@Article{info:doi/10.2196/27047,
author="Tiersen, Federico
and Batey, Philippa
and Harrison, C. Matthew J.
and Naar, Lenny
and Serban, Alina-Irina
and Daniels, C. Sarah J.
and Calvo, A. Rafael",
title="Smart Home Sensing and Monitoring in Households With Dementia: User-Centered Design Approach",
journal="JMIR Aging",
year="2021",
month="Aug",
day="11",
volume="4",
number="3",
pages="e27047",
keywords="assistive technology",
keywords="independent living",
keywords="internet of things",
keywords="remote monitoring",
keywords="dementia",
keywords="human centered design",
keywords="user-centered design",
keywords="patient-centered care",
keywords="smart home",
keywords="digital health",
abstract="Background: As life expectancy grows, so do the challenges of caring for an aging population. Older adults, including people with dementia, want to live independently and feel in control of their lives for as long as possible. Assistive technologies powered by artificial intelligence and internet of things devices are being proposed to provide living environments that support the users' safety, psychological, and medical needs through remote monitoring and interventions. Objective: This study investigates the functional, psychosocial, and environmental needs of people living with dementia, their caregivers, clinicians, and health and social care service providers toward the design and implementation of smart home systems. Methods: We used an iterative user-centered design approach comprising 9 substudies. First, semistructured interviews (9 people with dementia, 9 caregivers, and 10 academic and clinical staff) and workshops (35 pairs of people with dementia and caregivers, and 12 health and social care clinicians) were conducted to define the needs of people with dementia, home caregivers, and professional stakeholders in both daily activities and technology-specific interactions. Then, the spectrum of needs identified was represented via patient--caregiver personas and discussed with stakeholders in a workshop (14 occupational therapists; 4 National Health Service pathway directors; and 6 researchers in occupational therapy, neuropsychiatry, and engineering) and 2 focus groups with managers of health care services (n=8), eliciting opportunities for innovative care technologies and public health strategies. Finally, these design opportunities were discussed in semistructured interviews with participants of a smart home trial involving environmental sensors, physiological measurement devices, smartwatches, and tablet-based chatbots and cognitive assessment puzzles (10 caregivers and 2 people with dementia). A thematic analysis revealed factors that motivate household members to use these technologies. Results: Outcomes of these activities include a qualitative and quantitative analysis of patient, caregiver, and clinician needs and the identification of challenges and opportunities for the design and implementation of remote monitoring systems in public health pathways. Conclusions: Participatory design methods supported the triangulation of stakeholder perspectives to aid the development of more patient-centered interventions and their translation to clinical practice and public health strategy. We discuss the implications and limitations of our findings, the value and the applicability of our methodology, and directions for future research. ",
doi="10.2196/27047",
url="https://aging.jmir.org/2021/3/e27047",
url="http://www.ncbi.nlm.nih.gov/pubmed/34383672"
}


@Article{info:doi/10.2196/24553,
author="Rouzaud Laborde, Charlotte
and Cenko, Erta
and Mardini, T. Mamoun
and Nerella, Subhash
and Kheirkhahan, Matin
and Ranka, Sanjay
and Fillingim, B. Roger
and Corbett, B. Duane
and Weber, Eric
and Rashidi, Parisa
and Manini, Todd",
title="Satisfaction, Usability, and Compliance With the Use of Smartwatches for Ecological Momentary Assessment of Knee Osteoarthritis Symptoms in Older Adults: Usability Study",
journal="JMIR Aging",
year="2021",
month="Jul",
day="14",
volume="4",
number="3",
pages="e24553",
keywords="ehealth",
keywords="mobile health",
keywords="ecological momentary assessment",
keywords="real-time online assessment and mobility monitor",
keywords="ROAMM",
keywords="older adults",
keywords="compliance",
keywords="personal satisfaction",
keywords="usability",
keywords="smartwatch",
keywords="knee osteoarthritis",
keywords="pain",
keywords="fatigue",
keywords="wearable electronic device",
keywords="mobile application",
abstract="Background: Smartwatches enable physicians to monitor symptoms in patients with knee osteoarthritis, their behavior, and their environment. Older adults experience fluctuations in their pain and related symptoms (mood, fatigue, and sleep quality) that smartwatches are ideally suited to capture remotely in a convenient manner. Objective: The aim of this study was to evaluate satisfaction, usability, and compliance using the real-time, online assessment and mobility monitoring (ROAMM) mobile app designed for smartwatches for individuals with knee osteoarthritis. Methods: Participants (N=28; mean age 73.2, SD 5.5 years; 70\% female) with reported knee osteoarthritis were asked to wear a smartwatch with the ROAMM app installed. They were prompted to report their prior night's sleep quality in the morning, followed by ecological momentary assessments (EMAs) of their pain, fatigue, mood, and activity in the morning, afternoon, and evening. Satisfaction, comfort, and usability were evaluated using a standardized questionnaire. Compliance with regard to answering EMAs was calculated after excluding time when the watch was not being worn for technical reasons (eg, while charging). Results: A majority of participants reported that the text displayed was large enough to read (22/26, 85\%), and all participants found it easy to enter ratings using the smartwatch. Approximately half of the participants found the smartwatch to be comfortable (14/26, 54\%) and would consider wearing it as their personal watch (11/24, 46\%). Most participants were satisfied with its battery charging system (20/26, 77\%). A majority of participants (19/26, 73\%) expressed their willingness to use the ROAMM app for a 1-year research study. The overall EMA compliance rate was 83\% (2505/3036 responses). The compliance rate was lower among those not regularly wearing a wristwatch (10/26, 88\% vs 16/26, 71\%) and among those who found the text too small to read (4/26, 86\% vs 22/26, 60\%). Conclusions: Older adults with knee osteoarthritis positively rated the ROAMM smartwatch app and were generally satisfied with the device. The high compliance rates coupled with the willingness to participate in a long-term study suggest that the ROAMM app is a viable approach to remotely collecting health symptoms and behaviors for both research and clinical endeavors. ",
doi="10.2196/24553",
url="https://aging.jmir.org/2021/3/e24553",
url="http://www.ncbi.nlm.nih.gov/pubmed/34259638"
}


