The perceptions of cognitively impaired patients and their caregivers of a home telecare system
Identifieur interne : 000068 ( Main/Exploration ); précédent : 000067; suivant : 000069The perceptions of cognitively impaired patients and their caregivers of a home telecare system
Auteurs : Shima Mehrabian [Bulgarie] ; Jocelyne Extra [France] ; Ya-Huei Wu [France] ; Maribel Pino [France] ; Latchezar Traykov [Bulgarie] ; Anne-Sophie Rigaud [France]Source :
- Medical Devices (Auckland, N.Z.) [ 1179-1470 ] ; 2014.
Abstract
Assistive and telecare technologies have been developed to support older adults with cognitive impairments, as well as their caregivers, from their homes. The way potential users perceive telecare and smart home systems plays a key role in their acceptance of this new technology. We evaluate the acceptance of home telecare technologies among patients suffering from cognitive impairment and their caregivers. Prototypes of telecare devices were developed to demonstrate their features and capabilities and to train patients, families, and health care professionals in their use. We conducted semistructured interviews to elicit the perceptions of 30 patients with mild cognitive impairment, 32 patients with Alzheimer’s disease, and 30 caregivers, regarding the risks and advantages of home telecare and smart houses. Survey results reflected participants’ largely positive reactions to these technologies. Regarding home telecare, the cognitive stimulation program earned the highest proportion of positive responses, followed by the devices’ care of emergencies. The participants generally agreed that home telecare and smart houses could significantly improve their quality of life. However, some technical and ethical concerns, such as the way of provision, installation, and monitoring of the systems, were reported to be in need of addressing before implementation of this system.
Url:
DOI: 10.2147/MDER.S70520
PubMed: 25552909
PubMed Central: 4277238
Affiliations:
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last="Traykov">Latchezar Traykov</name><affiliation wicri:level="3"><nlm:aff id="af1-mder-8-021">Department of Neurology, University Hospital (UH) “Alexandrovska”, Sofia, Bulgaria</nlm:aff><country xml:lang="fr">Bulgarie</country><wicri:regionArea>Department of Neurology, University Hospital (UH) “Alexandrovska”, Sofia</wicri:regionArea><placeName><settlement type="city">Sofia</settlement><region nuts="2">Sofia-ville (oblast)</region></placeName></affiliation></author><author><name sortKey="Rigaud, Anne Sophie" sort="Rigaud, Anne Sophie" uniqKey="Rigaud A" first="Anne-Sophie" last="Rigaud">Anne-Sophie Rigaud</name><affiliation wicri:level="4"><nlm:aff id="af2-mder-8-021">Department of Gerontology, Hôpital Broca, Assitance Publique-Hôpitaux de Paris, EA 4468, Faculte de Médecine, Université Paris Descartes, Paris, France</nlm:aff><country xml:lang="fr">France</country><wicri:regionArea>Department of Gerontology, Hôpital Broca, Assitance Publique-Hôpitaux de Paris, EA 4468, Faculte de Médecine, Université Paris Descartes, Paris</wicri:regionArea><placeName><region type="region">Île-de-France</region><region type="old region">Île-de-France</region><settlement type="city">Paris</settlement></placeName><orgName type="university">Université Paris-Descartes</orgName></affiliation></author></analytic><series><title level="j">Medical Devices (Auckland, N.Z.)</title><idno type="eISSN">1179-1470</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Assistive and telecare technologies have been developed to support older adults with cognitive impairments, as well as their caregivers, from their homes. The way potential users perceive telecare and smart home systems plays a key role in their acceptance of this new technology. We evaluate the acceptance of home telecare technologies among patients suffering from cognitive impairment and their caregivers. Prototypes of telecare devices were developed to demonstrate their features and capabilities and to train patients, families, and health care professionals in their use. We conducted semistructured interviews to elicit the perceptions of 30 patients with mild cognitive impairment, 32 patients with Alzheimer’s disease, and 30 caregivers, regarding the risks and advantages of home telecare and smart houses. Survey results reflected participants’ largely positive reactions to these technologies. Regarding home telecare, the cognitive stimulation program earned the highest proportion of positive responses, followed by the devices’ care of emergencies. The participants generally agreed that home telecare and smart houses could significantly improve their quality of life. However, some technical and ethical concerns, such as the way of provision, installation, and monitoring of the systems, were reported to be in need of addressing before implementation of this system.</p></div></front><back><div1 type="bibliography"><listBibl><biblStruct></biblStruct><biblStruct><analytic><author><name sortKey="Eisdorfer, C" uniqKey="Eisdorfer C">C Eisdorfer</name></author><author><name sortKey="Czaja, Sj" uniqKey="Czaja S">SJ Czaja</name></author><author><name sortKey="Loewenstein, Da" uniqKey="Loewenstein D">DA Loewenstein</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Botsis, T" uniqKey="Botsis T">T Botsis</name></author><author><name sortKey="Hartvigsen, G" uniqKey="Hartvigsen G">G Hartvigsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Ludwig, W" uniqKey="Ludwig W">W Ludwig</name></author><author><name sortKey="Wolf, Kh" uniqKey="Wolf K">KH Wolf</name></author><author><name 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