Poor insight and future thinking in early dementia limit patient projections of potential utility of technological innovations and advanced care planning

Frontiers in Medicine

Medicine

Marlena H. Shin¹  Jaye E. McLaren²  Lauren R. Moo³ 

[1] Center for Healthcare Organization and Implementation Research, Veterans Affairs Boston Healthcare System, Boston, MA, United States;New England Geriatric Research Education and Clinical Center, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States;New England Geriatric Research Education and Clinical Center, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States;Center for Healthcare Organization and Implementation Research, Veterans Affairs Bedford Healthcare System, Bedford, MA, United States;Harvard Medical School, Boston, MA, United States;Department of Neurology, Massachusetts General Hospital, Boston, MA, United States;

关键词: cognition;    technology;    geriatrics;    qualitative;    insight;    patient-centered;   

DOI  :  10.3389/fmed.2023.1123331

 received in 2022-12-13, accepted in 2023-02-13,  发布年份 2023

来源: Frontiers

【 摘 要 】

IntroductionCognitive psychology posits that thinking about the future relies on memory such that those with memory impairment may have trouble imaging their future technology and other needs.MethodsWe conducted a content analysis of qualitative data from interviews with six patients with MCI or early dementia regarding potential adaptations to a mobile telepresence robot. Using a matrix analysis approach, we explored perceptions of (1) what technology could help with day-to-day functioning in the present and future and (2) what technology may help people with memory problems or dementia stay home alone safely.ResultsVery few participants could identify any technology to assist themselves or other people with memory problems and could not provide suggestions on what technology may help them stay home alone safely. Most perceived that they would never need robotic assistance.DiscussionThese findings suggest individuals with MCI or early dementia have limited perspectives on their own functional abilities now and in the future. Consideration of the individuals’ diminished understanding of their own future illness trajectory is crucial when engaging in research or considering novel technological management solutions and may have implications for other aspects of advanced care planning.

【 授权许可】

Unknown   
Copyright © 2023 McLaren, Shin and Moo.