@Article{info:doi/10.2196/29031,
author="Verloo, Henk
and Lorette, Adrien
and Rosselet Amoussou, Jo{\"e}lle
and Gill{\`e}s de P{\'e}lichy, Estelle
and Matos Queir{\'o}s, Alcina
and von Gunten, Armin
and Perruchoud, Elodie",
title="Using Living Labs to Explore Needs and Solutions for Older Adults With Dementia: Scoping Review",
journal="JMIR Aging",
year="2021",
month="Aug",
day="19",
volume="4",
number="3",
pages="e29031",
keywords="living lab",
keywords="aged",
keywords="dementia",
keywords="cognitive dysfunction",
keywords="long-term care",
keywords="primary health care",
keywords="technology",
keywords="mobile phone",
abstract="Background: Numerous living labs have established a new approach for studying the health, independent living, and well-being of older adults with dementia. Living labs interact with a broad set of stakeholders, including students, academic institutions, private companies, health care organizations, and patient representative bodies and even with other living labs. Hence, it is crucial to identify the types of cocreations that should be attempted and how they can be facilitated through living labs. Objective: This study aims to scope publications that examine all types of living lab activities, exploring the needs and expectations of older adults with dementia and seeking solutions, whether they live in the community or long-term health care facilities (LTHFs). Methods: This scoping review was reported according to the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-analyses) recommendations for the extension of scoping reviews. We searched six bibliographic databases for publications up to March 2020, and a forward-backward citation chasing was performed. Additional searches were conducted using Google Scholar. The quality of the selected papers was assessed. Results: Of the 5609 articles identified, we read 58 (1.03\%) articles and retained 12 (0.21\%) articles for inclusion and final analysis. All 12 articles presented an innovative product, developed in 4 main living labs, to assist older adults with cognitive disorders or dementia living in the community or LTHFs. The objectives of these studies were to optimize health, quality of life, independent living, home care, and safety of older adults with cognitive disorders or dementia, as well as to support professional and family caregivers or reduce their burdens. The overall methodological quality of the studies ranged from poor to moderate. Conclusions: This scoping review identified several living labs playing a pivotal role in research aimed at older adults with dementia living in the community or LTHFs. However, it also revealed that living labs should conduct more better-quality interventional research to prove the effectiveness of their technological products or service solutions. International Registered Report Identifier (IRRID): RR2-10.2147/SHTT.S233130 ",
doi="10.2196/29031",
url="https://aging.jmir.org/2021/3/e29031",
url="http://www.ncbi.nlm.nih.gov/pubmed/34420916"
}


@Article{info:doi/10.2196/29021,
author="Niculescu, Iulia
and Quirt, Hannah
and Arora, Twinkle
and Borsook, Terry
and Green, Robin
and Ford, Brett
and Iaboni, Andrea",
title="Ecological Momentary Assessment of Depression in People With Advanced Dementia: Longitudinal Pilot Study",
journal="JMIR Aging",
year="2021",
month="Aug",
day="4",
volume="4",
number="3",
pages="e29021",
keywords="dementia",
keywords="depression",
keywords="ecological momentary assessment",
keywords="tool performance",
abstract="Background: Barriers to assessing depression in advanced dementia include the presence of informant and patient recall biases. Ecological momentary assessment provides an improved approach for mood assessment by collecting observations in intervals throughout the day, decreasing recall bias, and increasing ecological validity. Objective: This study aims to evaluate the feasibility, reliability, and validity of the modified 4-item Cornell Scale for Depression in Dementia for Momentary Assessment (mCSDD4-MA) tool to assess depression in patients with advanced dementia. Methods: A intensive longitudinal pilot study design was used. A total of 12 participants with advanced dementia were enrolled from an inpatient psychogeriatric unit. Participants were assessed using clinical depression assessments at admission and discharge. Research staff recorded observations four times a day for 6 weeks on phones with access to the mCSDD4-MA tool. Descriptive data related to feasibility were reported (ie, completion rates). Statistical models were used to examine the interrater reliability and construct and predictive validity of the data. Results: Overall, 1923 observations were completed, representing 55.06\% (1923/3496) of all rating opportunities with 2 raters and 66.01\% (1923/2913) with at least one rater. Moderate interrater reliability was demonstrated for all items, except for lack of interest. Moderate correlations were observed between observers and patient-reported outcomes, where observers reported fewer symptoms relative to participants' self-reports. Several items were associated with and able to predict depression. Conclusions: The mCSDD4-MA tool was feasible to use, and most items in the tool showed moderate reliability and validity for assessing depression in dementia. Repeated and real-time depression assessment in advanced dementia holds promise for the identification of clinical depression and depressive symptoms. ",
doi="10.2196/29021",
url="https://aging.jmir.org/2021/3/e29021",
url="http://www.ncbi.nlm.nih.gov/pubmed/34346884"
}


