The use of everyday technology by people with dementia living alone: Mapping out the difficulties
Abstract
While the technological development available to society is taking quantum leaps, we have little knowledge of how people with mild dementia manage to cope with familiar technology at home, such as television and electronic household machines, or new technology, such as remote controls, cell phones and computers. As this technology represents a potential problem area, the aim of this qualitative, exploratory study was to identify and characterize difficulties with and hindrances to using everyday technology, as they appeared in data, for persons with early stage dementia. Eight participants with dementia were included in an extensive data collection consisting of repeated interviews and observations made in the home; the data were analyzed adopting a constant comparative approach. The results exhibit a taxonomy of difficulties in four domains, encompassing conditions that interfere with the use of the technology, deficiencies in knowledge and in the communication between users and their technology, and limitations in the use of instructions. Typically, difficulties appeared in complex combinations. They arose when familiar technology was being used, and not only when new technology was to be used. This raised concerns about the need these people have for support in home and in society. Further research is needed to validate the findings.
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Technologies such as digital calendars, speaking watches, and GPS have been shown to support time orientation, memory, and safety in people with MCI/D.
“Technologies, such as digital calendars, speaking watches, and Global Positioning System (GPS), have been shown to support time orientation, memory, and safety in people with mild cognitive impairment/dementia (MCI/D).9–12”
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 [10]
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Holthe, T., Halvorsrud, L., Karterud, D., Hoel, K.-A., & Lund, A. (2018) · Clinical Interventions in Aging · doi:10.2147/cia.s154717 · Cited by 199 · see citing works
Dementia care frameworks and assistive technologies for their implementation: a review
Koumakis, L., Chatzaki, C., Kazantzaki, E., Maniadi, E., & Tsiknakis, M. (2019) · IEEE Reviews in Biomedical Engineering · doi:10.1109/rbme.2019.2892614 · Cited by 64 · see citing works
Haslbeck, J. W., McCorkle, R., & Schaeffer, D. (2012) · Research on Aging · doi:10.1177/0164027511429808 · Cited by 64 · see citing works
McCabe, L., & Innes, A. (2013) · Gerontechnology · doi:10.4017/gt.2013.12.1.006.00 · Cited by 61 · see citing works
Perilli, V., Lancioni, G. E., Laporta, D., Paparella, A., Caffò, A. O., Singh, N. N., O’Reilly, M. F., Sigafoos, J., & Oliva, D. (2013) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2013.03.016 · Cited by 50 · see citing works
King, A. C., & Dwan, C. (2019) · Dementia · doi:10.1177/1471301217735180 · Cited by 45 · see citing works
- Authors
- Nygård, L., & Starkhammar, S.
- Affiliations
- Karolinska Institutet (SE)
- Karolinska University Hospital (SE)
- Corresponding author
- Nygård, L.
- ORCID
- Nygård, L.
- Venue
- Aging & Mental Health
- Publisher
- Informa UK Limited
- Published
- 2007-03
- Volume
- 11
- Issue
- 2
- Pages
- 144-155
- ISSN
- 1360-7863 (ISSN-L)
- 1364-6915
- OpenAlex
- W2159982017
- Cited by
- 193
- References
- 0
- Citations by year
- 2026: 5 · 2025: 5 · 2024: 10 · 2023: 8 · 2022: 12 · 2021: 10 · 2020: 18 · 2019: 10 · 2018: 11 · 2017: 10 · 2016: 13 · 2015: 13 · 2014: 11 · 2013: 17 · 2012: 7
- FWCI
- 13.15
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Aging & Mental Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Vetenskapsrådet
- Topics
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Keywords
- dementia, everyday technology, living alone, early-stage dementia, household appliances, remote control, mobile devices, computers, user instructions, knowledge deficiency, home support, older adults
- MeSH terms
- Adaptation, Psychological, Aged, Communication Devices for People with Disabilities, Dementia, Female, Humans, Male, Middle Aged, Severity of Illness Index, Telephone
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