Studies Involving People With Dementia and Touchscreen Technology: A Literature Review

Phil Joddrell, Arlene J Astell, Phil Joddrell, Arlene J Astell

Abstract

Background: Devices using touchscreen interfaces such as tablets and smartphones have been highlighted as potentially suitable for people with dementia due to their intuitive and simple control method. This population experience a lack of meaningful, engaging activities, yet the potential use of the touchscreen format to address this issue has not been fully realized.

Objective: To identify and synthesize the existing body of literature involving the use of touchscreen technology and people with dementia in order to guide future research in this area.

Methods: A systematized review of studies in the English language was conducted, where a touchscreen interface was used with human participants with dementia.

Results: A total of 45 articles met the inclusion criteria. Four questions were addressed concerning (1) the context of use, (2) reasons behind the selection of the technology, (3) details of the hardware and software, and (4) whether independent use by people with dementia was evidenced.

Conclusions: This review presents an emerging body of evidence demonstrating that people with dementia are able to independently use touchscreen technology. The intuitive control method and adaptability of modern devices has driven the selection of this technology in studies. However, its primary use to date has been as a method to deliver assessments and screening tests or to provide an assistive function or cognitive rehabilitation. Building on the finding that people with dementia are able to use touchscreen technology and which design features facilitate this, more use could be made to deliver independent activities for meaningful occupation, entertainment, and fun.

Keywords: dementia; literature review; technology.

Conflict of interest statement

Conflicts of Interest: None declared.

©Phil Joddrell, Arlene J Astell. Originally published in JMIR Rehabilitation and Assistive Technology (http://rehab.jmir.org), 04.11.2016.

Figures

Figure 1
Figure 1
Flow diagram of search procedure.

