“It leads to conversation”: Staff descriptions on the use of tablet computers in facilitating meaningful interactions in residential dementia care homes
DOI:
https://doi.org/10.58986/al.2025.34309Nyckelord:
social interaction, dementia, residential care, tablet computer, person-centered careAbstract
This study explores the experiences of care staff using tablet computers as a social activity with residents living with dementia. While digital tools are becoming increasingly more common in residential care, research about their introduction is scarce. Through semistructured interviews with seven professional carers, the research identifies both barriers and enabling factors in the introduction of these digital tools. Key findings highlight the importance of person-centered care, tailored to suit individual needs and preferences, to maximize the benefits of tablet use. Furthermore, the findings indicate that staff perceptions about dementia and older age affect the introduction of tablet computers. The results underscore the necessity for staff training and dedicated time to support residents effectively. Ultimately, the study shows how the staff experienced increased opportunities to engage in meaningful interaction with the residents after the introduction of the tablet computer, where the technology fostered rather than replaced interpersonal communication.
Denna studie undersöker erfarenheterna som personal inom särskilt boende har av att använda surfplattor i interaktioner med boende som lever med demens. Digitala verktyg blir alltmer förekommande inom demensomsorgen men kunskap om dess implementerings saknas. Genom semistrukturerade intervjuer med sju professionella vårdare identifierar studien både hinder och möjliggörande faktorer vid implementeringen av surfplattor. Resultatet belyser vikten av personcentrerad kommunikation, anpassad efter individuella behov och preferenser, för att maximera fördelarna med surfplattor. Vidare indikerar resultaten att personalens uppfattningar om demens och åldrande påverkar implementeringen av surfplattor inom särskilt boende. Resultaten understryker behovet av personalutbildning och avsatt tid för att effektivt kunna stödja de boende. Användningen av surfplattor har potential att bidra till djupare och mer meningsfulla interaktioner, vilket kan förbättra livskvaliteten för personer med demens inom särskilt boende.
Nedladdningar
Referenser
Alm, N., Dye, R., Gowans, G., Campbell, J., Astell, A. and Ellis, M. (2007). A communication support system for older people with dementia. Computer 40(5), 35–41. DOI: https://doi.org/10.1109/MC.2007.153
Braithwaite, S. L., Jones, C. H. and Windle, G. (2022). A qualitative systematic review of the role of families in supporting communication in people with dementia. International Journal of Language & Communication Disorders 57(5), 1130–1153. https://doi.org/10.1111/1460-6984.12738 DOI: https://doi.org/10.1111/1460-6984.12738
Braun, V. and Clarke, V. (2006). Using thematic analysis in psychology. Qualitative Research in Psychology 3(2), 77–101. https://doi.org/10.1191/1478088706qp063oa DOI: https://doi.org/10.1191/1478088706qp063oa
Braun, V. and Clarke, V. (2021). Thematic analysis: A practical guide. Sage. DOI: https://doi.org/10.1007/978-3-319-69909-7_3470-2
Brooker, D. (2004). What is person-centred care in dementia? Reviews in Clinical Gerontology 13(03), 215–222. https://doi.org/10.1017/s095925980400108x DOI: https://doi.org/10.1017/S095925980400108X
Budak, K. B., Atefi, G., Hoel, V., Laporte Uribe, F., Meiland, F., Teupen, S., Felding, S. A. and Roes, M. (2021). Can technology impact loneliness in dementia? A scoping review on the role of assistive technologies in delivering psychosocial interventions in long-term care. Disability and Rehabilitation: Assistive Technology 0(0), 1–13. https://doi.org/10.1080/17483107.2021.1984594 DOI: https://doi.org/10.1080/17483107.2021.1984594
Cahill, S., Pierce, M., Werner, P., Darley, A. and Bobersky, A. (2015). A systematic review of the public’s knowledge and understanding of Alzheimer’s disease and dementia. Alzheimer Disease & Associated Disorders 29(3), 255. https://doi.org/10.1097/WAD.0000000000000102 DOI: https://doi.org/10.1097/WAD.0000000000000102
