The electronic, personalizable Rosetta system for dementia care: exploring the user-friendliness, usefulness and impact
Open accessAbstract
PURPOSE: This research aimed to integrate three previously developed assistive technology (AT) systems into one modular, multifunctional system, which can support people with dementia and carers throughout the course of dementia. . In an explorative evaluation study, the integrated system, called Rosetta, was tested on usefulness, user-friendliness and impact, in people with dementia, their informal carers and professional carers involved. The Rosetta system was installed in participants' homes in three countries: The Netherlands, Germany and Belgium. METHODS: Controlled trial with pre- and post-test measures across three countries (randomized controlled trial in Germany; matched groups in the Netherlands and Belgium). Participants completed questionnaires for impact measurement and participated in semi-structured interviews regarding usefulness and user-friendliness of Rosetta. RESULTS: All participants agreed that Rosetta is a very useful development. They did not rate the user-friendliness of the system highly. No significant effects were found on impact measurements. CONCLUSION: All participants found Rosetta a very useful development for future care, and would consider using it. Since Rosetta was still in development during evaluation, a discrepancy between expectations and actual functioning of Rosetta existed, which may explain the lack of findings on the impact of the system and the low appreciation of user-friendliness. Implications for Rehabilitation People with dementia and carers find assistive technology (AT) a useful future development and they are willing to use it in the future. People with dementia and carers have little privacy issues with AT. If they have concerns, they are willing to accept the trade-off of reduced privacy in exchange for the ability to live in their own homes for longer. Given that a system works flawlessly, informal carers indicate that integrated AT can reduce their burden and stress. This can in turn help informal carers to provide better care for a longer period of time.
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The studies mostly took place in Western countries, and three papers were connected to the COGKNOW and Rosetta projects.
“The studies mostly took place in Western countries (Figure 3), and three papers were connected to the COGKNOW and Rosetta projects.27–29”
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 [27]
Five studies explored integrated monitoring systems, also called AAL, that aim to support independent living and detect risks/events in the home to send alerts in case of accidents.
“Five studies explored integrated monitoring systems, also called AAL, that aim to support independent living and detect risks/events in the home to send alerts in case of accidents.19,27–29,38,39”
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 [27]
The reviewed AAL technologies had varied purposes, including supporting MCI/D at home, creating safe environments and preventing injuries and unattended exits at night, and monitoring health status, safety, and activities of daily living.
“The purposes of these technologies varied somewhat, including to “support MCI/D at home,”27 to create “safe environments and prevent injuries and avoid unattended exits at night,”39 and to “monitor health status, safety, and activities of daily living”.19”
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 [27]
Multiple publications from the same authors/projects may skew the impression of the extent of the research.
“Further, multiple publications from the same authors/projects24–27,38,39 may also skew the impression of the extent of the research.”
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 [27]
With IAT still under development, discrepancy between expectation and actual function may lead to nonacceptance and nonadherence.
“With IAT still under development, discrepancy between expectation and actual function may lead to nonacceptance and nonadherence [22, 25, 26].”
From Acceptance and use of innovative assistive technologies among people with cognitive impairment and their caregivers: a systematic review (2019) · cites this paper as [25]
Seven studies reported that technology was neither accepted nor adhered to.
“Seven studies reported that technology was neither accepted nor adhered to [22, 25, 26, 28, 39, 40, 48].”
From Acceptance and use of innovative assistive technologies among people with cognitive impairment and their caregivers: a systematic review (2019) · cites this paper as [25]
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- Authors
- Hattink, B. J. J., Meiland, F. J. M., Overmars-Marx, T., de Boer, M., Ebben, P. W. G., van Blanken, M., Verhaeghe, S., Stalpers-Croeze, I., Jedlitschka, A., Flick, S. E., v/d Leeuw, J., Karkowski, I., & Dröes, R. M.
- Affiliations
- Amsterdam UMC Location Vrije Universiteit Amsterdam (NL)
- Vilans Centre of Expertise for Long-Term Care, Utrecht, The Netherlands,
- ,
- Novay (NL)
- Zorgpalet Baarn-Soest, Soest, The Netherlands,
- Landsbond der Christelijke Mutualiteiten (Belgium) (BE)
- Avics, Groningen, The Netherlands,
- Fraunhofer Institute for Experimental Software Engineering (DE)
- Westpfalz Klinikum (DE)
- Netherlands Organisation for Applied Scientific Research (NL)
- Corresponding author
- Hattink, B. J. J.
- Venue
- Disability and Rehabilitation: Assistive Technology
- Publisher
- Informa UK Limited
- Published
- 2014-07-03
- Volume
- 11
- Issue
- 1
- Pages
- 61-71
- ISSN
- 1748-3107 (ISSN-L)
- 1748-3115
- OpenAlex
- W2007255103
- Cited by
- 70
- References
- 50
- Citations by year
- 2025: 5 · 2024: 4 · 2023: 3 · 2022: 8 · 2021: 12 · 2020: 12 · 2019: 10 · 2018: 5 · 2017: 4 · 2016: 5 · 2015: 1 · 2014: 1
- FWCI
- 11.40
- Type
- journal article
- Language
- en
- Open access
- green
- pure.amsterdamumc.nl
- Licence
- other-oa
- Locations
- Disability and Rehabilitation Assistive Technology (publishedVersion)
- PubMed (publishedVersion)
- Pure Amsterdam UMC (submittedVersion, other-oa)
- Publikationsdatenbank der Fraunhofer-Gesellschaft (Fraunhofer-Gesellschaft) (submittedVersion)
- TNO Repository (submittedVersion)
- Fraunhofer-Publica (Fraunhofer-Gesellschaft) (submittedVersion)
- Repository hosted by TU Delft Library (TU Delft) (submittedVersion)
- Data Archiving and Networked Services (DANS) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Occupational Therapy › Assistive Technology in Communication and Mobility
- Social Sciences › Demography › Technology Use by Older Adults
- Health Sciences › Medicine › Psychiatry and Mental health › Dementia and Cognitive Impairment Research
- Keywords
- dementia care, assistive technology, ease of use, perceived usefulness, informal caregivers, professional caregivers, home care, privacy concerns, caregiver burden, personalization
- MeSH terms
- Accidental Falls, Activities of Daily Living, Adult, Aged, Aged, 80 and over, Analysis of Variance, Attitude to Computers, Belgium, Dementia, Female, Germany, Humans, Male, Middle Aged, Netherlands, Surveys and Questionnaires, Self-Help Devices, User-Computer Interface, Caregivers
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Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
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