References

    1. World Health Organization . Dementia: A Public Health Priority. Geneva: World Health Organization; 2012.
    1. Prince M, Wimo A, Guerchet M, Ali G, Wu Y, Prina M. [2016-11-02]. The Global Impact of Dementia 2013–2050. . 2015. .
    1. Hellman R. Assistive Technologies for Coping at Home and Increased Quality of Life for Persons with Dementia; eChallenges e-2014 Conference Proceedings: eChallenges. International Information Management Corporation; October 29th-30th 2014; Belfast. 2014.
    1. Harmer BJ, Orrell M. What is meaningful activity for people with dementia living in care homes? A comparison of the views of older people with dementia, staff and family carers. Aging Ment Health. 2008 Sep;12(5):548–58. doi: 10.1080/13607860802343019.
    1. Leng FY, Yeo D, George S, Barr C. Comparison of iPad applications with traditional activities using person-centred care approach: impact on well-being for persons with dementia. Dementia (London) 2014 Mar 1;13(2):265–73. doi: 10.1177/1471301213494514.
    1. National Collaborating Centre for Mental Health . Dementia: The NICE-SCIE Guideline on Supporting People with Dementia and Their Carers in Health and Social Care (National Clinical Practice Guideline) London: British Psychological Society and RCPsych Publications; 2007.
    1. Topo P. Technology studies to meet the needs of people with dementia and their caregivers: a literature review. J Appl Gerontol. 2009;28(1):5–37. doi: 10.1177/0733464808324019.
    1. Astell A. Technology and personhood in dementia care. Quality Ageing Older Adults. 2006;7(1):15–25. doi: 10.1108/14717794200600004.
    1. Kerssens C, Kumar R, Adams AE, Knott CC, Matalenas L, Sanford JA, Rogers WA. Personalized technology to support older adults with and without cognitive impairment living at home. Am J Alzheimers Dis Other Demen. 2015 Feb;30(1):85–97. doi: 10.1177/1533317514568338.
    1. Lim FS, Wallace T, Luszcz MA, Reynolds KJ. Usability of tablet computers by people with early-stage dementia. Gerontology. 2013;59(2):174–82. doi: 10.1159/000343986.
    1. Smith SK, Mountain GA. New forms of information and communication technology (ICT) and the potential to facilitate social and leisure activity for people living with dementia. Int J Comput Healthcare. 2012;1(4):332–345. doi: 10.1504/IJCIH.2012.051810.
    1. Malinowsky C, Nygård L, Kottorp A. Using a screening tool to evaluate potential use of e-health services for older people with and without cognitive impairment. Aging Ment Health. 2014;18(3):340–5. doi: 10.1080/13607863.2013.832731.
    1. Astell AJ, Malone B, Williams G, Hwang F, Ellis MP. Leveraging everyday technology for people living with dementia: a case study. J Assistive Technologies . 2014;8(4):164–76. doi: 10.1108/JAT-01-2014-0004.
    1. Wandke H, Sengpiel M, Sönksen M. Myths about older people's use of information and communication technology. Gerontology. 2012;58(6):564–70. doi: 10.1159/000339104.
    1. Grant MJ, Booth A. A typology of reviews: an analysis of 14 review types and associated methodologies. Health Info Libr J. 2009 Jun;26(2):91–108. doi: 10.1111/j.1471-1842.2009.00848.x.
    1. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. PLoS Med. 2009 Jul 21;6(7):e1000097. doi: 10.1371/journal.pmed.1000097.
    1. Carr AC, Woods RT, Moore BJ. Automated cognitive assessment of elderly patients: a comparison of two types of response device. Br J Clin Psychol. 1986 Nov;25 ( Pt 4):305–6.
    1. Sahakian BJ, Owen AM. Computerized assessment in neuropsychiatry using CANTAB: discussion paper. J R Soc Med. 1992 Jul;85(7):399–402.
    1. Ritchie K, Allard M, Huppert FA, Nargeot C, Pinek B, Ledesert B. Computerized cognitive examination of the elderly (ECO): the development of a neuropsychological examination for clinic and population use. Int J Geriat Psychiatry. 1993;8(11):899–914. doi: 10.1002/gps.930081104.
    1. Ishiwata A, Kitamura S, Nomura T, Nemoto R, Ishii C, Wakamatsu N, Katayama Y. Early identification of cognitive impairment and dementia: results from four years of the community consultation center. Arch Gerontol Geriatr. 2014;59(2):457–61. doi: 10.1016/j.archger.2014.06.003.
    1. Fukui Y, Yamashita T, Hishikawa N, Kurata T, Sato K, Omote Y, Kono S, Yunoki T, Kawahara Y, Hatanaka N, Tokuchi R, Deguchi K, Abe K. Computerized touch-panel screening tests for detecting mild cognitive impairment and Alzheimer's disease. Intern Med. 2015;54(8):895–902. doi: 10.2169/internalmedicine.54.3931.
