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Open Access Research article

A passive positioning alarm used by persons with dementia and their spouses – a qualitative intervention study

Annakarin Olsson12*, Maria Engström14, Claudia Lampic3 and Kirsti Skovdahl25

Author Affiliations

1 Faculty of Health and Occupational Studies, University of Gävle, Gävle, 80176, Sweden

2 School of Health and Medical Sciences, Örebro University, Örebro, 701 82, Sweden

3 Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Stockholm, 171 77, Sweden

4 Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden

5 Faculty of Health Sciences, Buskerud University College, Drammen, Norway

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BMC Geriatrics 2013, 13:11  doi:10.1186/1471-2318-13-11

Published: 5 February 2013

Abstract

Background

Increasingly, information and communication technology is being used to support persons with dementia living at home and their relatives. The aim of the present intervention study was to describe and explore the use and experiences of using a passive positioning alarm, over time, in daily life among persons with dementia and their spouses.

Methods

Using an ethnographically inspired approach, five couples, each including a person with Alzheimer´ s disease and his/her spouse living in their own home, were repeatedly observed and interviewed regarding their experiences of using a passive positioning alarm. Interview text transcripts and field notes were analyzed using qualitative content analysis.

Results

The main findings show changes over time, where testing and checking the passive positioning alarm successively led to trust in the alarm and in one own´s ability to use it. These components were a prerequisite for the couples to perceive the value of the alarm.

Conclusions

A passive positioning alarm for persons with dementia and their spouses needs to be packaged as a “service” with flexibility for each user and based on user needs, abilities, knowledge and skills. Using a passive positioning alarm can be a valuable support that allows persons with dementia to be alone outdoors and can increase safety and security for them and their spouses. The present study contributes to our understanding of what prerequisites need to be in place and what barriers need to be dealt with before successful implementation can occur.

Keywords:
Alzheimer´s disease; Information and communication technology (ICT); Interview; Participant observation; Passive positioning alarm; Spouse; Tracking