@Article{info:doi/10.2196/25327,
author="Benavides, Lynn Heidi
and Meireles, Lumachi Christiane
and Benavente, Viola
and Mays, Helen Mary
and Wang, Jing",
title="Decreasing COVID-19 Risk Factors for Older Adults by Using Digital Technology to Implement a Plant-Based-Diet: An Opinion",
journal="JMIR Aging",
year="2021",
month="Jul",
day="5",
volume="4",
number="3",
pages="e25327",
keywords="COVID-19",
keywords="coronavirus",
keywords="older adult",
keywords="plant-based diet",
keywords="eating patterns",
keywords="whole foods",
keywords="Mediterranean diet",
keywords="obesity",
keywords="pandemic",
keywords="ethnic minorities",
keywords="telehealth",
keywords="digital technology",
keywords="racial disparities",
keywords="aging",
doi="10.2196/25327",
url="https://aging.jmir.org/2021/3/e25327",
url="http://www.ncbi.nlm.nih.gov/pubmed/34081595"
}


@Article{info:doi/10.2196/28989,
author="Vancini, L. Rodrigo
and Camargo-Neto, Luiz
and Andrade, S. Marilia
and de Lira, A. Claudio
and dos Santos, G. Rafaela
and Nikolaidis, T. Pantelis
and Knechtle, Beat
and Piacezzi, HV Luiz
and Teixeira-Lopes, CB Maria
and Assayag-Batista, E. Ruth
and Pinto-Okuno, F. Meiry
and Vancini-Campanharo, R. C{\'a}ssia",
title="A Sociodemographic Profile of Mask Use During the COVID-19 Outbreak Among Young and Elderly Individuals in Brazil: Online Survey Study",
journal="JMIR Aging",
year="2021",
month="Sep",
day="14",
volume="4",
number="3",
pages="e28989",
keywords="aging",
keywords="older adults",
keywords="COVID-19",
keywords="pandemic",
keywords="sociodemographic profile",
keywords="face mask",
keywords="social media",
keywords="online media",
keywords="adolescents",
abstract="Background: Sociodemographic variables may impact decision making regarding safety measures. The use and selection of adequate face masks is a safety and health measure that could help minimize the spread of COVID-19 infection. Objective: This study aims to examine sociodemographic variables and factors relating to COVID-19 that could impact decision making or the choice to use or not use face masks in the prevention and care of a possible COVID-19 infection among a large sample of younger and older Brazilian people. Methods: An online survey composed of 14 closed-ended questions about sociodemographic variables and COVID-19 was used. A total of 2673 participants consisted of Brazilian people (aged ?18 years) from different states of Brazil and were grouped according to age (?59 years and ?60 years). To compare the variables of interest (associated with wearing a face mask or not), chi-square and likelihood ratio tests were used (with P<.05 being significant). Results: Most of the participants in both groups were women from the southeast region who had postgraduate degrees. Approximately 61\% (1452/2378) of individuals aged ?59 years and 67.8\% (200/295) of those aged ?60 years were not health professionals. In the group aged ?59 years, 83.4\% (1983/2378) did not show COVID-19 signs and symptoms, and 97.3\% (2314/2378) were not diagnosed with COVID-19. In the older adult group, 92.5\% (273/295) did not show signs and symptoms of COVID-19, and 98.3\% (290/295) were not diagnosed with the disease. The majority of the participants in both groups reported using face masks, and their decision to use face masks was influenced by the level of education and their occupation as a health professional. Conclusions: Younger and older adults have worn face masks during the COVID-19 outbreak. It is difficult to measure how much of a positive impact this attitude, habit, and behavior could have on the degree of infection and spread of the disease. However, it can be a positive indicator of adherence to the population's security and safety measures during the pandemic. ",
doi="10.2196/28989",
url="https://aging.jmir.org/2021/3/e28989",
url="http://www.ncbi.nlm.nih.gov/pubmed/34253508"
}