Löbe Clara, AboJabel Hanan
Department of Medical Ethics and History of Medicine, University Medical Center Göttingen, Germany.
Arch Gerontol Geriatr. 2022 Jul-Aug;101:104699. doi: 10.1016/j.archger.2022.104699. Epub 2022 Mar 29.
Over the past decade, the idea has been promoted that intelligent assistive technology (IAT) can empower people with dementia. As a new area of inquiry, however, the concept of empowerment and the impact of IAT in this context are still unclear. Therefore, we conducted a scoping review to examine the conceptualizing and measuring of empowerment, as well as to understand the impact of IAT on empowering people with dementia in the existing studies.
A scoping review was performed in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, using the following databases: Pubmed, Cochrane Library, Web of Science, and Science Direct. In addition, a manual search was also conducted in Google Scholar to identify further articles.
A total of 28 articles examining the empowerment of people with dementia via IAT met the inclusion criteria. Most had a cross-sectional (43%) or interventional/experimental design (39%). A little more than half (54%) were qualitative studies. We observed inconsistencies in the conceptualization and measurement of the concept of empowerment in the included studies; as such, the exact role of IAT in this context remains somewhat unclear. However, most of the studies suggest that IAT can empower people with mild/moderate dementia by enhancing their capacity to live more independently with privacy for a longer period of time.
Future research should focus on developing a clear definition of the concept of empowerment, as well as developing a reliable and valid tool for measuring it.
在过去十年中，智能辅助技术（IAT）能够增强痴呆症患者能力的观点得到了推广。然而，作为一个新的研究领域，赋权的概念以及IAT在这方面的影响仍不明确。因此，我们进行了一项范围综述，以研究赋权的概念化和衡量方法，并了解在现有研究中IAT对增强痴呆症患者能力的影响。
根据系统评价和荟萃分析的首选报告项目（PRISMA）指南进行范围综述，使用以下数据库：PubMed、Cochrane图书馆、科学网和科学Direct。此外，还在谷歌学术上进行了手动搜索，以识别更多文章。
共有28篇研究通过IAT增强痴呆症患者能力的文章符合纳入标准。大多数研究采用横断面设计（43%）或干预/实验设计（39%）。略超过一半（54%）的研究为定性研究。我们观察到纳入研究中赋权概念的概念化和衡量存在不一致；因此，IAT在这方面的确切作用仍然有些不明确。然而，大多数研究表明，IAT可以通过提高轻度/中度痴呆症患者在更长时间内更独立且私密地生活的能力，来增强他们的能力。
未来的研究应专注于为赋权概念制定明确的定义，并开发一种可靠且有效的衡量工具。
