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
|
Text
Alzheimer_s___Dementia_-_2024_-_Guu_-_Wrist_worn_actigraphy_in_agitated_late_stage_dementia_patients__A_feasibility_study.pdf - Published Version Available under License Creative Commons: Attribution (CC-BY). Download (705kB) | Preview |
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 |