Social Engagement is Associated with Location-based Digital Markers on a Dementia Care Unit

IF 4.2 2区 医学 Q2 GERIATRICS & GERONTOLOGY
Leia C. Shum MASc , Elham Khodabandehloo PhD , Tamim Faruk MASc , Twinkle Arora PhD , Caitlin McArthur PhD , Charlene H. Chu PhD , Katherine S. McGilton PhD , Alastair J. Flint MB , Shehroz S. Khan PhD , Andrea Iaboni MD, DPhil
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引用次数: 0

Abstract

Objective

Social engagement is an important contributor to quality of life and the overall health of people with dementia. There is an opportunity to develop an objective measure of social engagement by capturing factors such as the number and duration of social contacts, time in social settings, and social network metrics. The aim of this study was to examine the longitudinal relationship between clinical assessment of social engagement and digital markers of social behavior and networks derived from a clinical real-time location system (RTLS).

Design

Prospective observational study.

Setting and Participants

Thirty-seven patients on a short-stay specialized dementia unit for behavioral and psychological symptoms of dementia (60-day average length of stay).

Methods

Location data were collected using a wrist-worn clinical RTLS. Features measuring social contact, time in social spaces, and social network analyses were extracted from the location data for each morning and evening shift. The association over time between average weekly features and weekly Revised Index of Social Engagement (RISE) assessment scores was investigated using univariate panel models.

Results

There was high variability within and between participants in the RTLS-derived digital markers of social behavior. Seven digital markers of social engagement were statistically associated with weekly RISE scores over time, including time spent in the dining hall, time without co-patient contact, number of contacts longer than 5 minutes in duration, and social network PageRank.

Conclusions and Implications

Location data collected in residential care environments can provide insights into patterns of social engagement in people with dementia.
社会参与与痴呆护理单位基于位置的数字标记相关。
目的:社会参与是痴呆症患者生活质量和整体健康的重要因素。通过捕捉诸如社交接触的数量和持续时间、社交环境中的时间以及社交网络指标等因素,我们有机会开发出一种客观的社交参与度衡量标准。本研究的目的是检验临床社会参与评估与来自临床实时定位系统(RTLS)的社会行为和网络的数字标记之间的纵向关系。设计:前瞻性观察研究。环境和参与者:37名患者在短期住院的痴呆症专科病房治疗痴呆症的行为和心理症状(平均住院时间为60天)。方法:采用腕带式临床RTLS采集定位数据。测量社会联系、社会空间时间和社会网络分析的特征是从每个早晚轮班的位置数据中提取的。使用单变量面板模型研究了每周平均特征与每周修正社会参与指数(RISE)评估分数之间随时间的关联。结果:在rtls衍生的社会行为数字标记中,参与者内部和参与者之间存在高度变异性。随着时间的推移,社会参与的七个数字标记与每周RISE分数有统计学关联,包括在食堂度过的时间,没有共同病人接触的时间,持续时间超过5分钟的接触次数,以及社交网络PageRank。结论和意义:在住宿护理环境中收集的位置数据可以为痴呆症患者的社会参与模式提供见解。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
11.10
自引率
6.60%
发文量
472
审稿时长
44 days
期刊介绍: JAMDA, the official journal of AMDA - The Society for Post-Acute and Long-Term Care Medicine, is a leading peer-reviewed publication that offers practical information and research geared towards healthcare professionals in the post-acute and long-term care fields. It is also a valuable resource for policy-makers, organizational leaders, educators, and advocates. The journal provides essential information for various healthcare professionals such as medical directors, attending physicians, nurses, consultant pharmacists, geriatric psychiatrists, nurse practitioners, physician assistants, physical and occupational therapists, social workers, and others involved in providing, overseeing, and promoting quality
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