Cargando…

A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA

Remote activity monitoring (RAM) technology has the potential to allow at-home caregivers to track the behaviors and activities of persons with dementia in real-time, thus facilitating more proactive symptom management. The aim of the present study was to assess whether RAM technology was associated...

Descripción completa

Detalles Bibliográficos
Autores principales: Gaugler, Joseph, Rosebush, Christina, Zmora, Rachel, Albers, Elizabeth
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770692/
http://dx.doi.org/10.1093/geroni/igac059.1163
_version_ 1784854660150984704
author Gaugler, Joseph
Rosebush, Christina
Zmora, Rachel
Albers, Elizabeth
author_facet Gaugler, Joseph
Rosebush, Christina
Zmora, Rachel
Albers, Elizabeth
author_sort Gaugler, Joseph
collection PubMed
description Remote activity monitoring (RAM) technology has the potential to allow at-home caregivers to track the behaviors and activities of persons with dementia in real-time, thus facilitating more proactive symptom management. The aim of the present study was to assess whether RAM technology was associated with reductions in negative health transitions and service utilization for persons with Alzheimer’s disease or related dementias (ADRD). An embedded experimental mixed methods design was used that included 179 caregivers who were followed over a 1.5 year study period. Participants were randomly assigned to receive the RAM technology system or usual care. Follow-up surveys were administered on a bi-annual basis over an 18-month period that collected information on dementia caregiver and care recipient characteristics and outcomes. We developed multilevel mixed effects models to estimate odds ratios for binary outcomes (falls, wandering, health care admissions) and categorical outcomes (frequency of falls and wandering). In adjusted models, RAM technology use was statistically and significantly associated with lower odds of emergency department visits (p<.05) and less frequent falls (p=.05) for people living with dementia over the 1.5 year study period. Technologies that prevent or delay the onset of negative health events via improved care management and monitoring may enhance the care of persons with dementia. As dementia continues to pose an array of challenges for someone living with ADRD, RAM or similar technologies may offer a solution to the conundrum of dementia care.
format Online
Article
Text
id pubmed-9770692
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Oxford University Press
record_format MEDLINE/PubMed
spelling pubmed-97706922022-12-22 A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA Gaugler, Joseph Rosebush, Christina Zmora, Rachel Albers, Elizabeth Innov Aging Abstracts Remote activity monitoring (RAM) technology has the potential to allow at-home caregivers to track the behaviors and activities of persons with dementia in real-time, thus facilitating more proactive symptom management. The aim of the present study was to assess whether RAM technology was associated with reductions in negative health transitions and service utilization for persons with Alzheimer’s disease or related dementias (ADRD). An embedded experimental mixed methods design was used that included 179 caregivers who were followed over a 1.5 year study period. Participants were randomly assigned to receive the RAM technology system or usual care. Follow-up surveys were administered on a bi-annual basis over an 18-month period that collected information on dementia caregiver and care recipient characteristics and outcomes. We developed multilevel mixed effects models to estimate odds ratios for binary outcomes (falls, wandering, health care admissions) and categorical outcomes (frequency of falls and wandering). In adjusted models, RAM technology use was statistically and significantly associated with lower odds of emergency department visits (p<.05) and less frequent falls (p=.05) for people living with dementia over the 1.5 year study period. Technologies that prevent or delay the onset of negative health events via improved care management and monitoring may enhance the care of persons with dementia. As dementia continues to pose an array of challenges for someone living with ADRD, RAM or similar technologies may offer a solution to the conundrum of dementia care. Oxford University Press 2022-12-20 /pmc/articles/PMC9770692/ http://dx.doi.org/10.1093/geroni/igac059.1163 Text en © The Author(s) 2022. Published by Oxford University Press on behalf of The Gerontological Society of America. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Abstracts
Gaugler, Joseph
Rosebush, Christina
Zmora, Rachel
Albers, Elizabeth
A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title_full A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title_fullStr A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title_full_unstemmed A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title_short A MIXED-METHODS, RANDOMIZED, CONTROLLED EVALUATION OF REMOTE ACTIVITY MONITORING FOR PERSONS LIVING WITH DEMENTIA
title_sort mixed-methods, randomized, controlled evaluation of remote activity monitoring for persons living with dementia
topic Abstracts
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9770692/
http://dx.doi.org/10.1093/geroni/igac059.1163
work_keys_str_mv AT gauglerjoseph amixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT rosebushchristina amixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT zmorarachel amixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT alberselizabeth amixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT gauglerjoseph mixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT rosebushchristina mixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT zmorarachel mixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia
AT alberselizabeth mixedmethodsrandomizedcontrolledevaluationofremoteactivitymonitoringforpersonslivingwithdementia