| Creators: |
Fotteler, Marina L. and Mühlbauer, Viktoria and Brefka, Simone and Mayer, Sarah and Kohn, Brigitte and Holl, Felix and Swoboda, Walter and Gaugisch, Petra and Risch, Beate and Denkinger, Michael and Dallmeier, Dhayana |
| Title: |
The impact of frailty on the effectiveness of assistive technologies - results from a systematic literature review |
| Item Type: |
Conference or Workshop Item |
| Event Title: |
17th European Geriatric Medicine Society Congress (EuGMS) |
| Event Location: |
Athens, Greece (Hybrid Conference) |
| Event Dates: |
11.-13. Oktober 2021 |
| Projects: |
DigiHealth |
| Page Range: |
Abstract 776 |
| Date: |
2021 |
| Divisions: |
Gesundheitsmanagement |
| Abstract (ENG): |
Introduction: Assistive technologies (AT) are designed to assist seniors, enable independent living, and improve quality of life by addressing age-related difficulties. When conducting studies with older adults, frailty is an essential factor to consider. We aimed to evaluate if frailty modifies the effectiveness of AT for older adults.
Methods: A systematic literature review of randomized controlled trials evaluating AT was performed according to the PRISMA guidelines. The databases Ovid Medline, PsycINFO, SocIndex, CINAHL, Cochrane Central Register of Controlled Trials (CENTRAL), and IEEEXplore were searched from Jan 1st, 2009 to March
15th, 2019. AT were included when aiming to support autonomy, communication, or safety of older adults with a mean age of 65 years and older. Trials conducted in a laboratory setting were excluded. Studies were retrospectively categorized for the frailty status of participants.
Results: 19 heterogeneous trials, covering six device categories, were identified: Mobility, personal disease management, medication, mental support, hearing, and vision. Only one study performed a frailty characterization of the participants. For six other studies, frailty could be assessed retrospectively. Studies including significantly or severely impaired participants showed no effectiveness of AT. Additionally, AT was not effective in studies conducted in nursing homes.
Conclusions: Our analysis suggests that the evaluated AT might not (yet) be suitable for frail older adults. A lack of frailty characterization and high-quality research for promising devices, suggesting an uncertain effectiveness of AT were confirmed in this systematic review. Further research should include measures of frailty to increase the focus on this vulnerable group. |
| Forthcoming: |
No |
| Language: |
English |
| Link eMedia: |
Download |
| Citation: |
Fotteler, Marina L. and Mühlbauer, Viktoria and Brefka, Simone and Mayer, Sarah and Kohn, Brigitte and Holl, Felix and Swoboda, Walter and Gaugisch, Petra and Risch, Beate and Denkinger, Michael and Dallmeier, Dhayana
(2021)
The impact of frailty on the effectiveness of assistive technologies - results from a systematic literature review.
In: 17th European Geriatric Medicine Society Congress (EuGMS), 11.-13. Oktober 2021, Athens, Greece (Hybrid Conference), Abstract 776.
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