User experience and clinical effectiveness with two wearable global positioning system devices in home dementia care

Herlind Megges, Silka Dawn Freiesleben, Christina Rösch, Nina Knoll, Lauri Wessel, Oliver Peters, Herlind Megges, Silka Dawn Freiesleben, Christina Rösch, Nina Knoll, Lauri Wessel, Oliver Peters

Abstract

Introduction: The user experience and clinical effectiveness with wearable global positioning system (GPS) devices for persons with dementia (PwDs) and caregivers (CGs) remain unclear although many are available.

Methods: Using a crossover design, 20 dyads tested two similar commercial GPS watches (products A and B) at home for 4 weeks each. Usability, product functions, design features and product satisfaction at home and the clinic were investigated. Caregiver burden and quality of life assessed clinical effectiveness.

Results: The final 17 dyads rated the usability, telephone function, overall design features, font, buttons, and battery life of B significantly better than A. PwDs rated the overall design features and buttons of A significantly better than CGs. Product satisfaction with both products was significantly lower at home. Clinical effectiveness was not found.

Discussion: User experience can be improved by optimizing specific product details. This might translate to clinical effectiveness. Social desirability bias may explain different product satisfaction ratings.

Keywords: Assistive technology; Caregiving; Clinical effectiveness; Dementia; GPS; Home dementia care; Locating systems; Monitoring; Product satisfaction; Tracking systems; Usability; User experience; Wandering; Wearables.

Figures

Fig. 1
Fig. 1
Radar charts for design feature ratings at T2.1 (top) and T3 (bottom). Product A rated by seven dyads at T2.1 and by 10 dyads at T3, and vice-versa for product B. Abbreviations: CGs, caregivers; PwDs, persons with dementia.

