of using prompting technology from the perspective of people with Dementia and their primary carers

Journal

AGING & MENTAL HEALTH
Volume 25, Issue 8, Pages 1433-1441

Publisher

ROUTLEDGE JOURNALS, TAYLOR & FRANCIS LTD
DOI: 10.1080/13607863.2020.1745145

Keywords

Alzheimer 's disease; Dementia; reminder systems; activities of daily living; technology

Funding

  1. Dunhill Medical Trust [R399/0215]

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The study used semi-structured interviews to identify three main themes related to the use of digital technology prompters by individuals with dementia and their carers: their attitudes, judgements of usefulness, and emotional impact. Participants' decisions to use the prompter were influenced by their attitudes towards technology, perceived usefulness, and impact on self-identity.
Objectives:People who are living with dementia typically experience difficulties in completing multi-step, everyday tasks. However, digital technology such as touchscreen tablets provide a means of delivering concise personalised prompts that combine audio, text and pictures. This study was one component of a broader, mixed methods study that tested how an application (app) -based prompter running on a touchscreen tablet computer could support everyday activities in individuals with mild to moderate dementia. In this study we set out to understand the experiences of people living with dementia and their primary carer in using the prompter over a four-week period. Method:We collected qualitative data using semi-structured interviews from 26 dyads, composed of a person living with dementia and their carer. Dyads were interviewed at the start and end of this period. Transcripts were then analysed using thematic analysis. Results:The study identified three overarching themes related to: participants' attitudes towards the technology; their judgements about how useful the prompter would be; and the emotional impact of using it. Conclusion:Consistent with the Technology Acceptance Model, carers and participants were influenced by their approaches to technology and determined the usefulness of the prompter according to whether it worked for them and fitted into their routines. In addition, participants' decisions about using the prompter were also determined by the extent to which doing so would impact on their self-identity.

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