What can low and high technologies do for late-life mental disorders?
OBJECTIVE
To identify and review the latest research in the use of low and high technology in the areas of mood disorders, psychosis, normal ageing, mild cognitive impairment and dementia.


RESULTS
Technology use varied in type and extent of use across the different areas that have been reviewed. Telepsychiatry, internet-delivered therapy programs and bright-light therapy were used in managing symptoms associated with depression. In psychosis, multisensory therapy, reminiscence and virtual cognitive stimulation showed some benefits. Navigation aids and computerized diaries assisted in maintaining independence in the normally ageing and mildly cognitively impaired, although the benefits of cognitive stimulation are yet to be consistently established. By far, dementia technology received the most research attention. Benefits in this population included reductions in behavioural and psychological symptoms and carer burden and increased independence, task engagement and safety.


CONCLUSIONS
Research in the use of low and high technology in late-life mental disorders continues to evolve in its scope and innovation. To progress the accessibility and acceptability of technology, involvement of stakeholders and users in the design and application, as well as examination of cost-effectiveness and robust methodologically designed studies are necessary.
Westphal
Alissa
A
Academic Unit for Psychiatry of Old Age, Department of Psychiatry, The University of Melbourne, Kew, Australia. alissaw@unimelb.edu.au
Dingjan
Phillip
P
Attoe
Robyn
R
D000368:Aged; D000375:Aging / Q000502:physiology; D003072:Cognition Disorders / Q000175:diagnosis / Q000628:therapy; D003704:Dementia / Q000175:diagnosis / Q000628:therapy; D006801:Humans; D001523:Mental Disorders / Q000175:diagnosis / Q000628:therapy*; D019964:Mood Disorders / Q000175:diagnosis / Q000628:therapy; D011618:Psychotic Disorders / Q000175:diagnosis / Q000628:therapy; D013672:Technology; D017216:Telemedicine