Ambient Activity Technologies for Managing Responsive Behaviours in Dementia

Many people living with dementia are under-stimulated and socially isolated. While there has been an increase in activities and programming based on recreational therapy and music therapy, such programs can cover only a fraction of the day for people with dementia and are resource demanding to execute. The result is that many people with dementia, who are institutionalized, are staying most of the day either in their rooms, sitting in communal areas, or wandering the hallways. A related problem is that people with dementia often have difficulty with social interactions and may become anxious or aggressive around people they do not recognize, or in situations they do not understand. Resulting responsive behaviours (e.g., hitting, screaming) may lead to overmedication and poor quality of life. Ambient Activity Technology (AAT) is a wall-mounted interactive tool designed for people with dementia. The AAT unit is available in the environment for easy access, and have been designed to augment existing programming and activities by providing self-accessed, engaging and personalized interactions at any time (24-hours per day, 7 days/week). AATs have been designed to reduce distress, in residents and caregivers, by substituting responsive behaviours and purposelessness with active and meaningful activities, distractions, and appropriate interventions. This paper describes the motivation behind the design and development of the AAT. The paper ends with a description of our summative evaluation research, which is currently in progress at several long-term care facilities in Ontario, Canada.