Health Educ Behav

As the segment of the population 65 years of age or older continues to grow, the number of individuals with dementia increases proportionally, highlighting the need to design therapies that meet the social and emotional needs of people with dementia. Information and communication technologies (ICT) are potential venues for supporting the delivery of such therapies, including reminiscence therapy (RT), which is a non-pharmacological intervention involving the prompting of past memories, often with artifacts such as old photographs or music for therapeutic benefits such as the facilitation of social interactions or the increase of self-esteem. This paper systematically examines the scientific literature on the use of ICT for facilitating RT to assess the current state of the evidence and identify future trends. We searched the PubMed (1966-2013), ACM (1954-2013), and PsycINFO (1908-2013) repositories using the keywords dementia and reminiscence. Three hundred eighty-six articles were retrieved, 44 of which met the inclusion and exclusion criteria. Findings of the systematic review include that there are benefits to using ICT for RT interventions. Some of these benefits are access to rich and engaging multimedia reminiscence materials, opportunities for people with dementia to participate in social interactions and take ownership of conversations, and a reduction of barriers due to motor deficits during interactions with media. Future studies should explore the types and content of media beneficial to individuals at different stages of dementia.T15 LM007442/LM/NLM NIH HHS/United StatesU38 HM000454/HM/NCHM CDC HHS/United States2T15LM007442/LM/NLM NIH HHS/United States2016-04-26T00:00:00Z25274711PMC484484

Ticket to Talk: Supporting Conversation between Young People and People with Dementia through Digital Media

We explore the role of digital media in supporting intergenerational interactions between people with dementia and young people. Though meaningful social interaction is integral to quality of life in dementia, initiating conversation with a person with dementia can be challenging, especially for younger people who may lack knowledge of someone’s life history. This can be further compounded without a nuanced understanding of the nature of dementia, along with an unfamiliarity in leading and maintaining conversation. We designed a mobile application - Ticket to Talk - to support intergenerational interactions by encouraging young people to collect media relevant to individuals with dementia to use in conversations with people with dementia. We evaluated Ticket to Talk through trials with two families, a care home, and groups of older people. We highlight difficulties in using technologies such as this as a conversational tool, the value of digital media in supporting intergenerational interactions, and the potential to positively shape people with dementia’s agency in social settings

Personalized Multimedia Videos As Reminiscence Therapy For Persons With Dementia

Reminiscence therapies are an effective intervention in increasing self-esteem, well-being, sense of personhood and even reducing distress and confusion in persons with dementia. There is even evidence that reminiscence therapies can slightly slow the progression of dementia, by enabling a cohesive narrative and sense of identity. This paper will consider relevant literature and explore the potential of using modern technological advances, such as a wealth of digital media and the ability to scan old photos, to create personalized and engaging life narratives. In addition to this paper, this special project will include a concrete example of this type of video that I will create of memorabilia, primarily photographs, from my grandfather’s life, from what exists from his early childhood up to present day. It will also include a qualitative questionnaire to be given to the participant and their care partner to assess the effectiveness of increasing well-being, personal identity and even to further understand reminiscence therapy’s relationship with dementia symptomology

Technology-supported group activity to promote communication in dementia : a protocol for a within-participants study

Background. CIRCA (Computer Interactive Reminiscence and Conversation Aid; Alm et al., 2004) is an interactive conversation support for people living with dementia. CIRCA facilitates one-to-one conversations and caregiving relationships in formal care environments (Astell, 2009). Originally developed as a standalone device, a new web-based version of CIRCA has been created to increase availability. The potential of CIRCA to support group activities and conversation between people living with dementia and a facilitator has not previously been explored. Objectives. The two objectives of this study are: (i) To validate the new web-based version of CIRCA against the original standalone device; (ii) To explore the efficacy of CIRCA to support group activity with people with dementia in a formal care setting. Methods. This mixed methods study comprises two parts: (i) 8-session group activity using the CIRCA stand-alone device; (ii) 8-session group activity using the web-based CIRCA. One hundred and eighty people with dementia will be recruited: 90 for part (i) and 90 for part (ii). Measures of cognition and quality of life will be taken at baseline, post-CIRCA intervention and three-months later, plus video recordings of the group sessions. Results. Both parts of the study will be completed in February 2018. Discussion. The study will provide evidence on two issues: (i) a validation of the new web-based version of CIRCA; and (ii) the suitability of CIRCA to support group activities in formal care settings for people living with dementia