Assessment of need and practice for assistive technology and telecare for people with dementia – the ATTILA (Assistive Technology and Telecare to maintain Independent Living at Home for people with dementia) Trial

Forsyth, Kirsty, Henderson, Catherine, Davis, Lucy, Bradley, Rosie, Singh Roy, Anusua, Dunk, Barbara, Curnow, Eleanor, Gathercole, Rebecca, Harper, Emma, Lam, Natalie, Leroi, Iracema, Woolham, John, Fox, Chris, O’Brien, John, Bateman, Andrew, Poland, Fiona, Bentham, Peter, Burns, Alistair, Davis, Anna, Gray, Richard, Knapp, Martin, Newman, Stanton, McShane, Rupert, Ritchie, Craig, Scutt, Bethany, Lavelle, Grace, Winson, Rachel, Nunn, Samantha, Ordonez, Victoria, Talbot, Emma, Hooper, Emma and Howard, Robert (2019) Assessment of need and practice for assistive technology and telecare for people with dementia – the ATTILA (Assistive Technology and Telecare to maintain Independent Living at Home for people with dementia) Trial. Alzheimer's & Dementia: Translational Research & Clinical Interventions, 5. pp. 420-430. ISSN 2352-8737

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Abstract

INTRODUCTION: To define current assistive technology and telecare (ATT) practice for people with dementia living at home. METHODS: Randomised controlled trial (N=495) of ATT assessment and ATT installation intervention, compared to control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT; established an ATT assessment standard. RESULTS: ATT was delivered by public and not-for-profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%) and problem solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; p<0.000), with ATT recommendations and installations moderately correlated (τ=-0.470; p<0.000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations. DISCUSSION: Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.

Item Type: Article
Uncontrolled Keywords: dementia,assistive technology
Faculty \ School: Faculty of Medicine and Health Sciences > Norwich Medical School
Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 09 Sep 2019 12:30
Last Modified: 10 Jun 2020 00:20
URI: https://ueaeprints.uea.ac.uk/id/eprint/72120
DOI: 10.1016/j.trci.2019.07.010

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