EFFICACY AND ADDED VALUE OF A DECISION SUPPORT APP FOR FORMAL CAREGIVERS OF PEOPLE WITH DEMENTIA

This study aimed to explore the feasibility and effects of promoting reminiscences, using virtual reality (VR) headsets for viewing 360° videos with personal relevance, with people with dementia. A study with a mixed methods design was conducted with nine older adults diagnosed with dementia. Interventions consisted of four sessions, in which the participants’ engagement, psychological and behavioral symptoms, and simulation sickness symptoms were evaluated. Neuropsychiatric symptomatology and quality of life were measured pre- and post-intervention. Caregivers were interviewed regarding the effect of the approach. In most cases, participants appeared to enjoy the sessions, actively explored the 360° environment, and shared memories associated with the depicted locations, often spontaneously. There were no cases of significant increases in simulator sickness and psychological and behavioral symptoms during sessions, with only some instances of minor eyestrain, fullness of head, anxiety, irritability, and agitation being detected. Although there were no significant changes in the measured outcomes after intervention, the caregivers assessed the experience as potentially beneficial for most participants. In this study, promoting reminiscences with VR headsets was found to be a safe and engaging experience for people with dementia. However, future studies are required to better understand the added value of immersion, using VR, in reminiscence therapy.

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The Big Data concept as a contributor of added value to crisis decision support systems

Journal of Decision System ◽

10.1080/12460125.2016.1187404 ◽

2016 ◽

Vol 25 (sup1) ◽

pp. 228-239 ◽

Cited By ~ 6

Author(s):

Stanislaw Drosio ◽

Stanislaw Stanek

Keyword(s):

Big Data ◽

Decision Support ◽

Decision Support Systems ◽

Support Systems ◽

Added Value

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Austria: History of health technology assessment during the past 20 years

International Journal of Technology Assessment in Health Care ◽

10.1017/s026646230909045x ◽

2009 ◽

Vol 25 (S1) ◽

pp. 74-81 ◽

Cited By ~ 6

Author(s):

Claudia Wild

Keyword(s):

Decision Support ◽

Health Technology Assessment ◽

Healthcare System ◽

Technology Assessment ◽

System Analysis ◽

High Volume ◽

Health Technology ◽

Public Understanding ◽

Added Value ◽

Research Activities

Objectives: The aim of this article is to describe and analyze the stages toward recognition and implementation of health technology assessment (HTA).Methods: System analysis of structures and institutions and their use of HTA.Results: Austria is a latecomer in implementing evaluations/HTA as decision support. It can to a certain degree absorb the increasing international knowledge. Austria had a long time to observe the successes and failures of HTA in other countries and to learn from other countries. The implementation of HTA within the Austrian healthcare system ran through stages of uptake: starting 1989 with a systematic review on international activities, first international networking and collaboration since 1991, proposed assessments until the late 1990s, followed by reactive assessments on demand mostly on high volume and costly technologies since then. Since 2000, HTA is used on a regular basis for investment and reimbursement decisions by several players, namely the Ministry of Health, the Social Insurance and hospital cooperations. In 2006, the Austrian HTA-institute was founded.Conclusions: It took approximately 15 years from first research activities in HTA to an institutionalization. HTA in Austria is not only product- but also process-oriented: The actual production of assessments for decision support is as important as the structuring and accompanying of the process of decisions making. In addition, shaping the public understanding of science (characterized by the intrinsic belief that all new medical interventions provide added value to the healthcare system) is part of Austrian HTA.

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Sistem Pendukung Keputusan Menentukan Pemberian Pinjaman Modal dengan Metode Multi Attribute Utility Theory

JURNAL MEDIA INFORMATIKA BUDIDARMA ◽

10.30865/mib.v3i2.1093 ◽

2019 ◽

Vol 3 (2) ◽

pp. 117

Author(s):

Asyahri Hadi Nasyuha

Keyword(s):

Decision Support ◽

Decision Support System ◽

Support System ◽

Utility Theory ◽

Technology Development ◽

Added Value ◽

Performance Ratings ◽

Weighted Sums ◽

Theory Method ◽

Multi Attribute Utility Theory

Technology development is very rapid, computers are utilized not only limited to data processing but also as solutions to problem solving in various fields of science, one of which is a decision support system. Decision support systems have added value in helping decision making by utilizing data and models to solve unstructured problems. In this case the decision support system is used to determine business capital borrowing using the Multi Attibute Utility Theory method. From the research carried out, many people have proposed business capital loans so that the capital provider is difficult to determine the prospective acceptance of appropriate business capital. Multi Attribute Utility Theory is used to find weighted sums of performance ratings for each alternative based on the values of each criterion. Ranking is the result of calculations using the Multi Attribute Utility Theory method.

