title: Evaluation of a multifunctional technology system in a memory care unit: Opportunities for innovation in dementia care.
abstract: BACKGROUND
  Stimulating recreational and leisure activities (RLAs) are essential to physical and mental well-being; however, people living in memory care units (MCUs) may lack access to them. Technology has the potential to facilitate and enrich activity engagement in this context.
  
  
  OBJECTIVE
  In this 6-month study, we evaluated a commercially available system designed to encourage the engagement of people with dementia in activities and social interactions, using a mixed-methods approach in a MCU.
  
  
  METHODS
  Quantitative measures included those to evaluate cognition, depression, quality of life, and resource utilization. We qualitatively evaluated the system using semi-structured interviews with family members and staff. Five residents with dementia, four family members, and seven staff were included in the 6-month study.
  
  
  RESULTS
  Staff and family members reported benefits for residents such as enjoyment, interactions and connections with others, and mental stimulation. Findings also highlight challenges such as technical and ethical concerns. Factors that influence system use and integration are also discussed.
  
  
  CONCLUSIONS
  It was feasible to introduce a system designed for recreation and engagement in a MCU, and staff, family members, and residents experienced benefits. However, barriers existed in the introduction and use of the system.
authors.affiliation: a Biomedical Informatics and Medical Education , University of Washington , Seattle , WA , USA.
authors.forename: Amanda
authors.initials: A
authors.lastname: Lazar
authors.affiliation: a Biomedical Informatics and Medical Education , University of Washington , Seattle , WA , USA.|b Biobehavioral Nursing and Health Systems , University of Washington , Seattle , WA , USA.
authors.forename: George
authors.initials: G
authors.lastname: Demiris
authors.affiliation: b Biobehavioral Nursing and Health Systems , University of Washington , Seattle , WA , USA.
authors.forename: Hilaire J
authors.initials: HJ
authors.lastname: Thompson
mesh_terms: D000368:Aged; D003704:Dementia / Q000534:rehabilitation*; D005190:Family; D006801:Humans; D007398:Interpersonal Relations; D062069:Inventions; D008603:Mental Health; D011788:Quality of Life
keywords: Dementia; ICT; games; memory care unit; quality of life technology
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