Derbring, S., Barbos, N. M., Svenningsson, J. A., Ekström, A., Ingebrand, E., Samuelsson, C., Laakso, K. and Buchholz, M. (2023). Effects of a digital reminiscing intervention on people with dementia and their care-givers and relatives. Ageing and Society 43(9), 1983–2000. https://doi.org/10.1017/S0144686X21001446 DOI: https://doi.org/10.1017/S0144686X21001446
Edvardsson, D., Petersson, L., Sjogren, K., Lindkvist, M. and Sandman, P. O. (2014). Everyday activities for people with dementia in residential aged care: Associations with person-centredness and quality of life. International Journal of Older People Nursing 9(4), 269–276. https://doi.org/10.1111/opn.12030 DOI: https://doi.org/10.1111/opn.12030
Evans, S. B., Bray, J. and Evans, S. C. (2017). The iPad project: Introducing iPads into care homes in the UK to support digital inclusion. Gerontechnology 16(2), 91–100. https://doi.org/10.4017/gt.2017.16.2.004.00 DOI: https://doi.org/10.4017/gt.2017.16.2.004.00
Groenendaal, M., Smaling, H. J. A., Achterberg, W. P. and Caljouw, M. A. A. (2022). Maintaining meaningful activities for persons with dementia during transitions of care: A systematic review. Geriatric Nursing 44, 176–183. https://doi.org/10.1016/j.gerinurse.2022.01.017 DOI: https://doi.org/10.1016/j.gerinurse.2022.01.017
Harmer, B. J. and Orrell, M. (2008). What is meaningful activity for people with dementia living in care homes? A comparison of the views of older people with dementia, staff and family carers. Aging & Mental Health 12(5), 548–558. https://doi.org/10.1080/13607860802343019 DOI: https://doi.org/10.1080/13607860802343019
Hicks, B., Gridley, K., Dixon, J., Baxter, K., Birks, Y., Colclough, C., Karim, A., Perach, R., Moseley, E., Russell, A., Sondh, H. K., Storey, B., Tipping, E., Ardle, R. M., Donaghy, P., Dangoor, M., Miles, E., Robinson, L., Rusted, J., … Team, D. (2023). Using digital technologies to facilitate social inclusion during the COVID-19 pandemic: Experiences of co-resident and non-co-resident family carers of people with dementia from DETERMIND-C19. International Journal of Geriatric Psychiatry 38(2), e5886. https://doi.org/10.1002/gps.5886 DOI: https://doi.org/10.1002/gps.5886
Hydén, L. C. (2018). Entangled narratives: Collaborative storytelling and the re-imagining of dementia. Oxford University Press.
Ingebrand, E., Samuelsson, C. and Hydén, L. C. (2021). People with dementia positioning themselves as learners. Educational Gerontology 47(2), 47–62. https://doi.org/10.1080/03601277.2020.1855501 DOI: https://doi.org/10.1080/03601277.2020.1855501
Ingebrand, E., Samuelsson, C. and Hydén, L. C. (2022). People living with dementia collaborating in a joint activity. Learning, Culture and Social Interaction 34, 100629. https://doi.org/10.1016/j.lcsi.2022.100629 DOI: https://doi.org/10.1016/j.lcsi.2022.100629
Ingebrand, E., Samuelsson, C. and Hydén, L. C. (2023). Supporting people living with dementia in novel joint activities: Managing tablet computers. Journal of Aging Studies 65, 101116. https://doi.org/10.1016/j.jaging.2023.101116 DOI: https://doi.org/10.1016/j.jaging.2023.101116
Joddrell, P. and Astell, A. J. (2016). Studies involving people with dementia and touchscreen technology: A literature review. JMIR Rehabilitation and Assistive Technologies 3(2), e10. https://doi.org/10.2196/rehab.5788 DOI: https://doi.org/10.2196/rehab.5788
Johannessen, A., Engedal, K., Haugen, P. K., Dourado, M. C. and Thorsen, K. (2019). Coping with transitions in life: A four-year longitudinal narrative study of single younger people with dementia. Journal of Multidisciplinary Healthcare 12, 479–492. https://doi.org/10.2147/JMDH.S208424 DOI: https://doi.org/10.2147/JMDH.S208424
Jones, D. (2015). A family living with Alzheimer’s disease: The communicative challenges. Dementia 14(5), 555–573. https://doi.org/10.1177/1471301213502213 DOI: https://doi.org/10.1177/1471301213502213
Kitson, A., Marshall, A., Bassett, K. and Zeitz, K. (2013). What are the core elements of patient-centred care? A narrative review and synthesis of the literature from health policy, medicine and nursing. Journal of advanced nursing 69(1), 4–15. https://doi.org/10.1111/j.1365-2648.2012.06064.x DOI: https://doi.org/10.1111/j.1365-2648.2012.06064.x
Kitwood, T. M. (1997). Dementia reconsidered: The person comes first. Open University Press.
