Your browser doesn't support javascript.
loading
Effects of technology-assisted interventions for people with dementia: A systematic review and meta-analysis.
Saragih, Ita Daryanti; Wei, Chun-Wang; Batubara, Sakti Oktaria; Saragih, Ice Septriani; Lee, Bih-O.
Afiliación
  • Saragih ID; College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Wei CW; Department of Health Care Administration and Medical Informatics, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Batubara SO; College of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan.
  • Saragih IS; Faculty of Health, Universitas Citra Bangsa, Kupang, Indonesia.
  • Lee BO; Department of Medical Surgical Nursing, STIkes Santa Elisabeth Medan, Medan, Indonesia.
J Nurs Scholarsh ; 55(1): 291-303, 2023 01.
Article en En | MEDLINE | ID: mdl-36056586
PURPOSE: The use of technology-assisted interventions in dementia care contributes to increased communication, reduced burden on the caregivers, improved health outcomes, and improved expense management. Technology-assisted interventions can be provided remotely to monitor, improve, and enable home care, benefiting the health of both patients and caregivers. Despite increasing use, the effectiveness of technology-assisted interventions for dementia care remains uncertain, with studies reporting inconclusive findings subject to interpretation. Therefore, the current study investigated the available evidence to explore the efficacy of technology-assisted interventions for people with dementia. DESIGN: Systematic review and meta-analysis. METHODS: The study was preregistered with the PROSPERO international prospective register of systematic reviews using a Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA)-guided protocol. The primary search was conducted in eight databases from database inception to January 29, 2022. Using a random-effects model, the standardized mean differences (SMDs) with 95% confidence intervals (CIs) were synthesized to obtain pooled effect sizes (using Stata 16.0). The updated Cochrane Risk of Bias 2 tool (RoB-2) was used to evaluate the methodological quality of the studies. FINDINGS: A pooled analysis of 12 trials, including 584 people with dementia, showed more improvement associated with technology-assisted interventions compared with standard care, including in the domains of cognitive function (SMD = 0.39; 95% CI: 0.14 to 0.64; p < 0.001) and depression (SMD = -0.75; 95% CI: -1.33 to -0.17; p = 0.01). However, no significant effects were observed for activities of daily living (ADL) or quality of life. CONCLUSION: Technology-assisted interventions appear to improve cognitive function and reduce depression in people with dementia compared with standard care. CLINICAL RELEVANCE: This study may be used to demonstrate that interventions incorporating many modalities or technologies can be used to enhance dementia care, which may improve favorable outcomes when using technology-assisted interventions to remotely initiate appropriate activities for people with dementia. Because technology allows for simultaneous communication and access to shared multimedia, it removes environmental constraints and allows treatment to be administered remotely.
Asunto(s)
Palabras clave

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia Tipo de estudio: Guideline / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Límite: Humans Idioma: En Revista: J Nurs Scholarsh Asunto de la revista: ENFERMAGEM Año: 2023 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Demencia Tipo de estudio: Guideline / Prognostic_studies / Systematic_reviews Aspecto: Patient_preference Límite: Humans Idioma: En Revista: J Nurs Scholarsh Asunto de la revista: ENFERMAGEM Año: 2023 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Estados Unidos