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Olsson, A., Skovdahl, K. & Engström, M. (2016). Using diffusion of innovation theory to describe perceptions of a passive positioning alarm among persons with mild dementia: a repeated interview study. BMC Geriatrics, 16, Article ID 3.
Open this publication in new window or tab >>Using diffusion of innovation theory to describe perceptions of a passive positioning alarm among persons with mild dementia: a repeated interview study
2016 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 16, article id 3Article in journal (Refereed) Published
Abstract [en]

Background

Problems with memory and decline in cognitive abilities are common during development of dementia. Different kinds of technologies may be useful in supporting persons with dementia and their relatives in daily life. Tracking technologies have the potential to improve independence among persons with dementia. Consequently, the aim of the present study was to describe perceptions of a passive positioning alarm (PPA) among persons with mild dementia.

Methods

A repeated interview study was conducted in Sweden with a strategic sample of 11 persons with mild dementia. Roger’s Diffusion of Innovation Theory was used to deductively analyse the data.

Results

Regarding the advantages of the PPA, participants described perceived safety and security for, both themselves, and their relatives, as well as freedom and independence. However, they also expressed concern about the cost of the PPA, reflected on who might be the receiver of the alarm from the PPA, emphasized the importance of opportunities to test the device before becoming a user and early introduction before their problems start, thus allowing them to decide for themselves.

Conclusions

Supporting persons with dementia in their own homes using, e.g., a PPA may enable them and their relatives to remain longer in their own homes and be safer in their own neighbourhoods.

Keywords
Dementia, GPS, Outdoors, Promoting health, Qualitative research, Tracking technology
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-20966 (URN)10.1186/s12877-016-0183-8 (DOI)000367840800001 ()26745961 (PubMedID)2-s2.0-84954174556 (Scopus ID)
Projects
PmD ICT
Funder
Knowledge Foundation
Available from: 2016-01-07 Created: 2016-01-07 Last updated: 2018-03-13Bibliographically approved
Olsson, A., Engström, M., Åsenlöf, P., Skovdahl, K. & Lampic, C. (2015). Effects of Tracking Technology on Daily Life of Persons With Dementia: Three Experimental Single-Case Studies. American Journal of Alzheimer’s Disease and Other Dementia, 30(1), 29-40
Open this publication in new window or tab >>Effects of Tracking Technology on Daily Life of Persons With Dementia: Three Experimental Single-Case Studies
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2015 (English)In: American Journal of Alzheimer’s Disease and Other Dementia, ISSN 1533-3175, E-ISSN 1938-2731, Vol. 30, no 1, p. 29-40Article in journal (Refereed) Published
Abstract [en]

Objectives: To investigate the effects of using tracking technology on independent outdoor activities and psychological well-being in 3 persons with dementia (PwDs) and their spouses.

Methods: Three experimental single-case studies with an A1B1A2B2 design. The intervention entailed access to a passive positioning alarm and technical support. Continual daily measures of independent outdoor activities among PwDs’ and spouses’ worries about these activities were made during all phases.

Results: Access to a tracking technology consistently increased the independent outdoor activities of 2 PwDs. One of the spouses consistently reported decreased worry during B phases, another’s worry decreased only in B2, and the third showed little variability in worrying across all phases.

Conclusion: Tracking technology may support PwDs to engage in independent outdoor activities and decrease spouses’ worries; however, randomized controlled group studies are needed to investigate whether these results can be replicated on a group level.

Keywords
Alzheimer's; dementia, experimental single-case study, information and communication technology, outdoors, tracking technology
National Category
Gerontology, specialising in Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-16898 (URN)10.1177/1533317514531441 (DOI)000349294400004 ()24771764 (PubMedID)2-s2.0-84922645603 (Scopus ID)
Projects
Electronic tracking system in dementia care (PmD ICT)
Funder
Multidisciplinary research focused on Parkinson’s disease - MultiPark
Available from: 2014-06-13 Created: 2014-06-13 Last updated: 2018-03-13Bibliographically approved
Olsson, A., Engström, M., Lampic, C. & Skovdahl, K. (2013). A passive positioning alarm used by persons with dementia and their spouses: a qualitative intervention study. BMC Geriatrics, 13(11), 1-9
Open this publication in new window or tab >>A passive positioning alarm used by persons with dementia and their spouses: a qualitative intervention study
2013 (English)In: BMC Geriatrics, ISSN 1471-2318, E-ISSN 1471-2318, Vol. 13, no 11, p. 1-9Article in journal (Refereed) Published
National Category
Medical and Health Sciences
Identifiers
urn:nbn:se:hig:diva-14038 (URN)10.1186/1471-2318-13-11 (DOI)000317416300001 ()2-s2.0-84873243490 (Scopus ID)
Projects
Electronic tracking system in dementia care (PmD ICT)
Available from: 2013-04-17 Created: 2013-04-04 Last updated: 2018-03-13Bibliographically approved
Olsson, A. (2013). Daily life of persons with dementia and their spouses supported by a passive positioning alarm. (Doctoral dissertation). Örebro: Örebro universitet
Open this publication in new window or tab >>Daily life of persons with dementia and their spouses supported by a passive positioning alarm
2013 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The overall aim was to describe how persons with dementia (PwDs) reflecton being outdoors and to investigate the support provided by a passivepositioning alarm (PPA) in making daily life safer for PwDs and theirspouses.

Repeated conversations were held with 11 PwDs living in their own homesregarding their reflections on being outdoors (Study I). Interview study with14 spouses to a person with dementia (PwD) with their reflections on differentkinds of information and communication technology (ICT) devicesthat were used or can be used in the daily care of PwDs (Study II). An ethnographicapproach with participant observations and conversations withfive couples, a PwD and his/her spouse, describing and exploring their useand experiences of using a PPA, over time, in daily life (Study III). An experimentalsingle-case ABAB-design with three cases, a PwD and hisspouse, investigating the effects of using tracking technology on independentoutdoor activities and psychological well-being (Study IV).

