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      Effectiveness of digital technologies to engage and support the wellbeing of people with dementia and family carers at home and in care homes: A scoping review

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          Abstract

          Use of digital technologies to support meaningful engagement of people with dementia and carers increased during the COVID-19 pandemic. The purpose of this scoping review was to determine the effectiveness of digital technologies in supporting the engagement and wellbeing of people with dementia and family carers at home and in care homes. Studies published in peer reviewed literature were identified across four databases (CINAHL, Medline, PUBMED, PsychINFO). Sixteen studies met the inclusion criteria. Findings indicate that digital technologies can potentially support the wellbeing of people with dementia and family carers, although only a few studies had measured impact on wellbeing, as many were reporting on technology at proof-of-concept stage rather than commercially ready products. Moreover, current studies lacked meaningful involvement of people with dementia, family carers, and care professionals in the design of the technology. Future research should bring together people with dementia, family carers, care professionals and designers to coproduce digital technologies with researchers and evaluate them using robust methodologies. Codesign should start early in the intervention development phase and continue until implementation. There is a need for real world applications that nurture social relationships by focusing on how digital technologies can support more personalised, adaptive forms of care. Developing the evidence base to identify what makes digital technologies effective in supporting the wellbeing of people with dementia is crucial. Future interventions should therefore consider the needs and preferences of people with dementia, their families, and professional carers, as well as the suitability and sensitivity of wellbeing outcome measures.

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          PRISMA Extension for Scoping Reviews (PRISMA-ScR): Checklist and Explanation

          Scoping reviews, a type of knowledge synthesis, follow a systematic approach to map evidence on a topic and identify main concepts, theories, sources, and knowledge gaps. Although more scoping reviews are being done, their methodological and reporting quality need improvement. This document presents the PRISMA-ScR (Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews) checklist and explanation. The checklist was developed by a 24-member expert panel and 2 research leads following published guidance from the EQUATOR (Enhancing the QUAlity and Transparency Of health Research) Network. The final checklist contains 20 essential reporting items and 2 optional items. The authors provide a rationale and an example of good reporting for each item. The intent of the PRISMA-ScR is to help readers (including researchers, publishers, commissioners, policymakers, health care providers, guideline developers, and patients or consumers) develop a greater understanding of relevant terminology, core concepts, and key items to report for scoping reviews.
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            Scoping studies: towards a methodological framework

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              Beyond PICO: the SPIDER tool for qualitative evidence synthesis.

              Standardized systematic search strategies facilitate rigor in research. Current search tools focus on retrieval of quantitative research. In this article we address issues relating to using existing search strategy tools, most typically the PICO (Population, Intervention, Comparison, Outcome) formulation for defining key elements of a review question, when searching for qualitative and mixed methods research studies. An alternative search strategy tool for qualitative/mixed methods research is outlined: SPIDER (Sample, Phenomenon of Interest, Design, Evaluation, Research type). We used both the SPIDER and PICO search strategy tools with a qualitative research question. We have used the SPIDER tool to advance thinking beyond PICO in its suitable application to qualitative and mixed methods research. However, we have highlighted once more the need for improved indexing of qualitative articles in databases. To constitute a viable alternative to PICO, SPIDER needs to be refined and tested on a wider range of topics.
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                Author and article information

                Journal
                Dementia (London)
                Dementia (London)
                spdem
                DEM
                Dementia (London, England)
                SAGE Publications (Sage UK: London, England )
                1471-3012
                1741-2684
                26 May 2023
                August 2023
                : 22
                : 6
                : 1292-1313
                Affiliations
                [1-14713012231178445]Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Ringgold 276175, universityBournemouth University; , Bournemouth, UK
                [2-14713012231178445]Centre for Seldom Heard Voices, Faculty of Health & Social Sciences, Ringgold 276175, universityBournemouth University; , Bournemouth, UK
                [3-14713012231178445]Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Ringgold 276175, universityBournemouth University; , Bournemouth, UK
                Author notes
                [*]Michelle Heward, Ageing and Dementia Research Centre, Faculty of Health & Social Sciences, Bournemouth University, Bournemouth Gateway Building, St. Pauls Lane, Bournemouth, BH8 8GP, UK. Email: mheward@ 123456bournemouth.ac.uk
                Author information
                https://orcid.org/0000-0002-4492-3726
                Article
                10.1177_14713012231178445
                10.1177/14713012231178445
                10336719
                37235791
                9c7ee7ff-5cb1-41eb-a40f-8f1af5272392
                © The Author(s) 2023

                This article is distributed under the terms of the Creative Commons Attribution 4.0 License ( https://creativecommons.org/licenses/by/4.0/) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page ( https://us.sagepub.com/en-us/nam/open-access-at-sage).

                History
                Funding
                Funded by: Bournemouth University, FundRef https://doi.org/10.13039/100008473;
                Award ID: Quality-Related funding
                Categories
                Review Articles
                Custom metadata
                ts10

                wellbeing,engagement,coproduction,digital technologies,home,care home,person centred,outcome measure,social relationships,connection

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