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Personhood and Dementia Care: A Qualitative Evidence Synthesis of the Perspectives of People With Dementia

The Gerontologist ◽

10.1093/geront/gnz159 ◽

2019 ◽

Author(s):

Niamh Hennelly ◽

Adeline Cooney ◽

Catherine Houghton ◽

Eamon O’Shea

Keyword(s):

Evidence Synthesis ◽

Dementia Care ◽

Care Process ◽

Qualitative Evidence Synthesis ◽

Formal Caregivers ◽

Cart Analysis ◽

Qualitative Evidence ◽

People With Dementia ◽

Centered Care ◽

Design And Methods

Abstract Background and Objectives Personhood is considered the cornerstone of person-centered care for people with dementia. However, there is little research on personhood in dementia care from the perspective of the person with dementia themselves. This article presents a qualitative evidence synthesis of the experiences and perceptions of people with dementia on personhood in dementia care. Research Design and Methods A systematic search of nine databases was conducted. In addition to initial screening, CART analysis was used to determine the most relevant papers. Thematic synthesis was conducted on 20 papers. The CASP tool was used to examine the quality of the included papers. GRADE CERQual analysis examined confidence in the review findings. Results People with dementia experience many changes due to the disease and the experience of being cared for in different settings. Personhood is affirmed through personal interactions with family, friends, other care recipients, and formal caregivers, as well as through continued engagement in social and occupational roles. Discussion and Implications The review has important implications for practice, regulation, and policy. The person and their personhood should be protected rather than undermined, and relationships should be enhanced not diminished by the formal care process. The focus should be on creating and amplifying opportunities for people with dementia to affirm the self through interactions with others and engaging in occupational and social roles to ensure continuity of self.

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How do dementia researchers view support tools for informed consent procedures of persons with dementia?

Zeitschrift für Gerontologie und Geriatrie ◽

10.1007/s00391-020-01779-2 ◽

2020 ◽

Author(s):

Theresa S. Wied ◽

◽

Aoife Poth ◽

Johannes Pantel ◽

Frank Oswald ◽

...

Keyword(s):

Decision Support ◽

Informed Consent ◽

Positive Attitude ◽

Online Survey ◽

Plain Language ◽

Support Measures ◽

People With Dementia ◽

Support Tools

Abstract The study aimed to assess how dementia researchers view eight support tools that have been defined to enhance informed consent (IC) procedures for people with dementia (PwD). In an online survey, 19 dementia researchers from Germany and Portugal evaluated the tools in terms of 4 implementation criteria. Overall, they all had a very positive attitude towards the support tools, whereby the tools person-centered attitude of the researcher and elaborated plain language were the most highly rated of the eight tools. Our findings also indicated that familiar support tools were assessed more favorably than those that were previously unknown. Overall, the results of this study showed that the participating dementia researchers were open to the use of decision support measures in PwD and were willing to apply the support tools in practice.

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Optimizing mealtime care for people with dementia from the perspective of formal caregivers: A systematic review of qualitative research

International Journal of Nursing Studies ◽

10.1016/j.ijnurstu.2021.104046 ◽

2021 ◽

pp. 104046

Author(s):

Yijing Li ◽

Xu Zhang ◽

Jianping Su ◽

Huanhuan Li ◽

Xiangfei Meng ◽

...

Keyword(s):

Systematic Review ◽

Qualitative Research ◽

Formal Caregivers ◽

People With Dementia

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The Homestead: Developing a Conceptual Framework through Co-Creation for Innovating Long-Term Dementia Care Environments

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18010057 ◽

2020 ◽

Vol 18 (1) ◽

pp. 57

Author(s):

Bram de Boer ◽

Belkis Bozdemir ◽

Jack Jansen ◽

Monique Hermans ◽

Jan P. H. Hamers ◽

...

Keyword(s):

Conceptual Framework ◽

Conceptual Model ◽

Residential Care ◽

Well Being ◽

Research Approach ◽

Care Model ◽

Residential Care Facilities ◽

Formal Caregivers ◽

People With Dementia ◽

Older Citizens

Alternative care environments for regular nursing homes are highly warranted to promote health and well-being of residents with dementia that are part of an age-friendly and dementia-friendly city and society. Insight is lacking on how to translate evidence-based knowledge from theory into a congruent conceptual model for innovation in current practice. This study reports on the co-creation of an alternative nursing home model in the Netherlands. A participatory research approach was used to co-create a conceptual framework with researchers, practitioners and older people following an iterative process. Results indicate that achieving positive outcomes for people with dementia, (in)formal caregivers, and the community is dependent on how well the physical, social and organizational environment are congruently designed. The theoretical underpinnings of the conceptual model have been translated into “the homestead,” which is conceptualized around three main pillars: activation, freedom and relationships. The Homestead Care Model is an illustrative example of how residential care facilities can support the development of age-friendly communities that take into consideration the needs and requirements of older citizens. However, challenges remain to implement radical changes within residential care. More research is needed into the actual implementation of the Homestead Care Model.

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