In summary, the results of the thesis show that being outdoors was describedby the PwDs as a confirmation of their identity, the `Self´. The useof ICT in daily care of PwDs was described by the spouses as shifting betweentheir own needs for safety and security and the perceived need forsafety and security from the perspective of the PwD. The use of a PPA indaily life among PwDs living in their own homes can give a sense of freedom,support and strengthen the feeling of independence for both PwDsand their spouses as well as give a feeling of safety and security for themboth. Use of the PPA may also increase PwDs’ independent outdoor activitiesand decrease spouses’ worries.

Place, publisher, year, edition, pages
Örebro: Örebro universitet, 2013. p. 81
Series
Örebro Studies in Caring Sciences, ISSN 1652-1153 ; 44
Keywords
Information and communication technology (ICT), person with dementia (PwD), spouses, outdoor activities, experimental single-case, interviews, participant observation, qualitative research, passive positioning alarm (PPA)
National Category
Medical and Health Sciences Nursing
Identifiers
urn:nbn:se:hig:diva-15218 (URN)978-91-7668-925-7 (ISBN)
Public defence
2013-05-22, Hörsal P2, Örebro Universitet, 701 82, Örebro, 08:14 (Swedish)
Opponent
Supervisors
Projects
Electronic tracking system in dementia care (PmD ICT)
Note

Medicine doktor

Available from: 2013-10-03 Created: 2013-09-13 Last updated: 2018-03-13Bibliographically approved
Olsson, A., Lampic, C., Skovdahl, K. & Engström, M. (2013). Persons with early-stage dementia reflect on being outdoors: a repeated interview study. Aging & Mental Health, 17(7), 793-800
Open this publication in new window or tab >>Persons with early-stage dementia reflect on being outdoors: a repeated interview study
2013 (English)In: Aging & Mental Health, ISSN 1360-7863, E-ISSN 1364-6915, Vol. 17, no 7, p. 793-800Article in journal (Refereed) Published
Abstract [en]

Objectives:The aim of this study was to describe how persons with early-stage dementia reflect on being outdoors.

Method: Data were collected through repeated interviews with a purposive sample of 11 persons with early-stage dementia in Sweden during the period 2009–2010 and were analysed using qualitative content analysis.

Results: Informants described being outdoors as a confirmation of the self. Confirmation of their ability to maintain desired activities, despite the dementia disease, was important to the informants. However, some confirmations were not positive; the realisation that one could no longer perform certain activities could be devastating. Two sub-themes emerged: shifting between ‘still being part of it all’ and a sense of grief and loss and striving to keep on despite perceived barriers. Past, but no longer possible, outdoor activities were greatly missed and the informants longed to be able to perform these activities once again. To resolve possible difficulties associated with being outdoors, the informants used various adaptation strategies. Despite the described barriers, being outdoors was of great value to them.

Conclusion: Independent outdoor activities seem to contribute to the well-being and feelings of self-worth among persons with early-stage dementia who want to be and are able to be outdoors. If a person with dementia, despite cognitive limitations, wants and is able to engage in outdoor activities, it is important for relatives and health-care staff to encourage and facilitate this, for example, by discussing adaptation strategies to deal with orientation problems.

Keywords
activities, early-stage dementia, nursing, outdoors, social construction theory
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-15142 (URN)10.1080/13607863.2013.801065 (DOI)000323476600003 ()23701394 (PubMedID)2-s2.0-84883657556 (Scopus ID)
Projects
Electronic tracking system in dementia care (PmD ICT)
Available from: 2013-09-06 Created: 2013-09-06 Last updated: 2018-03-13Bibliographically approved
Olsson, A. (2013). Persons with early-stage dementia reflect on being outdoors: a repeated interview study. In: : . Paper presented at The First International Congress on Whole Person Care, Montréal, Québec, Canada, October 17-20, 2013.
Open this publication in new window or tab >>Persons with early-stage dementia reflect on being outdoors: a repeated interview study
2013 (English)Conference paper, Poster (with or without abstract) (Refereed)
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-15688 (URN)
Conference
The First International Congress on Whole Person Care, Montréal, Québec, Canada, October 17-20, 2013
Available from: 2013-11-05 Created: 2013-11-05 Last updated: 2018-03-13Bibliographically approved
Olsson, A., Engström, M., Skovdahl, K. & Lampic, C. (2012). My, your and our needs for safety and security: relatives’ reflections on using information and communication technology in dementia care. Scandinavian Journal of Caring Sciences, 26(1), 104-112
Open this publication in new window or tab >>My, your and our needs for safety and security: relatives’ reflections on using information and communication technology in dementia care
2012 (English)In: Scandinavian Journal of Caring Sciences, ISSN 0283-9318, E-ISSN 1471-6712, Vol. 26, no 1, p. 104-112Article in journal (Refereed) Published
Keywords
burden, dementia, information and communication technology, nursing, relatives, qualitative content analysis
National Category
Nursing
Identifiers
urn:nbn:se:hig:diva-9992 (URN)10.1111/j.1471-6712.2011.00916.x (DOI)000300567200014 ()21843198 (PubMedID)2-s2.0-84857043019 (Scopus ID)
Projects
PmD ICT
Available from: 2011-09-01 Created: 2011-09-01 Last updated: 2018-03-13Bibliographically approved
Organisations
Identifiers
ORCID iD: ORCID iD iconorcid.org/0000-0002-6381-1922

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