Lewis, C. and Buffel, T. (2020). Aging in place and the places of aging: A longitudinal study. Journal of Aging Studies 54, 100870. https://doi.org/10.1016/j.jaging.2020.100870 DOI: https://doi.org/10.1016/j.jaging.2020.100870
Lindeberg, S., Zarén, C., Hydén, L. C. and Samuelsson, C. (2025). Digital or analogue communication supports—Does it matter? Educational Gerontology 51(2), 128–138. https://doi.org/10.1080/03601277.2024.2384618 DOI: https://doi.org/10.1080/03601277.2024.2384618
Macdonald, M., Yu, Z., Weeks, L. E., Moody, E., Wilson, B., Almukhaini, S., Martin-Misener, R., Sim, M., Jefferies, K., Iduye, D., Neeb, D. and McKibbon, S. (2021). Assistive technologies that support social interaction in long-term care homes: A scoping review. JBI Evidence Synthesis 19(10), 2695. https://doi.org/10.11124/JBIES-20-00264 DOI: https://doi.org/10.11124/JBIES-20-00264
Mansbach, W. E., Mace, R. A., Clark, K. M. and Firth, I. M. (2017). Meaningful activity for long-term care residents with dementia: A comparison of activities and raters. The Gerontologist 57(3), 461–468. https://doi.org/10.1093/geront/gnv694 DOI: https://doi.org/10.1093/geront/gnv694
May, A. A., Dada, S. and Murray, J. (2019). Review of AAC interventions in persons with dementia. International Journal of Language & Communication Disorders 54(6) 857–874. https://doi.org/10.1111/1460-6984.12491 DOI: https://doi.org/10.1111/1460-6984.12491
Neal, I., Toit, S. H. J. du and Lovarini, M. (2020). The use of technology to promote meaningful engagement for adults with dementia in residential aged care: A scoping review. International Psychogeriatrics 32(8), 913–935. https://doi.org/10.1017/S1041610219001388 DOI: https://doi.org/10.1017/S1041610219001388
Odzakovic, E., Hydén, L. C., Festin, K. and Kullberg, A. (2019). People diagnosed with dementia in Sweden: What type of home care services and housing are they granted? A cross-sectional study. Scandinavian Journal of Public Health 47(2), 229–239. https://doi.org/10.1177/1403494818755600 DOI: https://doi.org/10.1177/1403494818755600
Olsen, C., Pedersen, I., Bergland, A., Enders-Slegers, M. J., Jøranson, N., Calogiuri, G. and Ihlebæk, C. (2016). Differences in quality of life in home-dwelling persons and nursing home residents with dementia—a cross-sectional study. BMC Geriatrics 16(1), 137. https://doi.org/10.1186/s12877-016-0312-4 DOI: https://doi.org/10.1186/s12877-016-0312-4
Olsen, V., Taylor, L., Whiteley, K., Ellerton, A., Kingston, P. and Bailey, J. (2020). Exploring public perceptions and understanding of dementia: Analysing narratives from the mass observation project. Dementia 19(8), 2804–2820. https://doi.org/10.1177/1471301219861468 DOI: https://doi.org/10.1177/1471301219861468
Perkins, L., Felstead, C., Stott, J. and Spector, A. (2022). Communication training programmes for informal caregivers of people living with dementia: A systematic review. Journal of Clinical Nursing 31(19–20), 2737–2753. https://doi.org/10.1111/jocn.16175 DOI: https://doi.org/10.1111/jocn.16175
Roland, K. P. and Chappell, N. L. (2015). Meaningful activity for persons with dementia: Family caregiver perspectives. American Journal of Alzheimer’s Disease & Other Dementias® 30(6), 559–568. https://doi.org/10.1177/1533317515576389 DOI: https://doi.org/10.1177/1533317515576389
Ryan, A. A., McCauley, C. O., Laird, E. A., Gibson, A., Mulvenna, M. D., Bond, R., Bunting, B., Curran, K. and Ferry, F. (2020). ‘There is still so much inside’: The impact of personalised reminiscence, facilitated by a tablet device, on people living with mild to moderate dementia and their family carers. Dementia 19(4), 1131–1150. DOI: https://doi.org/10.1177/1471301218795242
Saunders, P. A., de Medeiros, K. and Bartell, A. (2011). ‘Oh he was forgettable’: Construction of self identity through use of communicative coping behaviors in the discourse of persons with cognitive impairment. Dementia 10(3), 341–359. https://doi.org/10.1177/1471301211407805 DOI: https://doi.org/10.1177/1471301211407805
