Wrist-worn actigraphy in agitated late-stage dementia patients: A feasibility study on digital inclusion.

Guu, Ta-Wei; Brem, Anna-Katharine; Albertyn, Christopher P; Kandangwa, Pooja; Aarsland, Dag; Ffytche, Dominic (2024). Wrist-worn actigraphy in agitated late-stage dementia patients: A feasibility study on digital inclusion. Alzheimer's & dementia : the journal of the Alzheimer's Association, 20(5), pp. 3211-3218. Wiley 10.1002/alz.13772

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BACKGROUND

Wrist-worn actigraphy can be an objective tool to assess sleep and other behavioral and psychological symptoms in dementia (BPSD). We investigated the feasibility of using wearable actigraphy in agitated late-stage dementia patients.

METHODS

Agitated, late-stage Alzheimer's dementia care home residents in Greater London area (n = 29; 14 females, mean age ± SD: 80.8 ± 8.2; 93.1% White) were recruited to wear an actigraphy watch for 4 weeks. Wearing time was extracted to evaluate compliance, and factors influencing compliance were explored.

RESULTS

A high watch-acceptance (96.6%) and compliance rate (88.0%) was noted. Non-compliance was not associated with age or BPSD symptomatology. However, participants with "better" cognitive function (R = 0.42, p = 0.022) and during nightshift (F1.240, 33.475  = 8.075, p = 0.005) were less compliant. Female participants were also marginally less compliant (F1, 26  = 3.790, p = 0.062).

DISCUSSIONS

Wrist-worn actigraphy appears acceptable and feasible in late-stage agitated dementia patients. Accommodating the needs of both the patients and their carers may further improve compliance.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > University Psychiatric Services > University Hospital of Geriatric Psychiatry and Psychotherapy

UniBE Contributor:

Brem, Anna- Katharine

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1552-5279

Publisher:

Wiley

Language:

English

Submitter:

Pubmed Import

Date Deposited:

19 Mar 2024 08:08

Last Modified:

16 May 2024 00:14

Publisher DOI:

10.1002/alz.13772

PubMed ID:

38497216

Uncontrolled Keywords:

Actigraphy BPSD compliance dementia feasibility

BORIS DOI:

10.48350/194422

URI:

https://boris.unibe.ch/id/eprint/194422

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