von Bosse Alexa, Thum Anna, Mahler Sonja, Schulz Henriette, Weuthen Paulina, Kunze Christophe
Care & Technology Lab, Faculty 3: Health, Medical & Life Sciences, Furtwangen University, Furtwangen, Germany.
Competence Center Dementia, Department Health, Ostschweizer Fachhochschule OST, St Gallen, Switzerland.
JMIR Aging. 2025 Aug 28;8:e75189. doi: 10.2196/75189.
BACKGROUND: Approximately 20% of the global population is affected by mild cognitive impairment (MCI), with around 15% progressing to dementia within 2 years. Touch-based multimedia applications can support cognitive, social, and physical functioning, potentially enhancing daily life and strengthening caregiver-patient relationships through shared engagement. Although interest in dyadic, technology-assisted interventions is increasing, empirical evidence on their feasibility and acceptability in home-based settings remains scarce. In particular, little is known about their impact on caregiver-care recipient dynamics and the factors that facilitate or hinder their use. OBJECTIVE: We aimed to evaluate the feasibility of a dyadic, tablet-based multimedia intervention for individuals with MCI and their caregivers in a home setting, focusing on user experiences, use barriers and facilitators, and the intervention's impact on the caregiver-patient relationship. METHODS: We applied qualitative triangulation, combining naturalistic observations and semistructured interviews. Data were analyzed using qualitative content analysis. The intervention was codeveloped by a multidisciplinary team and implemented as a user-centered, tablet-based modular platform with customizable cognitive, physical, and interactive exercises. RESULTS: We recruited a total of 40 participants, comprising 20 (50%) individuals with MCI and their 20 (50%) caregivers. Our study confirmed the feasibility of a touch-based multimedia intervention for both groups. Despite initial challenges with navigation and touch interfaces, most participants demonstrated increased confidence and competence, particularly with tailored caregiver support. Instances of enhanced communication and emotional connection were described by care partners and then became visible during their interaction with the intervention. Shared moments of laughter, mutual encouragement, and coordinated task execution indicated that the intervention could create opportunities for relational closeness. Biography-related tasks proved particularly effective, stimulating meaningful conversation and storytelling that facilitated the sharing of personal memories and experiences. While some dyads experienced occasional tensions due to impatience, differing expectations, or dominant behavior by one partner, the overall atmosphere was one of cooperation, support, and adaptability. The intervention demonstrated how technology can serve as a tool to facilitate shared experiences, promote cognitive engagement, and enrich interpersonal relationships in everyday caregiving contexts. CONCLUSIONS: Our findings show that the home-based implementation of a dyadic, touch-based multimedia intervention can be feasible for individuals with MCI and their caregivers. A key finding is that biographically oriented content fosters caregiver-patient relationships by acting as a catalyst for personal dialogues and collective reminiscence. These interactions enhance emotional intimacy and mutual understanding, highlighting the potential of technology-driven interventions in dementia care. The intervention incorporated multiple domains, including cognitive stimulation, physical activation, and communicative-social interaction, all of which proved highly promising. In addition, the regular implementation of the intervention in home settings appears to be a realistic and achievable approach.
背景:全球约20%的人口受轻度认知障碍(MCI)影响,其中约15%会在2年内发展为痴呆症。基于触摸的多媒体应用可以支持认知、社交和身体功能,有可能通过共同参与来改善日常生活并加强照顾者与患者的关系。尽管对二元技术辅助干预的兴趣在增加,但关于其在家庭环境中的可行性和可接受性的实证证据仍然很少。特别是,对于它们对照顾者与受照顾者动态关系的影响以及促进或阻碍其使用的因素知之甚少。 目的:我们旨在评估一种基于平板电脑的二元多媒体干预措施在家庭环境中对MCI患者及其照顾者的可行性,重点关注用户体验、使用障碍和促进因素,以及该干预措施对照顾者与患者关系的影响。 方法:我们采用了定性三角测量法,结合自然观察和半结构化访谈。使用定性内容分析法对数据进行分析。该干预措施由一个多学科团队共同开发,并作为一个以用户为中心、基于平板电脑的模块化平台实施,具有可定制的认知、身体和互动练习。 结果:我们共招募了40名参与者,包括20名(50%)MCI患者及其20名(50%)照顾者。我们的研究证实了基于触摸的多媒体干预措施对两组参与者的可行性。尽管最初在导航和触摸界面方面存在挑战,但大多数参与者表现出了更高的信心和能力,特别是在得到照顾者的针对性支持时。照顾伙伴描述了沟通和情感联系增强的情况,并且在他们与干预措施互动时变得明显。共同欢笑、相互鼓励和协调执行任务的时刻表明,该干预措施可以创造亲密关系的机会。与个人经历相关的任务被证明特别有效,激发了有意义的对话和故事讲述,促进了个人记忆和经历的分享。虽然一些二元组由于不耐烦、期望不同或一方的主导行为偶尔会出现紧张情况,但总体氛围是合作、支持和适应性。该干预措施展示了技术如何能够作为一种工具,在日常护理环境中促进共同体验、促进认知参与并丰富人际关系。 结论:我们的研究结果表明,基于触摸的二元多媒体干预措施在家庭环境中对MCI患者及其照顾者是可行的。一个关键发现是,以个人经历为导向的内容通过促进个人对话和集体回忆,促进了照顾者与患者的关系。这些互动增强了情感亲密感和相互理解,突出了技术驱动干预在痴呆症护理中的潜力。该干预措施涵盖了多个领域,包括认知刺激、身体活动和沟通社交互动,所有这些都显示出很有前景。此外,在家庭环境中定期实施该干预措施似乎是一种现实且可实现的方法。
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