    1. Inoue M, Jimbo D, Taniguchi M, Urakami K. Touch Panel-type Dementia Assessment Scale: a new computer-based rating scale for Alzheimer's disease. Psychogeriatrics. 2011 Mar;11(1):28–33. doi: 10.1111/j.1479-8301.2010.00345.x.
    1. Weir AJ, Paterson CA, Tieges Z, MacLullich AM, Parra-Rodriguez M, Della SS, Logie RH. Development of Android apps for cognitive assessment of dementia and delirium. Conf Proc IEEE Eng Med Biol Soc. 2014;2014:2169–72. doi: 10.1109/EMBC.2014.6944047.
    1. Pignatti R, Rabuffetti M, Imbornone E, Mantovani F, Alberoni M, Farina E, Canal N. Specific impairments of selective attention in mild Alzheimer's disease. J Clin Exp Neuropsychol. 2005 May;27(4):436–48. doi: 10.1080/13803390490520427.
    1. Satler C, Belham FS, Garcia A, Tomaz C, Tavares MC. Computerized spatial delayed recognition span task: a specific tool to assess visuospatial working memory. Front Aging Neurosci. 2015;7:53. doi: 10.3389/fnagi.2015.00053.
    1. Manera V, Petit P, Derreumaux A, Orvieto I, Romagnoli M, Lyttle G, David R, Robert PH. 'Kitchen and cooking,' a serious game for mild cognitive impairment and Alzheimer's disease: a pilot study. Front Aging Neurosci. 2015;7:24. doi: 10.3389/fnagi.2015.00024.
    1. Verheij S, Muilwijk D, Pel JJ, van der Cammen TJ, Mattace-Raso FU, van der Steen J. Visuomotor impairment in early-stage Alzheimer's disease: changes in relative timing of eye and hand movements. J Alzheimers Dis. 2012;30(1):131–43. doi: 10.3233/JAD-2012-111883.
    1. Tippett WJ, Sergio LE. Visuomotor integration is impaired in early stage Alzheimer's disease. Brain Res. 2006 Aug 2;1102(1):92–102. doi: 10.1016/j.brainres.2006.04.049.
    1. Ott BR, Festa EK, Amick MM, Grace J, Davis JD, Heindel WC. Computerized maze navigation and on-road performance by drivers with dementia. J Geriatr Psychiatry Neurol. 2008 Mar;21(1):18–25. doi: 10.1177/0891988707311031.
    1. Alm N, Astell A, Ellis M, Dye R, Gowans G, Campbell J. A cognitive prosthesis and communication support for people with dementia. Neuropsychological Rehabil. 2004;14(1):117–134. doi: 10.1080/09602010343000147.
    1. Alm N, Astell AJ, Gowans G, Dye R, Ellis M, Vaughan P. Lessons learned from developing cognitive support for communication, entertainment,creativity for older people with dementia. In: Stephanidis C, editor. Lecture Notes in Computer Science. Berlin: Springer Berlin Heidelberg; 2009. pp. 195–201.
    1. Astell A, Alm N, Gowans G, Ellis M, Dye R, Vaughan P. Involving older people with dementia and their carers in designing computer based support systems: some methodological considerations. Universal Access Inf Soc. 2008;8(1):49–58. doi: 10.1007/s10209-008-0129-9.
    1. Astell A, Ellis M, Bernardi L, Alm N, Dye R, Gowans G, Campbell J. Using a touch screen computer to support relationships between people with dementia and caregivers. Interacting Comput. 2010;22(4):267–75. doi: 10.1016/j.intcom.2010.03.003.
    1. Purves BA, Phinney A, Hulko W, Puurveen G, Astell AJ. Developing CIRCA-BC and exploring the role of the computer as a third participant in conversation. Am J Alzheimer's Dis Other Dementias. 2014;30(1):101–7. doi: 10.1177/1533317514539031.
    1. Kikhia B, Hallberg J, Bengtsson J, Savenstedt S, Synnes K. Building digital life stories for memory support. International Journal of Computers in Healthcare. 2010;1(2):161–76. doi: 10.1504/IJCIH.2010.037460.
    1. Nezerwa M, Wright R, Howansky S, Terranova J, Carlsson X, Robb J, Coppola J. Alive Inside: Developing mobile apps for the cognitively impaired. IEEE Long Island Systems, Applications and Technology (LISAT) Conference 2014; LISAT Conference 2014; May 2nd 2014; New York, NY. 2014. pp. 1–5.
    1. Pang G, Kwong E. Considerations and design on apps for elderly with mild-to-moderate dementia. International Conference on Information Networking (ICOIN), 2015; ICOIN 2015; January 12th-14th, 2015; Cambodia. 2015. pp. 348–53.
    1. Pringle A, Somerville S. Computer-assisted reminiscence therapy: developing practice. Mental Health Practice. 2013;17(4):34–7.
    1. Yamagata C, Coppola JF, Kowtko M, Joyce S. Mobile app development and usability research to help dementia and Alzheimer patients. 2013 IEEE Long Island Systems, Applications and Technology Conference (LISAT); LISAT 2013; May 3rd 2013; New York. 2013. pp. 1–6.
    1. Hoey J, Zutis K, Leuty V, Mihailidis A. A tool to promote prolonged engagement in art therapy. Proceedings of the 12th International ACM SIGACCESS Conference on Computers and Accessibility - ASSETS '10: ACM Press; ASSETS '10; October 25th-27th 2010; Orlando. 2010. pp. 211–18.
