Development of a Remote Assessment and Dynamic Response Intervention for Dementia-Related Care Needs. (16th December 2020)

• Record Type: Journal Article
• Authors: Miller, Lyndsey; Reynolds, Christina; Whitlatch, Carol; Steele, Joel; Kaye, Jeffrey
• Is Part Of: Innovation in aging. Volume 4(2020)Supplement 1
• Page Start: 626
• Page End: 626
• Publication Date: 2020-12-16
• Subjects: Aging -- Periodicals; Gerontology -- Periodicals; 612.67
• DOI: 10.1093/geroni/igaa057.2135
• Languages: English
• ISSNs: 2399-5300

Abstract

Abstract: Unmet dementia-related care needs are highly prevalent, and are detrimental to the care dyad's health and well-being, safety, and ability to age in place. The goal of this study was to develop an ecologically-valid needs assessment and integrate it with aspects of the SHARE intervention to inform values-based care planning. Using digital behavioral data collected via an actigraphy watch and multimodal sensors installed in the homes of 76 older adult couples with and without dementia, we created a prototype of the objective measures informing READyR: time spent together or separate as a dyad, exits from the home, sleep habits, physical activity, daily weight, driving habits, and medication taking behavior. These digital behavioral data were then mapped onto care values (e.g. safety, avoiding burden & autonomy) to create a values-based needs assessment protocol that is tailored to the individual care dyad. Discussion will focus on future testing and applications of READyR.