title: [Support for patients with Alzheimer's disease and their caregivers by gerontechnology].
abstract: The increasing number of people suffering from Alzheimer's disease raises the question of their caring at home, especially when the disease causes disability and negative consequences in daily life such as isolation, falls, wandering, errors in drug taking. Furthermore, caregivers bear a substantial burden that can have adverse effects on their physical and mental health. New technologies of information could play an additional role as care providers without substituting family or professional caregivers help. A review of literature focused on the different technological solutions conceived for patients suffering from Alzheimer's disease and their carers shows that these appliances could help to provide reminders in daily life (drugs, tasks and appointments, meals cooking), to activate residual cognitive resources by computerized cognitive stimulation intervention, to reduce stress, anxiety and depressive symptoms in patients by visual contact with families and professionals (webconference), to contribute to patients safety by detecting falls and wandering, and to help families in the caring of patients with computerized information and counselling interventions. We also discuss the current limitations for a widespread use of these technologies and outline future research avenues. True needs of end-users are still poorly known and should be more clearly defined. Simplicity of the use of these appliances should be further improved. Demonstration of medical and social benefits for elderly people should be carried out in randomized, controlled studies. Ethical reflexion should be developed in conjunction with the use of these gerontechnologies. Finally, the economical model which would enable the providing of these appliances to the largest number of patients and caregivers should be implemented. Although these gerontechnologies are promising, research is still needed to tailor them properly to the needs of end-users, assess their benefit in ecological context of people with Alzheimer's disease in order to provide them with appropriate tools in daily life.
authors.affiliation: Hôpital Broca, Assistance publique -Hôpitaux de Paris et EA 4468, Université Paris Descartes. anne-sophie.rigaud@bcr.aphp.fr
authors.forename: Anne-Sophie
authors.initials: AS
authors.lastname: Rigaud
authors.forename: Maribel
authors.initials: M
authors.lastname: Pino
authors.forename: Ya-Huei
authors.initials: YH
authors.lastname: Wu
authors.forename: Jocelyne
authors.initials: J
authors.lastname: DE Rotrou
authors.forename: Melodie
authors.initials: M
authors.lastname: Boulay
authors.forename: Marie-Laure
authors.initials: ML
authors.lastname: Seux
authors.forename: Laurence
authors.initials: L
authors.lastname: Hugonot-Diener
authors.forename: Martha
authors.initials: M
authors.lastname: DE Sant'anna
authors.forename: Florence
authors.initials: F
authors.lastname: Moulin
authors.forename: Gregory
authors.initials: G
authors.lastname: LE Gouverneur
authors.forename: Victoria
authors.initials: V
authors.lastname: Cristancho-Lacroix
authors.forename: Hermine
authors.initials: H
authors.lastname: Lenoir
mesh_terms: D000058:Accidental Falls / Q000517:prevention & control; D000368:Aged; D000544:Alzheimer Disease / Q000523:psychology*; D001331:Automation; D017028:Caregivers / Q000523:psychology*; D003194:Computer-Assisted Instruction; D017281:Cost of Illness; D005602:France; D040362:Geographic Information Systems; D006801:Humans; D020407:Internet; D016032:Randomized Controlled Trials as Topic; D017010:Reminder Systems; D019114:Remote Consultation; D012371:Robotics; D012656:Self-Help Devices; D012944:Social Support