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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, K., Henderson, C., Davis, L., Singh Roy, A., Dunk, B., Curnow, E., Gathercole, R., Lam, N., Harper, E., Leroi, I., Woolham, J., Fox, C., O'Brien, J., Bateman, A., Poland, F., Bentham, P., Burns, A., Davies, A., Gray, R., Bradley, R., Knapp, M., Newman, S. P. ORCID: 0000-0001-6712-6079, McShane, R., Ritchie, C., Talbot, E., Hooper, E., Winson, R., Scutt, B., Ordonez, V., Nunn, S., Lavelle, G. and Howard, R. (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 & Dementia: Translational Research & Clinical Interventions, 5, pp. 420-430. doi: 10.1016/j.trci.2019.07.010

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.

Publication Type: Article
Publisher Keywords: Dementia, Assistive technology, Telecare, ATTILA, Assessment of need, Community-dwelling
Subjects: R Medicine > RC Internal medicine
Departments: School of Health Sciences
URI: http://openaccess.city.ac.uk/id/eprint/22824
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