Institute of Mental Health, 6123University of Nottingham, Nottingham, UK.
64732Atma Jaya Catholic University of Indonesia and Alzheimer Indonesia, Jakarta, Indonesia.
Dementia (London). 2021 Nov;20(8):2820-2837. doi: 10.1177/14713012211018003. Epub 2021 May 15.
BACKGROUND: Cognitive stimulation therapy (CST) is a psychosocial intervention for people with dementia and can benefit cognition and quality of life. A touch-screen individualised CST (iCST) application has been developed to improve on accessibility and provide increased interactivity. This study aimed to explore the attitudes of people with dementia, carers and healthcare professionals in Indonesia towards the iCST application and related technology. METHODS: Four focus groups were organised: one comprising family carers ( = 3), two comprising people with dementia and family carers ( = 12) and one made up of family carers and home care workers ( = 3). Participants discussed the uses of technology, tried out the iCST application and completed a usability and acceptability questionnaire. Furthermore, 21 healthcare professionals attended an expert meeting to discuss the potential of implementing the iCST application in the community. RESULTS: Attitudes towards technology were positive but lack of experience, difficulties with operating devices and a limited infrastructure to support technology were described as barriers. The iCST application was seen as an interesting tool to support mental stimulation. Compared with people with dementia, carers were more willing to use the application and rated its usability higher. Healthcare professionals were positive about the interactive features of the application and judged that it could be useful within the family context. DISCUSSION: Low-cost and low-infrastructure technology like iCST can meet the needs for stimulation of people with dementia in Indonesia and other countries. By understanding the attitudes of people with dementia and carers towards IT and their willingness to adopt technology like the iCST application, we are better placed to overcome potential obstacles to its implementation. It appears that systemic changes are needed to facilitate wider use of IT particularly in dementia care. These include needs to empower end users, strengthen access and connectivity to technology, and improve diagnostic support.
背景：认知刺激疗法（CST）是一种针对痴呆症患者的心理社会干预措施，可以改善认知和生活质量。已经开发出一种触摸屏个体化认知刺激疗法（iCST）应用程序，以提高可及性并提供更高的交互性。本研究旨在探讨印度尼西亚痴呆症患者、照顾者和医疗保健专业人员对 iCST 应用程序和相关技术的态度。
方法：组织了四个焦点小组：一个由家庭照顾者组成（= 3），两个由痴呆症患者和家庭照顾者组成（= 12），一个由家庭照顾者和家庭护理人员组成（= 3）。参与者讨论了技术的用途，试用了 iCST 应用程序，并完成了可用性和可接受性问卷。此外，21 名医疗保健专业人员参加了专家会议，讨论在社区中实施 iCST 应用程序的潜力。
结果：对技术的态度是积极的，但缺乏经验、操作设备的困难以及支持技术的基础设施有限被描述为障碍。iCST 应用程序被视为支持心理刺激的有趣工具。与痴呆症患者相比，照顾者更愿意使用该应用程序，并对其可用性评价更高。医疗保健专业人员对该应用程序的交互功能持积极态度，并判断它在家庭环境中可能有用。
讨论：像 iCST 这样的低成本、低基础设施技术可以满足印度尼西亚和其他国家对痴呆症患者刺激的需求。通过了解痴呆症患者和照顾者对 IT 的态度以及他们采用 iCST 应用程序等技术的意愿，我们更有能力克服其实施的潜在障碍。似乎需要进行系统变革，以促进 IT 在痴呆症护理中的更广泛应用。这包括需要赋予最终用户权力、加强对技术的访问和连接，并改善诊断支持。
Int J Geriatr Psychiatry. 2017-2-20
BMC Health Serv Res. 2016-7-8
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