Savundranayagam, M. Y. (2014). Missed opportunities for person-centered communication: Implications for staff-resident interactions in long-term care. International Psychogeriatrics 26(4), 645–655. https://doi.org/10.1017/S1041610213002093 DOI: https://doi.org/10.1017/S1041610213002093
Scholl, I., Zill, J. M., Härter, M. and Dirmaier, J. (2014). An integrative model of patient-centeredness—a systematic review and concept analysis. PloS one 9(9), e107828. https://doi.org/10.1371/journal.pone.0107828 DOI: https://doi.org/10.1371/journal.pone.0107828
SFS 2001:453. Socialtjänstlag. https://www.riksdagen.se/sv/dokument-och-lagar/dokument/svensk-forfattningssamling/socialtjanstlag-2001453_sfs-2001-453/
sm-Rahman, A., Hydén, L. C. and Kelfve, S. (2021). Eldercare services for people with and without a dementia diagnosis: An analysis of Swedish registry data. BMC Health Services Research 21(1) 893. https://doi.org/10.1186/s12913-021-06891-6 DOI: https://doi.org/10.1186/s12913-021-06891-6
Socialstyrelsen (2017). Nationella riktlinjer för vård och omsorg vid demenssjukdom. [The National Board of Health and Welfare of Sweden. National guidelines for dementia; in Swedish.] Available at: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/nationella-riktlinjer/2017-12-2.pdf
Socialstyrelsen (2020). Vård vid demenssjukdom. Indikatorer [The National Board of Health and Welfare of Sweden. Care in dementia. Indicators; in Swedish.] Available at: https://www.socialstyrelsen.se/globalassets/sharepoint-dokument/artikelkatalog/nationella-riktlinjer/2020-9-6869.pdf
Strandell, R., Braedley, S. and Jacobsen, F. F. (2024). "Chapter 5: Replacing labour? Welfare technology and long-term care". In The Labour Crisis in Long-term Care. Edward Elgar Publishing. https://doi.org/10.4337/9781035340309.00010 DOI: https://doi.org/10.4337/9781035340309.00010
Suárez‐González, A., Cassani, A., Gopalan, R., Stott, J. and Savage, S. (2021). When it is not primary progressive aphasia: A scoping review of spoken language impairment in other neurodegenerative dementias. Alzheimer’s & Dementia: Translational Research & Clinical Interventions 7(1) e12205. https://doi.org/10.1002/trc2.12205 DOI: https://doi.org/10.1002/trc2.12205
Sury, L., Burns, K. and Brodaty, H. (2013). Moving in: Adjustment of people living with dementia going into a nursing home and their families. International Psychogeriatrics 25(6), 867–876. https://doi.org/10.1017/S1041610213000057 DOI: https://doi.org/10.1017/S1041610213000057
Swan, J., Hitch, D., Pattison, R., Mazur, A., Loi, S., Westphal, A. and Bolton, K. (2018). Meaningful occupation with iPads: Experiences of residents and staff in an older person’s mental health setting. British Journal of Occupational Therapy 81(11), 649–656. https://doi.org/10.1177/0308022618767620 DOI: https://doi.org/10.1177/0308022618767620
Tierney, L., MacAndrew, M., Doherty, K., Fielding, E. and Beattie, E. (2023). Characteristics and value of ‘meaningful activity’ for people living with dementia in residential aged care facilities: “You’re still part of the world, not just existing.” Dementia 22(2), 305–327. https://doi.org/10.1177/14713012221144488 DOI: https://doi.org/10.1177/14713012221144488
Young, J. A., Lind, C. and Orange, J. (2021). A qualitative systematic review of experiences of persons with dementia regarding transition to long-term care. Dementia 20(1), 5–27. https://doi.org/10.1177/1471301219862439 DOI: https://doi.org/10.1177/1471301219862439
World Health Organization. (2021). Global status report on the public health response to dementia. Geneva: World Health Organization. https://iris.who.int/bitstream/handle/10665/344701/9789240033245-eng.pdf
Publicerad
Referera så här
Nummer
Sektion
Licens
Copyright (c) 2025 Sophia Lindeberg, Elias Ingebrand

Det här verket är licensierat under en Creative Commons Erkännande 4.0 Internationell-licens.