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A systematic review of digital access to post-diagnostic health and social care services for dementia.
Watson, James; Hanna, Kerry; Talbot, Catherine; Hansen, Marcus; Cannon, Jacqueline; Caprioli, Thais; Gabbay, Mark; Komuravelli, Aravind; Eley, Ruth; Tetlow, Hilary; Giebel, Clarissa.
Affiliation
  • Watson J; Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
  • Hanna K; School of Health Sciences, University of Liverpool, Liverpool, UK.
  • Talbot C; Ageing and Dementia Research Centre, Bournemouth University, Bournemouth, UK.
  • Hansen M; Faculty of Business and Law, Liverpool John Moores University, Liverpool, UK.
  • Cannon J; The Lewy Body Society, Wigan, UK.
  • Caprioli T; Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
  • Gabbay M; NIHR Applied Research Collaboration North West Coast, Liverpool, UK.
  • Komuravelli A; Department of Primary Care & Mental Health, University of Liverpool, Liverpool, UK.
  • Eley R; NIHR Applied Research Collaboration North West Coast, Liverpool, UK.
  • Tetlow H; Mersey Care NHS Foundation Trust, National Health Service, Liverpool, UK.
  • Giebel C; Together in Dementia Everyday (TIDE), Liverpool, UK.
Int J Geriatr Psychiatry ; 39(7): e6119, 2024 Jul.
Article in En | MEDLINE | ID: mdl-39004777
ABSTRACT

OBJECTIVES:

For many people with dementia and unpaid carers, using technology for care and support has become essential. Rapid proliferation of technology highlights the need to understand digital access to health and social care services for dementia. This mixed-methods systematic review aims to explore digital access to health and social care services for dementia, from the perspective of people with dementia and unpaid carers.

METHODS:

Nine electronic databases were searched in May 2023 for qualitative, quantitative, or mixed-method studies, published in English or German, focused on experiences of using technology-delivered health and social care services for people with dementia and unpaid carers. After removal of duplicates and screening, 44 empirical papers were included.

RESULTS:

From the 44 studies, findings were grouped into five categories, highlighting experiences for people with dementia and unpaid carers (1) Adapting to technology, (2) Inequalities and variations in outcomes, (3) Impact on caring, (4) Impact on health, and (5) Impact on relationships. Proliferation of technology in care access emphasised the need for quick adaptation to technology and examination of its impact. The impact of such service delivery has evidenced mixed findings. There were improvements in the health and wellbeing of people with dementia and unpaid carers, and benefits for their dyadic relationship. However, using technology for health and social care access is not always possible and is often reliant on unpaid carers for support. Lower tech-literacy, lack of equipment or money to buy equipment and poor internet connection can impact the potential for positive outcomes.

CONCLUSIONS:

Technology can bring great benefits social inclusion, improved service access and care. However, using technology in service delivery in dementia needs careful thought. Professionals and service providers need to be cognizant of the complex nature of dementia, and the benefits and challenges of hybrid service delivery.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Caregivers / Dementia / Health Services Accessibility Limits: Humans Language: En Journal: Int J Geriatr Psychiatry Journal subject: GERIATRIA / PSIQUIATRIA Year: 2024 Document type: Article Affiliation country: Reino Unido

Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Caregivers / Dementia / Health Services Accessibility Limits: Humans Language: En Journal: Int J Geriatr Psychiatry Journal subject: GERIATRIA / PSIQUIATRIA Year: 2024 Document type: Article Affiliation country: Reino Unido