Electronic tracking system and wandering in Alzheimer's disease: a case study
Open accessAbstract
Introduction Wandering is a behavioural disorder, which occurs in Alzheimer's disease or other dementia. People who wander are at risk of physical harm and untimely death. Moreover, wandering behaviour causes a lot of stress to the caregivers. In the last few years, different geolocation devices have been developed in order to minimise risk and manage unsafe wandering. These detection systems rarely meet patients and caregivers' needs because they are not involved in the devices building process.Aim The aim is to explore the needs and perceptions of wandering persons and their caregivers towards existing tracking devices as well as their acceptability and usability. This paper reports a dyad case.Materials The tracking system tested is presented as a mobile Global Positioning System (GPS) receiver-shaped, including function of telephony and data transfer via GSM/GPRS.Method Dyad patient/caregiver expressed their needs and perceptions towards tracking devices and gave their impressions about the functioning of the tested device at the end of the test.Results The patient focused on the device's shape which he found too voluminous and unaesthetic, and was unable to give an opinion about the device's functioning. The spouse highlighted malfunctions and usage difficulties, which made the device not appropriate to her needs.Conclusion Involving end-users in the co-design of new technologies is necessary for building tailored devices. Moreover, in this area of dementia care, the person-centred approach is essential to a tailored wandering management.
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Domain 1 (safe walking indoors and outdoors) comprised six papers on technology for locating persons or supporting navigation, or on involving users in product design of devices for location and navigation.
“Domain 1 presents six papers on technology either for locating persons32–34 or for supporting navigation,35,36 or on how to involve users in the product design of devices for location and navigation.37”
From Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review (2018) · cites this paper as [32]
Three papers in the review included GPS as the subject for technology evaluation.
“Three papers included the GPS as the subject for technology evaluation.32–34”
From Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review (2018) · cites this paper as [32]
The couple stressed that the device should not be stigmatizing but rather unnoticeable and support autonomy.
“The couple stressed that the device should not be stigmatizing but rather unnoticeable and support autonomy.32”
From Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review (2018) · cites this paper as [32]
Some studies reported degrees of acceptance in people with MCI/D and FCs; for example, finding a device ugly could be interpreted as being not accepted, while experiences of fewer worries for the person with MCI/D or spare time for the FC could mean that the device is accepted.
“Some studies reported degrees of acceptance in people with MCI/D and FCs; for example, finding a device ugly could be interpreted as being not accepted,32 while experiences of fewer worries for the person with MCI/D or spare time for the FC33 could mean that the device is accepted.”
From Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review (2018) · cites this paper as [32]
In one study, the person with dementia and his spouse left the trial after only 1 day.
“In one study,32 the person with dementia and his spouse left the trial after only 1 day.”
From Usability and acceptability of technology for community-dwelling older adults with mild cognitive impairment and dementia: a systematic literature review (2018) · cites this paper as [32]
Tracking technologies that record the position of the patient based on GPS and can localize him/her if lost are the most developed area of ICT research in dementia.
“Therefore, tracking technologies that record the position of the patient based on global positioning system (GPS), and can localize him/her if lost is the most developed area of ICT research in dementia (261–265).”
From The Multidisciplinary Approach to Alzheimer’s Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment (2018) · cites this paper as [262]
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References 13 · Cited by 97
Part of this paper’s reference list could not be split into single entries.
Research works printed but not linked: 2
- Lin CC, Chiu MJ, Hsiao CC, et al. A wireless Healthcare Service System for elderly with dementia. IEEE Trans Inf Technol Biomed 2006;10(4): 696-704.
- McShane R, Gedling K, Kenward B, Kenward R, Hope T, Jacoby R. The feasibility of electronic tracking devices in dementia: a telephone survey and case series. Int J Geriatr Psychiatry 1998;13(8):556-63.
- Authors
- Faucounau, V., Riguet, M., Orvoen, G., Lacombe, A., Rialle, V., Extra, J., & Rigaud, A.-S.
- Affiliations
- Hôpital Broca (FR)
- Centre National de la Recherche Scientifique (FR)
- Corresponding author
- Faucounau, V.
- Venue
- Annals of Physical and Rehabilitation Medicine
- Publisher
- Elsevier BV
- Published
- 2009-09
- Volume
- 52
- Issue
- 7-8
- Pages
- 579-587
- ISSN
- 1877-0657 (ISSN-L)
- OpenAlex
- W2017700515
- Cited by
- 97
- References
- 13
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 3 · 2022: 3 · 2021: 5 · 2020: 9 · 2019: 12 · 2018: 8 · 2017: 6 · 2016: 9 · 2015: 5 · 2014: 3 · 2013: 11 · 2012: 12
- FWCI
- 17.13
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Annals of Physical and Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Agence Nationale de la Recherche
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- wandering, Alzheimer's disease, dementia, geolocation, GPS tracking, caregiver needs, patient needs, acceptability, usability, co-design, person-centred care, caregiver stress, remote monitoring, caregiver burden reduction
- MeSH terms
- Aged, Aged, 80 and over, Alzheimer Disease, Art, Communication Aids for Disabled, Communication Devices for People with Disabilities, Consumer Behavior, Equipment Design, Equipment Failure, Esthetics, Humans, Male, Patient Acceptance of Health Care, Caregivers, Patient Satisfaction, Spouses, Internet, Geographic Information Systems, Cell Phone, Wandering Behavior
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