A Mobile Multimedia Reminiscence Therapy Application to Reduce Behavioral and Psychological Symptoms in Persons with Alzheimer's

The goal of this project is to develop a novel and innovative mobile solution to address behavioral and psychological symptoms of dementia (BPSD) that occur in individuals with Alzheimer's. BPSD can include agitation, restlessness, aggression, apathy, obsessive-compulsive and repetitive behaviors, hallucinations, delusions, paranoia, and wandering. Alzheimer's currently affects 5.4 million adults in the United States and that number is projected to increase to 14 million by 2050. Almost 90% of all affected with AD experience BPSD, resulting in increased healthcare costs, heavier burden on caregivers, poor patient outcomes, early nursing home placement, long-term hospitalizations, and misuse of medications. Pharmacological support may have undesirable side effects such as sedation. Nonpharmacological interventions are alternative solutions that have shown to be effective without undesirable side effects. Music therapy has been found to lower BPSD symptoms significantly. Our study is based on combination of the reminiscence and the music therapies where past memorable events are recalled using prompts such as photos, videos, and music. We are proposing a mobile multimedia solution, a technical version of the combined reminiscence, and music therapies to prevent the occurrence of BPSD, especially for the rural population who have reduced access to dementia care services.

[1]  M. Skaff,et al.  Caregiving and the stress process: an overview of concepts and their measures. , 1990, The Gerontologist.

[2]  Marco Trabucchi,et al.  Efficacy of Music Therapy in the Treatment of Behavioral and Psychiatric Symptoms of Dementia , 2008, Alzheimer disease and associated disorders.

[3]  Orazio Zanetti,et al.  Reminiscence therapy in dementia: a review. , 2012, Maturitas.

[4]  Nick P. Clarke,et al.  Assessment of a Music-Based Multimedia Program for People with Dementia , 2004 .

[5]  O. Sacks Musicophilia: Tales of Music and the Brain , 2007 .

[6]  A. Innes,et al.  Dementia care in rural and remote settings: a systematic review of formal or paid care. , 2011, Maturitas.

[7]  A. Gibbons,et al.  Which behavioral and psychological symptoms of dementia are the most problematic? Variability by prevalence, intensity, distress ratings, and associations with caregiver depressive symptoms , 2014, International journal of geriatric psychiatry.

[8]  J. Leeper,et al.  Coping Strategies and Caregiving Outcomes Among Rural Dementia Caregivers , 2010, Journal of gerontological social work.

[9]  S. Noy,et al.  The cost of behavioral and psychological symptoms of dementia (BPSD) in community dwelling Alzheimer's disease patients , 2002, International journal of geriatric psychiatry.

[10]  Masatoshi Takeda,et al.  [Behavioral and psychological symptoms of dementia]. , 2011, Nihon rinsho. Japanese journal of clinical medicine.

[11]  D. Craig,et al.  A retrospective study of the behavioural and psychological symptoms of mid and late phase Alzheimer's disease , 2003, International journal of geriatric psychiatry.

[12]  A. A. Clair,et al.  A Preliminary Study of Music Therapy Programming for Severely Regressed Persons With Alzheimer's-Type Dementia , 1990 .

[13]  I. McKeith,et al.  Prevalence, correlates and course of behavioural and psychological symptoms of dementia in the population , 2009, British Journal of Psychiatry.

[14]  W. Carswell,et al.  A review of the role of assistive technology for people with dementia in the hours of darkness. , 2009, Technology and health care : official journal of the European Society for Engineering and Medicine.

[15]  H. Kaplan,et al.  Snoezelen multi-sensory environments: task engagement and generalization. , 2006, Research in developmental disabilities.

[16]  A. Burns,et al.  Guidelines for the management of agitation in dementia , 2001, International journal of geriatric psychiatry.

[17]  P. Topo Technology Studies to Meet the Needs of People With Dementia and Their Caregivers , 2009 .

[18]  E. Tulving Episodic memory: from mind to brain. , 2002, Annual review of psychology.

[19]  C. Holmes,et al.  Sensory stimulation in dementia , 2002, BMJ : British Medical Journal.

[20]  D. Puskin,et al.  Opportunities and challenges to telemedicine in rural America , 1995, Journal of Medical Systems.

[21]  Inger Hagen,et al.  Technology in dementia care , 2007 .

[22]  Mark E. Johnson,et al.  Barriers to healthcare as reported by rural and urban interprofessional providers , 2006, Journal of Interprofessional Care.

[23]  Bob Woods,et al.  Nonpharmacological Therapies in Alzheimer’s Disease: A Systematic Review of Efficacy , 2010, Dementia and Geriatric Cognitive Disorders.

[24]  Kristine Yaffe,et al.  Patient and caregiver characteristics and nursing home placement in patients with dementia. , 2002, JAMA.

[25]  S. DeKosky,et al.  Ten-year incidence of dementia in a rural elderly US community population , 2000, Neurology.

[26]  J C Chung,et al.  Snoezelen for dementia. , 2002, The Cochrane database of systematic reviews.

[27]  J. Forlizzi,et al.  Intelligent assistive technology applications to dementia care: current capabilities, limitations, and future challenges. , 2009, The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry.