Choukou Mohamed-Amine, Olatoye Funminiyi, Urbanowski Reg, Caon Maurizio, Monnin Caroline
Department of Occupational Therapy, College of Rehabilitation Sciences, Rady Faculty of Health Sciences, University of Manitoba, Winnipeg, MB, Canada.
Centre on Aging, University of Manitoba, Winnipeg, MB, Canada.
JMIR Ment Health. 2023 Jan 11;10:e40330. doi: 10.2196/40330.
Digital health technology is a promising way of supporting health care providers and family caregivers as they care for patients with cognitive impairment.
This scoping review aimed to portray the use of digital health technology to assist health care providers and family caregivers in caring for patients with cognitive impairment who live in the community or in a facility.
We conducted a scoping review of peer-reviewed scientific articles available in MEDLINE, PsycINFO, Scopus, and CINAHL with Full Text, as well as gray literature available in preprint servers, theses depositories, and various national and international dementia organizations' websites. The search yielded 975 articles, of which we included 7 (0.7%) in the review.
Of the 7 interventions included in the retrieved manuscripts, 2 (29%) were digital calendar reminder systems to support activities of daily living and medication management; 2 (29%) were apps on tablet devices to simulate the presence of family before therapy interventions; 1 (14%) was a social robot used in therapeutic sessions to include elements of musicotherapy, reminiscence, cognitive games, and relaxation; 1 (14%) was a commercially available computer system that provides access to various recreational leisure activities; and 1 (14%) was a web-based self-management support system that helps family caregivers to deal with behavior changes in a relative with dementia. Of the 7 articles, only 1 (14%) reported on the use of a behavior change theory, namely a comprehensive process model of engagement coupled with cognitive stimulation therapy.
Literature on the topic is scarce, recent, and heterogeneous. There is a clear need for a theoretical framework to conceptualize and govern the use of behavior change models that incorporate technology for patients with cognitive impairment.
数字健康技术是一种很有前景的方式，可在医疗保健提供者和家庭护理人员照顾认知障碍患者时提供支持。
本范围综述旨在描述数字健康技术在协助医疗保健提供者和家庭护理人员照顾社区或机构中生活的认知障碍患者方面的应用。
我们对MEDLINE、PsycINFO、Scopus和CINAHL全文数据库中同行评审的科学文章以及预印本服务器、论文库和各种国家及国际痴呆症组织网站上的灰色文献进行了范围综述。检索到975篇文章，其中我们纳入了7篇（0.7%）进行综述。
在所检索到的手稿中纳入的7项干预措施中，2项（29%）是支持日常生活活动和药物管理的数字日历提醒系统；2项（29%）是平板电脑设备上的应用程序，用于在治疗干预前模拟家人在场；1项（14%）是治疗过程中使用的社交机器人，包含音乐疗法、回忆疗法、认知游戏和放松等元素；1项（14%）是可提供各种娱乐休闲活动的商用计算机系统；1项（14%）是基于网络的自我管理支持系统，可帮助家庭护理人员应对患有痴呆症亲属的行为变化。在这7篇文章中，只有1篇（14%）报告了行为改变理论的应用，即参与的综合过程模型与认知刺激疗法相结合。
关于该主题的文献稀缺、最新且具有异质性。显然需要一个理论框架来概念化和管理将技术纳入认知障碍患者行为改变模型的应用。