    1. Leuty V, Boger J, Young L, Hoey J, Mihailidis A. Engaging older adults with dementia in creative occupations using artificially intelligent assistive technology. Assist Technol. 2013;25(2):72–9. doi: 10.1080/10400435.2012.715113.
    1. Tomori K, Nagayama H, Saito Y, Ohno K, Nagatani R, Higashi T. Examination of a cut-off score to express the meaningful activity of people with dementia using iPad application (ADOC) Disabil Rehabil Assist Technol. 2015 Mar;10(2):126–31. doi: 10.3109/17483107.2013.871074.
    1. Armstrong N, Nugent CD, Moore G, Finlay DD. Developing smartphone applications for people with Alzheimer's disease. Proceedings of the IEEE/EMBS Region 8 International Conference on Information Technology Applications in Biomedicine, ITAB; ITAB 2010, Corfu; November 3rd-5th, 2010; 2010. pp. 1–5.
    1. Meiland FJ, Bouman AI, Sävenstedt S, Bentvelzen S, Davies RJ, Mulvenna MD, Nugent CD, Moelaert F, Hettinga ME, Bengtsson JE, Dröes RM. Usability of a new electronic assistive device for community-dwelling persons with mild dementia. Aging Ment Health. 2012;16(5):584–91. doi: 10.1080/13607863.2011.651433.
    1. Nijhof N, Gemert-Pijnen JV, Burns C, Seydel E. A personal assistant for dementia to stay at home safe at reduced cost. Gerontechnology. 2013;11(3):469–79. doi: 10.4017/gt.2013.11.3.005.00.
    1. Davies RJ, Nugent CD, Donnelly MP, Hettinga M, Meiland FJ, Moelaert F, Mulvenna MD, Bengtsson J, Craig D, Dröes RM. A user driven approach to develop a cognitive prosthetic to address the unmet needs of people with mild dementia. Pervasive Mobile Computing. 2009;5(3):253–67. doi: 10.1016/j.pmcj.2008.07.002.
    1. González L, Mashat M, López S. Creating and updating models of activities for people with Alzheimer disease using JClic platform. Proceedings of the ICTs for Improving Patients Rehabilitation Research Techniques (PRRT); ICTs for Improving Patients Rehabilitation Research Techniques (PRRT) 2013; May 5th 2013; Venice. 2013. pp. 356–61.
    1. Zmily A, Mowafi Y, Mashal E. Study of the usability of spaced retrieval exercise using mobile devices for Alzheimer's disease rehabilitation. JMIR Mhealth Uhealth. 2014;2(3):e31. doi: 10.2196/mhealth.3136.
    1. Hofmann M, Hock C, Müller-Spahn F. Computer-based cognitive training in Alzheimer's disease patients. Ann N Y Acad Sci. 1996 Jan 17;777:249–54.
    1. Hofmann M, Hock C, Kühler A, Müller-Spahn F. Interactive computer-based cognitive training in patients with Alzheimer's disease. J Psychiatr Res. 1996;30(6):493–501.
    1. Hofmann M, Rösler A, Schwarz W, Müller-Spahn F, Kräuchi K, Hock C, Seifritz E. Interactive computer-training as a therapeutic tool in Alzheimer's disease. Compr Psychiatry. 2003;44(3):213–9. doi: 10.1016/S0010-440X(03)00006-3.
    1. Kong APH. Conducting Cognitive Exercises for Early Dementia With the Use of Apps on iPads. Commun Disord Q. 2014;36(2):102–106. doi: 10.1177/1525740114544026.
    1. Alm N, Astell Aj, Gowans G, Dye R, Ellis M, Vaughan P. An interactive entertainment system usable by elderly people with dementia. In: Stephanidis C, editor. Universal Access in HCI, Part II. Berlin: Springer-Verlag Berlin Heidelberg; 2007. pp. 617–23.
    1. Astell A, Alm N, Dye R, Gowans G, Vaughan P, Ellis M. Digital video games for older adults with cognitive impairment. In: Miesenberger K, Fels D, Archambault D, editors. Computers Helping People with Special Needs. Berlin: Springer International Publishing; 2014. pp. 264–271.
    1. Riley P. How can technology support musical creativity for people with dementia?. Proceedings of the 6th ACM SIGCHI Conference on Creativity & Cognition - C&C '07; C&C '07 Creativity and Cognition, ACM Press; June 13th-15th, 2007; Washington DC. p. 296.
    1. Riley P, Alm N, Newell A. An interactive tool to promote musical creativity in people with dementia. Comput Hum Behav. 2009;25(3):599–608. doi: 10.1016/j.chb.2008.08.014.
    1. Sahakian BJ, Owen AM, Morant NJ, Eagger SA, Boddington S, Crayton L, Crockford HA, Crooks M, Hill K, Levy R. Further analysis of the cognitive effects of tetrahydroaminoacridine (THA) in Alzheimer's disease: assessment of attentional and mnemonic function using CANTAB. Psychopharmacology. 1993;110(4):395–401. doi: 10.1007/BF02244644.
    1. Walker G. [2016-03-22]. Tablet product and market history Internet. Walkermobile. .

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