Long‐term digital device‐enabled monitoring of functional status: Implications for management of persons with Alzheimer's disease

Alzheimer’s & Dementia: Translational Research & Clinical Interventions

Alexandre M. Bayen¹  A. Katrin Schenk²  Bradley Zylstra²  Stephen J. Bonasera³  Amy M. Clark³  Tamara L. Braley³  Natalie A. Manley³  Michael Schaffer⁴  Katherine L. Possin⁴  Eléonore Bayen⁴  Bruce L. Miller⁴  Jennifer Merrilees⁴ 

[1] Department of Civil and Environmental Engineering University of California Berkeley Berkeley California USA;Department of Physics Randolph College Lynchburg Virginia USA;Division of Geriatrics, Gerontology, and Palliative Medicine Department of Internal Medicine University of Nebraska Medical Center Omaha Nebraska USA;Memory and Aging Center, Department of Neurology University of California San Francisco San Francisco California USA;

关键词: Alzheimer's disease;    caregiver;    dementia;    dyad;    functional status;    lifespace;   

DOI  :  10.1002/trc2.12017

来源: DOAJ

【 摘 要 】

Abstract Introduction Informal caregiving is an essential element of health‐care delivery. Little data describes how caregivers structure care recipients’ lives and impact their functional status. Methods We performed observational studies of community dwelling persons with dementia (PWD) to measure functional status by simultaneous assessment of physical activity (PA) and lifespace (LS). We present data from two caregiver/care‐recipient dyads representing higher and average degrees of caregiver involvement. Results We acquired >42,800 (subject 1); >41,300 (subject 2) PA data points and >154,500 (subject 1); >119,700 (subject 2) LS data points over 15 months of near continuous observation. PA and LS patterns provided insights into the caregiver's role in structuring the PWD's day‐to‐day function and change in function over time. Discussion We show that device‐enabled functional monitoring (FM) can successfully gather and display data at resolutions required for dementia care studies. Objective quantification of individual caregiver/care‐recipient dyads provides opportunities to implement patient‐centered care.

【 授权许可】

Unknown