Kaser Alyssa N, Mikula Cynthia M, Kiselica Andrew M
University of Texas Southwestern Medical Center.
Columbia Center for Eating Disorders.
J Health Serv Psychol. 2024 Feb;50(1):37-46. doi: 10.1007/s42843-024-00101-7. Epub 2024 Apr 24.
Recent advances in digital technologies hold promise for supporting aging adults and their care partners as they navigate changes in cognitive and daily functioning associated with Alzheimer's disease and related dementias (ADRD). Commonly owned digital technologies, like smartphones, include features that could help maintain independence and reduce caregiver burden. However, we lack models for successful integration of technologies into treatment of persons with ADRD. We propose the Technology Assistance in Dementia (Tech-AiD) framework for aiding persons with ADRD and their care partners with using digital technologies to reach individualized goals. We discuss how technology use is impacted by a multitude of factors, including severity of cognitive impairment, technology proficiency, and barriers to adequate and equitable care, all of which are further complicated by health disparities. Further, we explore the potential benefits of technology use among patients with ADRD and their care partners, highlighting pertinent clinical and ethical challenges and drawing from evidence-based strategies to promote practical recommendations.
数字技术的最新进展有望在老年痴呆症及相关痴呆症(ADRD)患者及其护理伙伴应对认知和日常功能变化时提供支持。诸如智能手机等常见的数字技术具备有助于维持独立性和减轻护理负担的功能。然而,我们缺乏将技术成功整合到ADRD患者治疗中的模式。我们提出了痴呆症技术援助(Tech-AiD)框架,以帮助ADRD患者及其护理伙伴利用数字技术实现个性化目标。我们讨论了技术使用如何受到多种因素的影响,包括认知障碍的严重程度、技术熟练程度以及获得充分和公平护理的障碍,而健康差距又使所有这些因素进一步复杂化。此外,我们探讨了ADRD患者及其护理伙伴使用技术的潜在益处,并强调了相关的临床和伦理挑战,并借鉴循证策略以提出实用建议。