Long-term digital device-enabled monitoring of functional status: Implications for management of persons with Alzheimer's disease

Natalie A. Manley, Eléonore Bayen, Tamara L. Braley, Jennifer Merrilees, Amy M. Clark, Bradley Zylstra, Michael Schaffer, Alexandre M. Bayen, Katherine L. Possin, Bruce L. Miller, A. Katrin Schenk, Stephen J. Bonasera

Research output: Contribution to journalArticlepeer-review

Abstract

Introduction: Informal caregiving is an essential element of health-care delivery. Little data describes how caregivers structure care recipients’ lives and impact their functional status. Methods: We performed observational studies of community dwelling persons with dementia (PWD) to measure functional status by simultaneous assessment of physical activity (PA) and lifespace (LS). We present data from two caregiver/care-recipient dyads representing higher and average degrees of caregiver involvement. Results: We acquired >42,800 (subject 1); >41,300 (subject 2) PA data points and >154,500 (subject 1); >119,700 (subject 2) LS data points over 15 months of near continuous observation. PA and LS patterns provided insights into the caregiver's role in structuring the PWD's day-to-day function and change in function over time. Discussion: We show that device-enabled functional monitoring (FM) can successfully gather and display data at resolutions required for dementia care studies. Objective quantification of individual caregiver/care-recipient dyads provides opportunities to implement patient-centered care.

Original languageEnglish (US)
Article numbere12017
JournalAlzheimer's and Dementia: Translational Research and Clinical Interventions
Volume6
Issue number1
DOIs
StatePublished - 2020

Keywords

  • Alzheimer's disease
  • caregiver
  • dementia
  • dyad
  • functional status
  • lifespace
  • n-of-1 trial
  • physical activity
  • smartphone
  • smartwatch

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

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