What Are my Options to Stay Safe at Home: Technology For Aging at Home
NCT ID: NCT04267484
Last Updated: 2020-02-17
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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UNKNOWN
294 participants
OBSERVATIONAL
2018-11-28
2021-11-30
Brief Summary
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Detailed Description
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The aim of the project is to develop and validate a e-technology based on already existing components (e.g. GPS devices, diverse e-platforms and decision support interventions) to 1) help older adults with mild cognitive impairment/memory problems to stay safely at home as long as possible and 2) to provide older adults with decision support tools to help them make informed value congruent decisions (e.g. foster a shared decision-making process) regarding aging at home in a safe manner.
The secondary objectives are:
1. Assess autonomy and mobility of older adults with mild cognitive impairment/memory problems living at home.
2. Inform shared decision-making processes about options to safely age in place for all those involved.
The investigators will apply an integrated Knowledge Translation (iKT), comparative, mixed-methods approach to explore, older adults living at home with mild cognitive impairment/memory problems, their use of space in their homes and neighbourhoods.
The project is divide into 4 work package (WP). In more details, during WP1, the investigators will collect spatial data (e.g. using GPS) and self-reported data (e.g. travel diaries, walking interviews, in-depth interviews, surveys). At WP2, the investigators will use iterative end-user feedback and end-user consultation discussion group to tailor a decision support technology to knowledge-users. At WP3, investigators will assess user opinion regarding factors that could influence their use of the newly adapted e-decision support technology. Finally, at WP4 the investigators will triangulate data and take into account differences between jurisdictions.
This collaboration and our cross-country comparisons will contribute to scaling up e-decision support solutions in the future for the older adults with mild cognitive impairment/memory problems who want to age safely at home.
Conditions
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Study Design
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COHORT
CROSS_SECTIONAL
Study Groups
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Older adults with mild cognitive impairment
WP1, older adults with cognitive impairment will use a GPS tracker for 2 weeks, during which they are asked 1) to keep a daily diary about their activity (travel diary), 2) take the researcher on a walk that they often do (walking interview), and 3) participate in an in-depth interview after 2 weeks, in which their experience with the GPS ans the travel diary data are discussed.
WP2, older adults with mild cognitive impairment, caregivers, health professionals and technology developers will collaborate during group discussion meeting to co-design the e-decision support platform to be adapted.
WP3, older adults with mild cognitive impairment, caregivers and health professionals will then be asked to use the adapted e-decision support platform and fill a survey.
GPS and travel diary
WP1: GPS tracker for 2 weeks and a daily diary about activity (travel diary).
e-decision support platform
WP2 and WP3: An e-decision support platform that will foster shared decision making about options to stay safe at home for the older adult.
Interventions
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GPS and travel diary
WP1: GPS tracker for 2 weeks and a daily diary about activity (travel diary).
e-decision support platform
WP2 and WP3: An e-decision support platform that will foster shared decision making about options to stay safe at home for the older adult.
Eligibility Criteria
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Inclusion Criteria
* Living at home
* Diagnosed with mild cognitive impairment or experiencing memory issues
* Able to read, understand and write
* Can provide informed consent
Exclusion Criteria
* Living in nursing home or hospital
65 Years
ALL
No
Sponsors
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Laval University
OTHER
Dalarna University
OTHER
University of Groningen
OTHER
University of Alberta
OTHER
CHU de Quebec-Universite Laval
OTHER
Responsible Party
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France Legare
Principal investigator
Principal Investigators
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France Légaré, PhD
Role: PRINCIPAL_INVESTIGATOR
Laval University
Locations
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CERSSPL
Québec, Quebec, Canada
University of Alberta
Edmonton, , Canada
University of Groningen
Groningen, , Netherlands
Dalarna University
Falun, , Sweden
Countries
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Central Contacts
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Facility Contacts
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France Légaré, MD, PhD
Role: primary
Allyson Jones
Role: primary
Louise Meijering
Role: primary
Marie Elf
Role: primary
References
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Caron CD, Ducharme F, Griffith J. Deciding on institutionalization for a relative with dementia: the most difficult decision for caregivers. Can J Aging. 2006 Summer;25(2):193-205. doi: 10.1353/cja.2006.0033.
Garvelink MM, Emond J, Menear M, Briere N, Freitas A, Boland L, Perez MMB, Blair L, Stacey D, Legare F. Development of a decision guide to support the elderly in decision making about location of care: an iterative, user-centered design. Res Involv Engagem. 2016 Jul 19;2:26. doi: 10.1186/s40900-016-0040-0. eCollection 2016.
Pot AM, Willemse BM, Horjus S. A pilot study on the use of tracking technology: feasibility, acceptability, and benefits for people in early stages of dementia and their informal caregivers. Aging Ment Health. 2012;16(1):127-34. doi: 10.1080/13607863.2011.596810. Epub 2011 Jul 25.
Greenhalgh T, Jackson C, Shaw S, Janamian T. Achieving Research Impact Through Co-creation in Community-Based Health Services: Literature Review and Case Study. Milbank Q. 2016 Jun;94(2):392-429. doi: 10.1111/1468-0009.12197.
Meijering L, Weitkamp G. Numbers and narratives: Developing a mixed-methods approach to understand mobility in later life. Soc Sci Med. 2016 Nov;168:200-206. doi: 10.1016/j.socscimed.2016.06.007. Epub 2016 Jun 8.
Sturge J, Meijering L, Jones CA, Garvelink M, Caron D, Nordin S, Elf M, Legare F. Technology to Improve Autonomy and Inform Housing Decisions for Older Adults With Memory Problems Who Live at Home in Canada, Sweden, and the Netherlands: Protocol for a Multipronged Mixed Methods Study. JMIR Res Protoc. 2021 Jan 21;10(1):e19244. doi: 10.2196/19244.
Related Links
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Chaire de recherche du Canada sur la décision partagée et l'application des connaissances
Other Identifiers
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118792
Identifier Type: -
Identifier Source: org_study_id
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