TY - JOUR A1 - Kernebeck, Sven A1 - Holle, Daniela A1 - Pogscheba, Patrick A1 - Jordan, Felix A1 - Mertl, Fabian A1 - Huldtgren, Alina A1 - Bader, Sebastian A1 - Kirste, Thomas A1 - Teipel, Stefan A1 - Holle, Bernhard A1 - Halek, Margareta T1 - A Tablet App– and Sensor-Based Assistive Technology Intervention for Informal Caregivers to Manage the Challenging Behavior of People With Dementia (the insideDEM Study): Protocol for a Feasibility Study (Preprint) JF - JMIR Res Protoc N2 - BACKGROUND Despite the enormous number of assistive technologies (ATs) in dementia care, the management of challenging behavior (CB) of persons with dementia (PwD) by informal caregivers in home care is widely disregarded. The first-line strategy to manage CB is to support the understanding of the underlying causes of CB to formulate individualized nonpharmacological interventions. App- and sensor-based approaches combining multimodal sensors (actimetry and other modalities) and caregiver information are innovative ways to support the understanding of CB for family caregivers. OBJECTIVE The main aim of this study is to describe the design of a feasibility study consisting of an outcome and a process evaluation of a newly developed app- and sensor-based intervention to manage CB of PwD for family caregivers at home. METHODS In this feasibility study, we perform an outcome and a process evaluation with a pre-post descriptive design over an 8-week intervention period. The Medical Research Council framework guides the design of this feasibility study. The data on 20 dyads (primary caregiver and PwD) are gathered through standardized questionnaires, protocols, and log files as well as semistructured qualitative interviews. The outcome measures (neuropsychiatric inventory and Cohen-Mansfield agitation inventory) are analyzed by using descriptive statistics and statistical tests relevant to the individual assessments (eg, chi-square test and Wilcoxon signed-rank test). For the analysis of the process data, the Unified Theory of Acceptance and Use of Technology is used. Log files are analyzed by using descriptive statistics, protocols are analyzed by using documentary analysis, and semistructured interviews are analyzed deductively using content analysis. RESULTS The newly developed app- and sensor-based AT has been developed and was evaluated until July in 2018. The recruitment of dyads started in September 2017 and was concluded in March 2018. The data collection was completed at the end of July 2018. CONCLUSIONS This study presents the protocol of the first feasibility study to encompass an outcome and process evaluation to assess a complex app- and sensor-based AT combining multimodal actimetry sensors for informal caregivers to manage CB. The feasibility study will provide in-depth information about the study procedure and on how to optimize the design of the intervention and its delivery. INTERNATIONAL REGISTERED REPOR DERR1-10.2196/11630 Y1 - 2019 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173061 VL - 8 IS - 2 ER - TY - CHAP A1 - Kernebeck, Sven T1 - Chatbots und sprachbasierte Dialogsysteme als neues Paradigma der Mensch-Technik-Interaktion – Neue Perspektiven der Nutzerinnen- und Nutzerzentrierung im Gesundheitswesen. T2 - Nutzerorientierte Gesundheitstechnologien - Im Kontext von Therapie und Pflege Y1 - 2019 SN - 978-3-456-95884-2 SP - 87 EP - 100 PB - Hogrefe ER - TY - CHAP A1 - Kernebeck, Sven T1 - For Those About to Bot (we salute you) – Chatbots und Conversional User Interfaces als neues Paradigma der Mensch-Technik-Interaktion im Gesundheitswesen? T2 - Tagungsreihe: Gesundheit & Technologie, Hochschule für Gesundheit, November 2018 Y1 - 2018 ER - TY - JOUR A1 - Teipel, Stefan A1 - Heine, Christina A1 - Hein, Albert A1 - Krüger, Frank A1 - Kutschke, Andreas A1 - Kernebeck, Sven A1 - Halek, Margareta A1 - Bader, Sebastian A1 - Kirste, Thomas T1 - Multidimensional assessment of