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Assessment of need and practice for assistive technology and telecare for people with dementia—The ATTILA (Assistive Technology and Telecare to maintain Independent Living At home for people with dementia) trial

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Kirsty Forsyth, Catherine Henderson, Lucy Davis, Anusua Singh Roy, Barbara Dunk, Eleanor Curnow, Rebecca Gathercole, Natalie Lam, Emma Harper, Iracema Leroi, John Woolham, Chris Fox, John O'Brien, Andrew Bateman, Fiona Poland, Peter Bentham, Alistair Burns, Anna Davies, Richard Gray, Rosie Bradley & 12 more Martin Knapp, Stanton Newman, Rupert McShane, Craig Ritchie, Emma Talbot, Emma Hooper, Rachel Winson, Bethany Scutt, Victoria Ordonez, Samantha Nunn, Grace Lavelle, Robert Howard

Original languageEnglish
Pages (from-to)420-430
Number of pages11
JournalAlzheimer's and Dementia: Translational Research and Clinical Interventions
Published1 Jan 2019

King's Authors


Introduction: The objective of this study was to define current assistive technology and telecare (ATT) practice for people with dementia living at home. Methods: This is a randomized controlled trial (N = 495) of ATT assessment and ATT installation intervention, compared with control (restricted ATT package). ATT assessment and installation data were collected. Qualitative work identified value networks delivering ATT, established an ATT assessment standard. Results: ATT was delivered by public and not-for-profit telecare networks. ATT assessments showed 52% fidelity to the ATT assessment standard. Areas of assessment most frequently leading to identifying ATT need were daily activities (93%), memory (89%), and problem-solving (83%). ATT needs and recommendations were weakly correlated (τ = 0.242; P <.000), with ATT recommendations and installations moderately correlated (τ = −0.470; P <.000). Half (53%) of recommended technology was not installed. Safety concerns motivated 38% of installations. Discussion: Assessment recommendations were routinely disregarded at the point of installation. ATT was commonly recommended for safety and seldom for supporting leisure.

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