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Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial

Forsyth, Kirsty and Henderson, Catherine and Davis, Lucy and Singh Roy, Anusua and Dunk, Barbara and Curnow, Eleanor and Gathercole, Rebecca and Lam, Natalie and Harper, Emma and Leroi, Iracema and Woolham, John and Fox, Chris and O'Brien, John and Bateman, Andrew and Poland, Fiona and Bentham, Peter and Burns, Alistair and Davies, Anna and Gray, Richard and Bradley, Rosie and Knapp, Martin and Newman, Stanton and McShane, Rupert and Ritchie, Craig and Talbot, Emma and Hooper, Emma and Winson, Rachel and Scutt, Bethany and Ordonez, Victoria and Nunn, Samantha and Lavelle, Grace and Howard, Robert (2019) 'Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial.' Alzheimer's and Dementia: Translational Research and Clinical Interventions, 5 (C). 420 - 430. ISSN 2352-8737

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Abstract

Introduction: The objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home. Methods: This is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT, established an ATT assessment standard. Results: ATT was delivered by public and not-for-profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%), and problem-solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; P < .000), with ATT recommendations and installations moderately correlated (τ = -0.470; P < .000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations. Discussion: Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.

Item Type: Article
Divisions: Faculty of Science and Health > Health and Social Care, School of
Depositing User: Elements
Date Deposited: 15 Jan 2020 11:23
Last Modified: 15 Jan 2020 11:23
URI: http://repository.essex.ac.uk/id/eprint/26446

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