challenging behaviors in advanced stages of dementia in nursing homes—The insideDEM framework JF - Alzheimer's & Dementia: Diagnosis, Assessment & Disease Monitoring N2 - IntroductionAssessment of challenging behaviors in dementia is important for intervention selection. Here, we describe the technical and experimental setup and the feasibility of long-term multidimensional behavior assessment of people with dementia living in nursing homes.MethodsWe conducted 4 weeks of multimodal sensor assessment together with real-time observation of 17 residents with moderate to very severe dementia in two nursing care units. Nursing staff received extensive training on device handling and measurement procedures. Behavior of a subsample of eight participants was further recorded by videotaping during 4 weeks during day hours. Sensors were mounted on the participants' wrist and ankle and measured motion, rotation, as well as surrounding loudness level, light level, and air pressure.ResultsParticipants were in moderate to severe stages of dementia. Almost 100% of participants exhibited relevant levels of challenging behaviors. Automated quality control detected 155 potential issues. But only 11% of the recordings have been influenced by noncompliance of the participants. Qualitative debriefing of staff members suggested that implementation of the technology and observation platform in the routine procedures of the nursing home units was feasible and identified a range of user- and hardware-related implementation and handling challenges.DiscussionOur results indicate that high-quality behavior data from real-world environments can be made available for the development of intelligent assistive systems and that the problem of noncompliance seems to be manageable. Currently, we train machine-learning algorithms to detect episodes of challenging behaviors in the recorded sensor data. Y1 - 2017 U6 - http://nbn-resolving.de/urn/resolver.pl?urn:nbn:de:hbz:836-opus-173308 SN - 2352-8729 VL - 8 SP - 36 EP - 44 ER - TY - CHAP A1 - Halek, Marareta A1 - Kernebeck, Sven T1 - Einbeziehung von Menschen mit Demenz in die Entwicklung und Evaluation von Technologien T2 - 3. Zukunftskongress „Technik zum Menschen bringen“ des Bundesministeriums für Bildung und Forschung (BMBF), Juni 2017, Bonn Y1 - 2017 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Halek, Margareta T1 - Development of an App- and Sensor-based Assistive Technology for Informal Caregivers of People with Dementia to Manage Challenging Behavior – The insideDEM Project T2 - Poster at the 26th Alzheimer Europe, November 2016, Copenhagen, Denmark Y1 - 2016 ER - TY - CHAP A1 - Kernebeck, Sven A1 - Margareta, Halek T1 - Entwicklung einer app- und sensorbasierten- assistiven Technologie für Angehörige von Menschen mit Demenz zum Umgang mit herausforderndem Verhalten - Projekt insideDEM T2 - 15. Deutscher Kongress für Versorgungsforschung (DKVF), Berlin Y1 - 2016 ER - TY - CHAP A1 - Kernebeck, Sven T1 - „Zwischen Hi-Tech und Bedarfsgerechtigkeit“ - Technologien zur Versorgung von Menschen mit Demenz in der Häuslichkeit. T2 - Tagung des Demenz-Servicezentrums Region Münster und das westliche Münsterland und des Netzwerk Gesundheitswirtschaft Münsterland e.V., September 2016, Münster Y1 - 2016 ER - TY - GEN A1 - Kernebeck, Sven T1 - App- und sensorbasierte- assistive Technologien für Angehörige von Menschen mit Demenz zum Umgang mit herausforderndem Verhalten in der Häuslichkeit - Projekt insideDEM T2 - Vortrag auf der Tagung –Technologie und Gesundheit - eHealth in Interaktionen, September 2016, Hochschule für Gesundheit, Bochum Y1 - 2016 ER - TY - GEN A1 - Kernebeck, Sven T1 - „Technology is a word that describes something that doesn´t work yet.” (Douglas Adams) - Technologien im Leben von Menschen mit Demenz. T2 - Vortrag auf der Fachtagung des Forum Demenz im Kreis Viersen - „Das kann ja heiter werden Visionen für‘s Alter, Viersen Y1 - 2016 ER -