Caregivers as a proxy for responses of dementia clients in a GPS technology acceptance study

ABSTRACT Objective: The objective of this study was to examine the extent to which caregivers can be used to provide proxy responses for dementia clients in a study on the acceptance of GPS technology. Methods: Forty-five client–caregiver dyads used one of three GPS devices. The Unified Theory of Acceptance and Use of Technology (UTAUT) was used to create two questionnaires, one for dementia clients and one for caregivers, as proxies. Spearman rho bivariate correlations of responses for each UTAUT construct were used to compare the client and caregiver responses post-usage of the GPS devices. Results: The mean age of the clients was 76.02 years (SD = 11.5). Overall, after using the GPS devices, the responses of the clients and caregivers were correlated and statistically significant (rxy Overall summative scale = 0.550). In addition, 4 out of 6 constructs of the UTAUT were correlated and statistically significant (p < 0.05) (rxy Performance Expectancy = 0.160; rxy Social Influence = 0.478; rxy Behavioural Intention to Use = 0.347; and rxy Actual Use = 0.570). Conclusion: The degree of agreement between the caregivers and clients, especially for the constructs intention to use and actual use of the GPS technology, suggested that caregivers can respond on behalf of dementia clients on technology acceptance questionnaires.

[1]  T. Koch,et al.  Using caregivers-as-proxies to retrospectively assess and measure quality of dying of palliative care clients , 2002, The American journal of hospice & palliative care.

[2]  R. Landau,et al.  Ethical aspects of using GPS for tracking people with dementia: recommendations for practice , 2011, International Psychogeriatrics.

[3]  Izak Benbasat,et al.  Development of an Instrument to Measure the Perceptions of Adopting an Information Technology Innovation , 1991, Inf. Syst. Res..

[4]  A. Spector,et al.  Quality of Life (QoL) in Dementia: A Comparison of the Perceptions of People With Dementia and Care Staff in Residential Homes , 2006, Alzheimer disease and associated disorders.

[5]  Noam Shoval,et al.  Who should make the decision on the use of GPS for people with dementia? , 2011, Aging & mental health.

[6]  R. Hughes.  Safer walking? Issues and ethics in the use of electronic surveillance of people with dementia , 2008 .

[7]  Home, Safe Home: Minimizing the Risks for the Cognitively Impaired in the Community , 2004 .

[8]  Terry S. Overton,et al.  Estimating Nonresponse Bias in Mail Surveys , 1977 .

[9]  C. Whitlatch,et al.  Decision-Making Involvement Scale for Individuals With Dementia and Family Caregivers , 2008, American journal of Alzheimer's disease and other dementias.

[10]  D. A. Kenny,et al.  Partner effects in relationship research: Conceptual issues, analytic difficulties, and illustrations , 1999 .

[11]  Duane F. Alwin.  Margins of Error: A Study of Reliability in Survey Measurement , 2007 .

[12]  Antonio Miguel Cruz,et al.  Acceptance of Global Positioning System (GPS) Technology Among Dementia Clients and Family Caregivers , 2017 .

[13]  Gordon B. Davis,et al.  User Acceptance of Information Technology: Toward a Unified View , 2003, MIS Q..

[14]  P. Måseide,et al.  Dementia, distributed interactional competence and social membership. , 2015, Journal of aging studies.

[15]  Fred D. Davis.  Perceived Usefulness, Perceived Ease of Use, and User Acceptance of Information Technology , 1989, MIS Q..

[16]  D. Gavin-Dreschnack,et al.  Mapping the maze of terms and definitions in dementia-related wandering , 2007, Aging & mental health.

[17]  Deborah Compeau,et al.  Application of Social Cognitive Theory to Training for Computer Skills , 1995, Inf. Syst. Res..

[18]  I. Roque,et al.  METODOLOGÍA DE LA INVESTIGACIÓN , 2019, Cultura de emprendimiento corporativo en las micro, pequeñas y medianas empresas colombianas.

[19]  Peter A. Todd,et al.  Understanding Information Technology Usage: A Test of Competing Models , 1995, Inf. Syst. Res..

[20]  P. V. Marsden,et al.  Handbook of Survey Research , 1985 .

[21]  I. Ajzen.  The theory of planned behavior , 1991 .

[22]  B. Malle,et al.  How People Explain Behavior: A New Theoretical Framework , 1999, Personality and social psychology review : an official journal of the Society for Personality and Social Psychology, Inc.

[23]  Yao-Jen Chang,et al.  Mobile computing for indoor wayfinding based on bluetooth sensors for individuals with cognitive impairments , 2008, 2008 3rd International Symposium on Wireless Pervasive Computing.

[24]  I. Ajzen,et al.  Belief, Attitude, Intention, and Behavior: An Introduction to Theory and Research , 1977 .

[25]  長嶋 起久雄,et al.  Canadian Occupational Performance Measureを用い た作業療法士としての終末期がん患者のいきがいへの関 わり , 2015 .

[26]  P. Olivier,et al.  Keeping In Touch Everyday (KITE) project: developing assistive technologies with people with dementia and their carers to promote independence , 2009, International Psychogeriatrics.

[27]  Gill Livingston,et al.  A systematic review of barriers and facilitators to and interventions for proxy decision-making by family carers of people with dementia , 2015, International Psychogeriatrics.

[28]  B. Willemse,et al.  A pilot study on the use of tracking technology: Feasibility, acceptability, and benefits for people in early stages of dementia and their informal caregivers , 2012, Aging & mental health.

[29]  Cherng-Yee Leung,et al.  Exploring functions of the lost seeking devices for people with dementia. , 2012, Work.

[30]  Martin Prince,et al.  World Alzheimer Report 2014: Dementia and risk reduction: An analysis of protective and modifiable risk factors , 2014 .

[31]  Fred D. Davis,et al.  Extrinsic and Intrinsic Motivation to Use Computers in the Workplace1 , 1992 .

[32]  T. Koch,et al.  Client relevant care and quality of life: the trial of a Client Generated Index (CGI) tool for community nursing. , 2001, International journal of nursing studies.

[33]  C. Lyketsos,et al.  Predictors of quality of life ratings for persons with dementia simultaneously reported by patients and their caregivers: the Cache County (Utah) Study , 2012, International Psychogeriatrics.

[34]  Marko Sarstedt,et al.  Partial least squares structural equation modeling (PLS-SEM): An emerging tool in business research , 2014 .

[35]  V Rialle,et al.  Electronic tracking system and wandering in Alzheimer's disease: a case study. , 2009, Annals of physical and rehabilitation medicine.

[36]  Scott B. MacKenzie,et al.  Common method biases in behavioral research: a critical review of the literature and recommended remedies. , 2003, The Journal of applied psychology.

[37]  Richard,et al.  Extrinsic and Intrinsic Motivation to Use Computers in the Workplace , 2022 .

[38]  C. Nugent,et al.  Usability of a new electronic assistive device for community-dwelling persons with mild dementia , 2012, Aging & mental health.