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The effectiveness of virtual passport, an app-based intervention, for dementia care.

作者信息

Hong Qian-Xi, Wang Wen-Fu, Yang Yuan-Han, Tung Yu-Chun, Dai Hong-Jie, Hsu Wen-Chuin, Huang Ling-Chun, Jhang Kai-Ming

机构信息

Department of Neurology, Changhua Christian Hospital, Changhua, Taiwan.

Department of Neurology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan.

出版信息

Front Psychiatry. 2024 Sep 26;15:1457923. doi: 10.3389/fpsyt.2024.1457923. eCollection 2024.


DOI:10.3389/fpsyt.2024.1457923
PMID:39391088
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11464336/
Abstract

BACKGROUND AND OBJECTIVES: This study aimed to confirm the effectiveness of the virtual passport for dementia care. RESEARCH DESIGN AND METHODS: The virtual passport is an application (app) tool connecting healthcare professionals, dementia care sites, and people living with dementia (PLWD) and their family caregivers. This tool assists case managers in hospitals by providing individualized care plans and health education to PLWD and their caregivers. The dementia quality indicator achievement rates, care needs investigation and fulfillment, severity of behavioral and psychological symptoms of dementia (BPSD), and changes in caregiver burden and depression are measured at the initial interview and 6 and 12 months after the intervention. RESULTS: We enrolled 57 and 54 patients and their caregivers in the virtual passport and routine care groups, respectively. Compared to the control group, six quality indicators in the passport group showed significantly higher achievement at 6 months after using the virtual passport. Case managers addressed more care needs at 6 months (1.37 vs 0, p < 0.001) and 12 months (1.32 vs 0, p < 0.001). Improvement in severity of neuropsychiatric symptoms (neuropsychiatric inventory (NPI) irritability/lability difference: -0.58 vs 0.22, p = 0.044; NPI agitation/aggression difference =-0.78 vs 0.00, p = 0.042) were also observed. No obvious influence was found in caregiver burden and depression after using the virtual passport. DISCUSSION AND IMPLICATIONS: The virtual passport is an effective information technology tool in improving the quality of dementia care, assisting case management in identifying more care needs, and reducing the severity of BPSD.

摘要

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引用本文的文献

[1]
Perspectives and Experiences of Family Caregivers Using Supportive Mobile Apps in Dementia Care: Meta-Synthesis of Qualitative Research.

JMIR Mhealth Uhealth. 2025-6-18

[2]
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本文引用的文献

[1]
The Effectiveness of the Case Manager-Centered Collaborative Care Model with Computer-Assisted Assessment on Quality Indicators for the Care of Dementia.

Dement Geriatr Cogn Disord. 2024

[2]
Researched Apps Used in Dementia Care for People Living With Dementia and Their Informal Caregivers: Systematic Review on App Features, Security, and Usability.

J Med Internet Res. 2023-10-12

[3]
Technology caregiver intervention for Alzheimer's disease (I-CARE): Feasibility and preliminary efficacy of Brain CareNotes.

J Am Geriatr Soc. 2023-12

[4]
Usability of an app-based clinical decision support system to monitor psychotropic drug prescribing appropriateness in dementia.

Int J Med Inform. 2023-9

[5]
Case Management-based Collaborative Care Model Associated with improvement in neuropsychiatric outcomes in community-dwelling people living with dementia.

BMC Geriatr. 2023-5-31

[6]
Digital tools for delivery of dementia education for caregivers of persons with dementia: A systematic review and meta-analysis of impact on caregiver distress and depressive symptoms.

PLoS One. 2023

[7]
Technology-Based Counselling for People with Dementia and Their Informal Carers: A Systematic Review and Meta-Analysis.

J Alzheimers Dis. 2023

[8]
Care Need Combinations for Dementia Patients with Multiple Chronic Diseases.

Psychol Res Behav Manag. 2023-1-19

[9]
Catalyzing dementia care through the learning health system and consumer health information technology.

Alzheimers Dement. 2023-5

[10]
Applying Apriori algorithm to explore long-term care services usage status-Variables based on the combination of patients with dementia and their caregivers.

Front Psychol. 2022-12-13

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