The meaning of everyday technology as experienced by people with dementia who live alone

This study explored how people with dementia who live alone experienced the meaning of their everyday technology, such as telephones and electronic equipment, and the use of it. Eight participants with mild to moderate stage dementia were included. Repeated interviews and observations were undertaken in each participant's home and surroundings. A phenomenological, interpretative method was adopted in the analysis. In summary, the participants experienced their everyday technology to be embedded with both practical and existential meaning, as it could assist them in different ways in daily life as well as support their perception and presentation of themselves. Although important, habit and familiarity did not seem to provide them with enough support to continue using technology, unless the technology was experienced as very significant and incorporated in a bodily experience through continuous and very frequent practice. The abundance of experienced meanings and the significance of the technology in the participants' lives call for further studies in order to better understand the conditions for managing everyday technology in home and society and, when relevant, to facilitate technology use in people with dementia.

[1]  William C. Mann,et al.  Computer use by middle-aged and older adults with disabilities , 2005 .

[2]  William C. Mann,et al.  Use of cell phones by elders with impairments: Overall appraisal, satisfaction, and suggestions , 2004 .

[3]  L. Nygård,et al.  The use of everyday technology by people with dementia living alone: Mapping out the difficulties , 2007, Aging & mental health.

[4]  B. Winblad,et al.  An Estimate of the Worldwide Prevalence and Direct Costs of Dementia in 2003 , 2006, Dementia and Geriatric Cognitive Disorders.

[5]  B. Winblad,et al.  Natural history of Alzheimer's disease and other dementias: review of the literature in the light of the findings from the Kungsholmen Project , 1998, International journal of geriatric psychiatry.

[6]  L. Borell,et al.  A Life-World of Altering Meaning: Expressions of the Illness Experience of Dementia in Everyday Life over 3 Years , 1998 .

[7]  Elizabeth D. Mynatt,et al.  Developing technology to support the functional independence of older adults , 2001 .

[8]  L. Clare,et al.  Improving website accessibility for people with early-stage dementia: A preliminary investigation , 2005, Aging & mental health.

[9]  M. Csíkszentmihályi,et al.  The meaning of things: Coding categories and definitions , 1981 .

[10]  C. Hock,et al.  Interactive computer-based cognitive training in patients with Alzheimer's disease. , 1996, Journal of psychiatric research.

[11]  A. Giorgi,et al.  Phenomenology and Psychological Research , 1991 .

[12]  Lifeworld perspectives on assistive devices: Lived experiences of spouses of persons with stroke , 2005, Scandinavian journal of occupational therapy.

[13]  D. Caulley Qualitative research for education: An introduction to theories and methods , 2007 .

[14]  P. Emiliani Assistive Technology (AT) versus Mainstream Technology (MST): The research perspective , 2006 .

[15]  C. Hock,et al.  Computer‐based Cognitive Training in Alzheimer's Disease Patients , 1996, Annals of the New York Academy of Sciences.

[16]  M P Lawton,et al.  The physical environment of the person with Alzheimer's disease , 2001, Aging & mental health.

[17]  Britt Östlund Images, users, practices : senior citizens entering the IT-society , 1999 .

[18]  G. Hubbard,et al.  Including older people with dementia in research: Challenges and strategies , 2003, Aging & mental health.

[19]  C. McCreadie,et al.  The acceptability of assistive technology to older people , 2005, Ageing and Society.

[20]  N. Selwyn Apart from technology: understanding people’s non-use of information and communication technologies in everyday life , 2003 .

[21]  J. Keady,et al.  Editorial The narrative voice of people with dementia , 2006 .

[22]  Incorporating or Resisting Assistive Devices: Different Approaches to Achieving a Desired Occupational Self-Image , 2003 .

[23]  Colin Potts,et al.  Design of Everyday Things , 1988 .

[24]  R. Scheidt,et al.  The General Ecological Model Revisited: Evolution, Current Status, and Continuing Challenges , 2003, Annual Review of Gerontology and Geriatrics.

[25]  M. Folstein,et al.  Clinical diagnosis of Alzheimer's disease , 1984, Neurology.

[26]  Louise Nygård,et al.  Responses of persons with dementia to challenges in daily activities: a synthesis of findings from empirical studies. , 2004, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[27]  K. Tham,et al.  A training apartment with electronic aids to daily living: lived experiences of persons with brain damage. , 2004, The American journal of occupational therapy : official publication of the American Occupational Therapy Association.

[28]  Michael Schreiber,et al.  Potential of an Interactive Computer-based Training in the Rehabilitation of Dementia: An Initial Study , 1999 .

[29]  F. Verhey,et al.  Awareness in dementia: A review of assessment methods and measures , 2005, Aging & mental health.

[30]  P. Topo,et al.  User Involvement in Dementia Product Development , 2004 .

[31]  Maurice Merleau-Ponty Phenomenology of Perception , 1964 .

[32]  James L. McClelland,et al.  Phenomenology of perception. , 1978, Science.

[33]  Mary Marshall,et al.  Technology to Help People with Dementia Remain in Their Own Homes , 1999 .

[34]  C. Bodine,et al.  Technology for improving cognitive function. A workshop sponsored by the U.S. Interagency Committee on Disability Research (ICDR): Reports from working groups , 2006, Disability and rehabilitation.

[35]  B. Winblad,et al.  The social consequences for families with Alzheimer's disease patients: potential impact of new drug treatment , 1999, International journal of geriatric psychiatry.

[36]  S. Folstein,et al.  "Mini-mental state". A practical method for grading the cognitive state of patients for the clinician. , 1975, Journal of psychiatric research.

[37]  N. Selwyn The information aged: A qualitative study of older adults' use of information and communications technology , 2004 .

[38]  Erich Seifritz,et al.  Interactive computer-training as a therapeutic tool in Alzheimer's disease. , 2003, Comprehensive psychiatry.

[39]  G. Karlsson Psychological Qualitative Research from a Phenomenological Perspective , 1993 .

[40]  Louise Nygård,et al.  Managing Changes in Everyday Occupations: The Experience of Persons with Alzheimer's Disease , 2002 .

[41]  H. Illing ENVIRONMENT AND AGING , 1958, Journal of the American Geriatrics Society.

[42]  Pia Kontos,et al.  Ethnographic reflections on selfhood, embodiment and Alzheimer's disease , 2004, Ageing and Society.

[43]  Louise Nygård,et al.  Telephone use among noninstitutionalized persons with dementia living alone: mapping out difficulties and response strategies. , 2003, Scandinavian journal of caring sciences.

[44]  Brian Hobbs,et al.  Developing a Virtual Reality-Based Methodology for People with Dementia: A Feasibility Study , 2003, Cyberpsychology Behav. Soc. Netw..