References

    1. Van der Roest H.G., Wenborn J., Pastink C., Dröes R.M., Orrell M. Assistive technology for memory support in dementia. Cochrane Database Syst Rev. 2017;6:1–27.
    1. Samus Q.M., Lyketsos C.G., Black B.S., Bovenkamp D., Buckley M., Callahan C. Home is where the future is: The BrightFocus Foundation consensus panel on dementia care. Alzheimers Dement. 2017;14:104–114.
    1. 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;13:556–563.
    1. Miskelly F. A novel system of electronic tagging in patients with dementia and wandering. Age Ageing. 2004;33:304–306.
    1. Oderud T., Landmark B., Eriksen S., Fossberg A.B., Aketun S., Omland M. Persons with dementia and their caregivers using GPS. Stud Health Technol Inform. 2015;217:212–221.
    1. Pot A.M., Willemse B.M., Horjus S. A pilot study on the use of tracking technology: feasibility, acceptability, and benefits for people in early stages of dementia and their informal caregivers. Aging Ment Health. 2012;16:127–134.
    1. Robinson L., Brittain K., Lindsay S., Jackson D., Olivier P. Keeping in touch everyday (KITE) project: developing assistive technologies with people with dementia and their carers to promote independence. Int Psychogeriatr. 2009;21:494–502.
    1. Megges H., Freiesleben S.D., Jankowski N., Haas B., Peters O. Technology for home dementia care: A prototype locating system put to the test. Alzheimers Dement. 2017;3:332–338.
    1. Olsson A., Engström M., Asenlöf P., Skovdahl K., Lampic C. Effects of tracking technology on daily life of persons with dementia: Three experimental single-case studies. Am J Alzheimers Dis Other Demen. 2014;30:29–40.
    1. Wan L., Müller C., Wulf V., Randall D. Proceedings of the SIGCHI conference on human factors in computing systems. ACM; Toronto: 2014. Addressing the subtleties in dementia care: pre-study & evaluation of a GPS monitoring system; pp. 3987–3996.
    1. Williamson B., Aplin T., de Jonge D., Goyne M. Tracking down a solution: exploring the acceptability and value of wearable GPS devices for older persons, individuals with a disability and their support persons. Disabil Rehabil Assist Technol. 2017;12:822–831.
    1. Asghar I., Cang S., Yu H. Usability evaluation of assistive technologies through qualitative research focusing on people with mild dementia. Comput Hum Behav. 2018;79:192–201.
    1. Ienca M., Fabrice J., Elger B., Caon M., Pappagallo A.S., Kressig R.W. Intelligent assistive technology for Alzheimer's disease and other dementias: A systematic review. J Alzheimers Dis. 2017;56:1301–1340.
    1. Neubauer N.A., Lapierre N., Ríos-Rincón A., Miguel-Cruz A., Rousseau J., Liu L. What do we know about technologies for dementia-related wandering? A scoping review: Examen de la portée: que savons-nous à propos des technologies de gestion de l'errance liée à la démence? Can J Occup Ther. 2018;85:196–208.
    1. Bantry White E., Montgomery P., McShane R. Electronic tracking for people with dementia who get lost outside the home: a study of the experience of familial carers. Br J Occup Ther. 2010;73:152–159.
    1. Sauer A. 2018. 10 Lifesaving Location Devices for Dementia Patients US: . Available at:
    1. Dale Ø. International conference on computers for handicapped persons. Springer; Vienna: 2010. Usability and usefulness of GPS based localization technology used in dementia care; pp. 300–307.
    1. Liu L., Miguel Cruz A., Ruptash T., Barnard S., Juzwishin D. Acceptance of global positioning system (GPS) technology among dementia clients and family caregivers. J Technol Hum Serv. 2017;35:99–119.
    1. Meiland F., Innes A., Mountain G., Robinson L., van der Roest H., García-Casal J.A. Technologies to support community-dwelling persons with dementia: a position paper on issues regarding development, usability, effectiveness and cost-effectiveness, deployment, and ethics. JMIR Rehabil Assist Technol. 2017;4:1–21.
    1. Topfer L.A. Canadian Agency for Drugs and Technologies in Health; Ottawa: 2016. GPS locator devices for people with dementia. CADTH issues in emerging health technologies; pp. 1–14.
    1. Livingston G., Sommerlad A., Orgeta V., Costafreda S.G., Huntley J., Ames D. Dementia prevention, intervention, and care. Lancet. 2017;390:1–62.
    1. Brims L., Oliver K. Effectiveness of assistive technology in improving the safety of people with dementia: a systematic review and meta-analysis. Aging Ment Health. 2018:1–10.
    1. ISO9241-210 . International Organization for Standardization ISO; Geneva, CH: 2010. Ergonomics of human-system interaction—Part 210: human-centred design for interactive systems.
    1. Forlizzi J., Ford S. Proceedings of the 3rd conference on designing interactive systems: processes, practices, methods, and techniques. ACM; New York: 2000. The building blocks of experience: an early framework for interaction designers; pp. 419–423.
    1. Law E., Roto V., Vermeeren A.P.O.S., Kort J., Hassenzahl M. ACM; Florence: 2008. Towards a shared definition of user experience. Extended abstracts on human factors in computing systems; pp. 2395–2398.
