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Extended safety and support systems for people with dementia living at home

Magnusson, Lennart (författare)
Linnéuniversitetet,Högskolan i Borås,Institutionen för Vårdvetenskap,Institutionen för hälso- och vårdvetenskap (HV)
Sandman, Lars (författare)
Högskolan i Borås,Institutionen för Vårdvetenskap,University of Borås, Sweden
Rosén, Karl Gustaf (författare)
Högskolan i Borås,Institutionen Ingenjörshögskolan
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Hanson, Elizabeth (författare)
Linnéuniversitetet,Institutionen för hälso- och vårdvetenskap (HV)
Hanson, Elisabeth (författare)
Rosén, KG (författare)
Högskolan i Borås,Institutionen Ingenjörshögskolan
Rosén, Karl Gustav (författare)
University of Borås, Sweden
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Emerald Group Publishing Limited, 2014
Ingår i: Journal of Assistive Technologies. - : Emerald Group Publishing Limited. - 1754-9450 .- 2042-8723. ; 8:4, s. 188-206
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
  • Abstract Purpose – The purpose of this paper is to highlight the complexity surrounding the implementation of advanced electronic tracking, communication and emergency response technologies, namely, an extended safety and support (ESS) system for people with dementia (pwd) living at home. Results are presented from a Swedish demonstration study (2011-2012) conducted in 24 municipalities. Design/methodology/approach – It is a descriptive intervention study with a pre-post test design. Questionnaires were administered to pwd, carers and professionals at the outset and eight months later. ESS logging data were analyzed. Findings – ESS usage rates varied widely. A total of 650 alerts were triggered, mainly when the pwd was outdoors. Activities were reduced amongst pwd, most likely due to a progression of their disease. Carers noted that pwd were more independent than previously on those occasions when they engaged in outdoor activities. Staff considered that nearly half of pwd could remain living at home due to the ESS, compared with a third amongst carers. In total, 50 per cent of carers felt it was justified to equip their relative with an ESS without their explicit consent, compared to one in eight staff. Research limitations/implications – A limitation is the amount of missing data and high drop- out rates. Researchers should recruit pwd earlier in their illness trajectory. A mixed-methods approach to data collection is advisable. Practical implications – Carers played a crucial role in the adoption of ESS. Staff training/supervision about assistive devices and services is recommended. Social implications – Overall, use of ESS for pwd living at home was not an ethical problem. Originality/value – The study included key stakeholder groups and a detailed ethical analysis was conducted.


NATURAL SCIENCES  -- Computer and Information Sciences -- Information Systems (hsv//eng)
NATURVETENSKAP  -- Data- och informationsvetenskap -- Systemvetenskap, informationssystem och informatik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine -- Geriatrics (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin -- Geriatrik (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Health Care Service and Management, Health Policy and Services and Health Economy (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Hälso- och sjukvårdsorganisation, hälsopolitik och hälsoekonomi (hsv//swe)
NATURVETENSKAP  -- Data- och informationsvetenskap (Datateknik) (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Klinisk medicin (hsv//swe)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper (hsv//swe)
NATURAL SCIENCES  -- Computer and Information Sciences (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Clinical Medicine (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)
HUMANITIES  -- Philosophy, Ethics and Religion -- Philosophy (hsv//eng)
HUMANIORA  -- Filosofi, etik och religion -- Filosofi (hsv//swe)
HUMANIORA  -- Filosofi, etik och religion (hsv//swe)
HUMANITIES  -- Philosophy, Ethics and Religion (hsv//eng)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Nursing (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskaper -- Omvårdnad (hsv//swe)


Integrated Caring Science
Integrerad vårdutveckling
Ethics and surveillance technology
Informal carers
Advanced electronic tracking
Communication and emergency response technologies
Demonstration study
Home care
People with dementia
Health and Caring Sciences

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