{"title":"The Predestined Nature of Assistive Technologies for Dementia","authors":"Taro Sugihara, T. Fujinami, O. Moriyama","doi":"10.1093/med/9780190459802.003.0007","DOIUrl":"https://doi.org/10.1093/med/9780190459802.003.0007","url":null,"abstract":"Assistive technologies for dementia care will be a fruitful way to enhance resources in care facilities, especially in the era of global super-aging. While assistive technologies have been deployed across national boundaries, their users—people who are cared for and their caregivers—are bound by policies in their respective countries or regions. Therefore, technology developers have to pay attention to local policies and related rules. This chapter examines this issue using a case study approach from care homes in Japan. We describe the opportunities and challenges of implementing these technologies from the micro, meso, and macro perspectives. Finally, this chapter attempts to delineate possible solutions from the author’s perspective.","PeriodicalId":334181,"journal":{"name":"Intelligent Assistive Technologies for Dementia","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126879998","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Developing Ethical Web- and Mobile-Based Technologies for Dementia","authors":"Julie M. Robillard, T. Feng","doi":"10.1093/med/9780190459802.003.0014","DOIUrl":"https://doi.org/10.1093/med/9780190459802.003.0014","url":null,"abstract":"The availability of web- and mobile-based technologies (WMBTs) for dementia prevention and care has grown exponentially over the last decade. These include computer-based resources such as online self-diagnostic tools, mobile-based resources such as applications (“apps”) that track lifestyle metrics or provide interactive platforms for cognitive engagement, and cross-platform resources such as websites providing health information. Despite their potential benefits, key ethical challenges have been identified in WMBTs for dementia both at the individual and societal levels, including issues of privacy, quality, and accessibility. This chapter explores the ethical challenges surrounding the use of WMBTs for dementia and highlights recent evidence on the positive and negative impacts of WMBT solutions. The chapter reviews development and design recommendations that have been put forward to maximize the benefits and minimize the harms of using WMBTs for dementia. It closes by looking to the future and proposing development considerations for future WMBT development.","PeriodicalId":334181,"journal":{"name":"Intelligent Assistive Technologies for Dementia","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129609498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Dementia and the Regulation of Gerontechnology","authors":"J. Beauregard","doi":"10.1093/med/9780190459802.003.0015","DOIUrl":"https://doi.org/10.1093/med/9780190459802.003.0015","url":null,"abstract":"The federal regulation of gerontechnology in the United States is a complex issue spread across multiple agencies. In addition, gerontechnology is not a unified area, but covers multiple types of technology that can help with medical care, safety monitoring, communication, and mobility, most recently through advances in robotics. This chapter reviews the nature of federal regulation as it impacts the development, safety, efficacy, monitoring, and use of gerontechnology for dementia care through an examination of the different types of dementia and specific care needs that arise within them, followed by consideration of the specific federal agencies that regulate a multifaceted gerontechnology field. The chapter concludes with recommendations for creating a common core of knowledge across the many disciplines contained in the field of gerontechnology.","PeriodicalId":334181,"journal":{"name":"Intelligent Assistive Technologies for Dementia","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131250101","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Ethical Concerns About the Use of Assistive Technologies","authors":"B. Elger","doi":"10.1093/med/9780190459802.003.0009","DOIUrl":"https://doi.org/10.1093/med/9780190459802.003.0009","url":null,"abstract":"Uptake of possible beneficial assistive technology is presently hampered by ethical concerns. It is important to examine the ethical issues raised by distinct types of existing technologies in more detail than has been done previously to obtain a nuanced judgment as to whether public health authorities and healthcare personnel should inform patients and interested stakeholders about them, offer patients and their informal caregivers more choice concerning the use of available assistive technologies, or even actively recommend some of them. The present chapter will focus on four examples of assistive technologies that, despite having been available for some time and being relatively simple to use, are not widely implemented: memory aid technology, “smart dresser” devices designed to help dementia patients with getting dressed, GPS tracking devices, and sensors to monitor patients in their private homes such as an intelligent wireless sensor system for the rapid detection of health issues. The first two technologies are chosen as examples for “aid” technology where the risk of harm is very low compared to significant benefits for patients, caregivers, and society. The second two are chosen because of their ethically relevant characteristics of control: their aim is patient surveillance and monitoring. The ethical issues related to these technologies will be discussed and conclusions drawn on how to appropriately balance beneficence and respect for patient autonomy.","PeriodicalId":334181,"journal":{"name":"Intelligent Assistive Technologies for Dementia","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116552885","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}