We aimed to identify assistive technologies that are promising for addressing loneliness in people living with dementia in long-term care.A scoping review was conducted. EBSCO, PubMed, Cochrane Lib...

Objectives: This paper aimed to describe the burden experienced by informal caregivers supporting a person with dementia (PwD) who lives at home and utilizes a dementia care network (DCN), to investigate the factors that are associated with caregiver burden, and to identify possible differences in caregiver burden among different types of DCNs. Method: This study was part of a multi-center, interdisciplinary evaluation of DCNs in Germany (DemNet-D). Cross-sectional data were collected in face-to-face interviews with people with dementia (PwDs) and their caregivers, and 13 DCNs were represented. Standardized questionnaires were used to assess caregiver burden, challenging PwD behaviors, functional competence and caregiver health status. Based on qualitative data, four DCN governance types were used in a multivariate analysis of burden categories. Results: There were 560 PwD-caregiver dyads enrolled in the study. Informal caregivers (n = 536) reported a low-to-moderate burden associated with PwD characteristics (instrumental activities of daily living, challenging behaviors) and caregiver characteristics (gender) as well as the relationship between the caregivers and PwDs. Women felt more burdened but also showed higher levels of personal development. No differences were observed among the different DCN governance types. Conclusions: DCNs might contribute toward moderate to low caregiver burden. Indicators of positive caregiving aspects can be used by DCNs to advance support structures for informal caregivers drawing upon interventions already established for other community settings. Particular interest should be paid to female and spousal caregivers who might be in in need of greater and/or different kinds of support.

Social robots are increasingly used in the care of older adults, including people living with dementia. An important prerequisite for effective use is knowledge about which factors facilitate and hinder the acceptance of social robots. The aim of this review at the intersection of health care research and human–robot interaction research is to understand factors facilitating and hindering the acceptance of social robots for older adults and people living with dementia in nursing homes based on the Almere model and to identify research gaps. We conducted a scoping review, systematically searching MEDLINE, PsycINFO, CINAHL and Compendex. The Almere model of acceptance was used to guide the development and conduct of this review. We used the principles of deductive content analysis, and we narratively present the review results. Twenty-six studies were included in the review. We found facilitating and/or hindering factors for all constructs of the Almere model. Perceived usefulness, perceived ease of use and perceived enjoyment were the most studied constructs, whereas trust and intention to use were the least studied constructs. Across constructs, seeing robots positively impacting residents was one of the key facilitating factors, and practical difficulties were a hindering factor. The Almere model provided useful insight into the acceptance of social robots. Nevertheless, we found the concept of engagement, the nursing home context, the intervention characteristics and the individual user groups important for the acceptance of social robots in nursing homes and therefore argue for future research expanding on the model.

Background: Nonpharmacological therapies and the provision of aids are described to be supportive in the treatment of persons with dementia (PWDs). These aim to maintain individuals' participation in daily activities as long as possible, to slow the progression of their disease, and to support their independent living at home. However, there is a lack of knowledge about the utilization of therapies and aids among community-dwelling PWDs. Objective: The aims of the study were a) to describe the utilization of nonpharmacological therapies and aids among community-dwelling PWDs and b) to analyze the factors associated with utilization. Method: As part of a cross-sectional study of n=560 caregivers of PWDs in dementia networks throughout Germany, we assessed sociodemographics, clinical variables, and the utilization of nonpharmacological therapies (physiotherapy [PT], occupational therapy [OT]), and aids (sensory, mobility, and others), using face-to-face interviews and questionnaires. Results: Approximately every fourth PWD received PT and every seventh PWD received OT. Sensory aids were utilized by 91.1%, personal hygiene aids by 77.2%, mobility aids by 58.6%, and medical aids by 57.7% of the sample. Regression analysis revealed that the utilization of PT and medical aids was associated with comorbidities (odds ratio [OR] 1.17 and OR 1.27, respectively) and that the utilization of OT and sensory aids was associated with age (OR 1.06 and OR 0.95, respectively). Conclusion: The utilization of nonpharmacological therapies and aids among community-dwelling people served by dementia networks is more frequent than that reported for people in other settings. This result indicates that PWDs in integrated care models such as dementia networks receive better health care.