Ditton Annabel, Alodan Hissah, Fox Christopher, Evans Shirley, Cross Jane
University of Exeter, UK.
University of East Anglia, UK.
Dementia (London). 2025 Apr;24(3):506-551. doi: 10.1177/14713012241302371. Epub 2024 Nov 27.
As dementia care evolves, digital interventions are being developed to improve the quality of life of people living with dementia. It is also increasingly recognised that some people living with dementia can use and benefit from using digital interventions themselves. Therefore, exploring the effectiveness and experiences of using such interventions is essential to optimise digital intervention development and delivery. 5 databases were searched (MEDLINE (Ovid), PsycINFO, EMBASE, CINAHL and Web of Science) for papers reporting effectiveness outcomes or experiences, involving people living with dementia or mild cognitive impairment engaging with digital interventions for improving their quality of life. 73 relevant papers published between 2018-2023 were identified, 59 included effectiveness data and 18 included data on experiences. The integration of evidence identified that people living with dementia can benefit from engaging in digital interventions, if they are motivated, and provided with tailored training, support, appropriate devices and content. Benefits were seen within the domains of cognition, health and well-being and social relationships. Benefits were more frequent when digital interventions were provided in the home environment with specified daily/weekly usage requirements. This review provides an overview of the current state of research exploring engagement of digital interventions by people with dementia for improving their quality of life. The findings provide guidance on how to optimise the method of delivery. Future research should explore how digital interventions can improve social relationships and self-concept of people living with dementia, the long-term sustainability of digital interventions, and how individuals with dementia form attitudes towards technology.
随着痴呆症护理的发展，数字干预措施正在不断开发，以提高痴呆症患者的生活质量。人们也越来越认识到，一些痴呆症患者自己能够使用数字干预措施并从中受益。因此，探索使用此类干预措施的有效性和体验对于优化数字干预措施的开发和实施至关重要。我们检索了5个数据库（MEDLINE（Ovid）、PsycINFO、EMBASE、CINAHL和Web of Science），以查找报告有效性结果或体验的论文，这些论文涉及痴呆症患者或轻度认知障碍患者参与数字干预以改善其生活质量。共识别出2018年至2023年间发表的73篇相关论文，其中59篇包含有效性数据，18篇包含体验数据。证据整合表明，如果痴呆症患者有积极性，并获得量身定制的培训、支持、合适的设备和内容，他们可以从参与数字干预中受益。在认知、健康和幸福感以及社会关系等领域都能看到益处。当在家庭环境中提供数字干预措施并规定每日/每周使用要求时，益处更为常见。本综述概述了目前关于痴呆症患者参与数字干预以改善其生活质量的研究现状。研究结果为如何优化实施方法提供了指导。未来的研究应探索数字干预措施如何改善痴呆症患者的社会关系和自我概念、数字干预措施的长期可持续性，以及痴呆症患者如何形成对技术的态度。