    1. Davis F.D., Bagozzi R.P., Warshaw P.R. User acceptance of computer technology: a comparison of two theoretical models. Manage Sci. 1989;35:982–1003.
    1. Hornbæk K., Hertzum M. Technology acceptance and user experience: A review of the experiential component in HCI. ACM Trans Comput-Hum Interact. 2017;24:33.
    1. Hassenzahl M. The thing and I: Understanding the relationship between user and product. In: Mark A., Blythe A.F.M., Overbeeke K., Wright P.C., editors. Funology: From Usability to Enjoyment. Kluwer Academic Publishers; Netherlands: 2003. pp. 31–42.
    1. Natesan D., Walker M., Clark S. Cognitive bias in usability testing. Proc Int Symp Hum Factors Ergon Healthc. 2016;5:86–88.
    1. Edwards A.L. The social desirability variable in personality assessment and research. Acad Med. 1958;33:610–611.
    1. Haberstroh J., Pantel J. [Communication in dementia: TANDEM training manual]. Springer; Heidelberg: 2011. Kommunikation bei Demenz: TANDEM Trainings manual.
    1. Feil N., de Klerk-Rubin V. 3 ed. Health Professions Press; Baltimore: 2012. The Validation Breakthrough: Simple Techniques for Communicating With People With Alzheimer's and Other Dementias.
    1. Bédard M., Molloy D.W., Squire L., Dubois S., Lever J.A., O'Donnell M. The Zarit Burden Interview: A new short version and screening version. Gerontologist. 2001;41:652–657.
    1. Brähler E., Mühlan H., Albani C., Schmidt S. Teststatistische Prüfung und Normierung der deutschen Versionen des EUROHIS-QOL Lebensqualität-Index und des WHO-5 Wohlbefindens-Index [Statistical testing and standardization of the German version of the EUROHIS-QOL quality of life index and the WHO-5 well-being index] Diagnostica. 2007;53:83–96.
    1. Karrer K., Glaser C., Clemens C., Bruder C. Technikaffinität erfassen–der Fragebogen TA-EG [Assessment of technological affinity-the TA-EG] Mensch Mittelpunkt Technischer Systeme. 2009;8:196–201.
    1. Prümper J. Der Benutzungsfragebogen ISONORM 9241/10: Ergebnisse zur Reliabilität und Validität [The Usability Questionnaire ISO (International Organization for Standardization) NORM 9241/10: results on reliability and validity] In: Liskowsky R., Velichkovsky B., Wünschmann W., editors. Software-Ergonomie '97. Vieweg+Teubner Verlag; Wiesbaden: 1997. pp. 253–262.
    1. Prümper J. Springer; Berlin, Heidelberg: 1993. Software-evaluation based upon ISO 9241 Part 10; pp. 255–265.
    1. ISO9241-110 . International Standard Organization ISO; Geneva, CH: 2006. Ergonomics of human-system interaction—Part 110: dialogue principles [Revision of ISO 9241-10:1996 Ergonomic requirements for office work with visual display terminals (VDTs)—Part 10: dialogue principles]
    1. Sarodnick F., Brau H. 1 ed. Huber; Bern: 2006. Methoden der Usability Evaluation: Wissenschaftliche Grundlagen und praktische Anwendung [Methods of usability assessment: scientific foundations and practical application]
    1. Kenny D.A., Kashy D.A., Cook W.L. Guilford Press; New York: 2006. The analysis of dyadic data.
    1. Field A. 3 ed. Sage; London: 2009. Discovering statistics using SPSS.
    1. Wood E., Ward G., Woolham J. The development of safer walking technology: a review. J Assist Technol. 2015;9:100–115.
    1. MacAndrew M., Brooks D., Beattie E. Nonpharmacological interventions for managing wandering in the community: A narrative review of the evidence base. Health Soc Care Community. 2018:1–14.
    1. Olsson A., Engström M., Lampic C., Skovdahl K. A passive positioning alarm used by persons with dementia and their spouses—a qualitative intervention study. BMC Geriatr. 2013;13:11.
    1. Bantry-White E. Supporting ethical use of electronic monitoring for people living with dementia: social work's role in assessment, decision-making, and review. J Gerontol Soc Work. 2018;61:261–279.
    1. Robillard J.M., Cleland I., Hoey J., Nugent C. Ethical adoption: A new imperative in the development of technology for dementia. Alzheimers Dement. 2018;14:1104–1113.
    1. Chen Y.-C., Leung C.-Y. Exploring functions of the lost seeking devices for people with dementia. Work. 2012;41:3093–3100.
    1. Demers L., Weiss-Lambrou R., Ska B. The Quebec user evaluation of satisfaction with assistive technology (QUEST 2.0): an overview and recent progress. Technol Disabil. 2002;14:101–105.
    1. Peek S.T.M., Wouters E.J.M., van Hoof J., Luijkx K.G., Boeije H.R., Vrijhoef H.J.M. Factors influencing acceptance of technology for aging in place: A systematic review. Int J Med Inf. 2014;83:235–248.
    1. Lai C.K.Y., Arthur D.G. Wandering behaviour in people with dementia. J Adv Nurs. 2003;44:173–182.
    1. Association As . Alzheimer’s Association; Chicago: 2015. Behaviors: How to Respond When Dementia Causes Unpredictable Behaviors; pp. 1–13.
    1. Garrett J.J. 2 ed. Pearson Education; Berkeley: 2010. The elements of User Experience: User-Centered Design for the Web and Beyond.
    1. Patomella A.-H., Lovarini M., Lindqvist E., Kottorp A., Nygård L. Technology use to improve everyday occupations in older persons with mild dementia or mild cognitive impairment: A scoping review. Br J Occup Ther. 2018;0 0308022618771533.

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