Intelligent assistive technology applications to dementia care: current capabilities, limitations, and future challenges.
The number of older Americans afflicted by Alzheimer disease and related dementias will triple to 13 million persons by 2050, thus greatly increasing healthcare needs. An approach to this emerging crisis is the development and deployment of intelligent assistive technologies that compensate for the specific physical and cognitive deficits of older adults with dementia, and thereby also reduce caregiver burden. The authors conducted an extensive search of the computer science, engineering, and medical databases to review intelligent cognitive devices, physiologic and environmental sensors, and advanced integrated sensor networks that may find future applications in dementia care. Review of the extant literature reveals an overwhelming focus on the physical disability of younger persons with typically nonprogressive anoxic and traumatic brain injuries, with few clinical studies specifically involving persons with dementia. A discussion of the specific capabilities, strengths, and limitations of each technology is followed by an overview of research methodological challenges that must be addressed to achieve measurable progress to meet the healthcare needs of an aging America.
University of Pittsburgh School of Medicine, Iroquois Building Suite 502, 3600 Forbes Avenue, Pittsburgh, PA 15213, USA. bharuchaaj@msx.upmc.edu
Ashok J
AJ
Bharucha
Vivek
V
Anand
Jodi
J
Forlizzi
Mary Amanda
MA
Dew
Charles F
CF
Reynolds
Scott
S
Stevens
Howard
H
Wactlar
D000368:Aged; D000377:Agnosia / Q000534:rehabilitation; D000544:Alzheimer Disease / Q000534:rehabilitation; D001037:Aphasia / Q000534:rehabilitation; D015374:Biosensing Techniques; D017028:Caregivers; D003072:Cognition Disorders / Q000534:rehabilitation*; D019992:Databases as Topic; D003704:Dementia / Q000534:rehabilitation*; D006233:Persons with Disabilities / Q000534:rehabilitation*; D006801:Humans; D013677:Medical Laboratory Science / Q000639:trends*; D008569:Memory Disorders / Q000534:rehabilitation*; D010166:Palliative Care; D012656:Self-Help Devices / Q000009:adverse effects / Q000639:trends*; D012682:Sensory Aids