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@ARTICLE{Budak:258674,
      author       = {Budak, Beliz and Laporte Uribe, Franziska and Meiland,
                      Franka and Felding, Simone and Teupen, Sonja and Bergmann,
                      Johannes and Müller-Widmer, Rene and Roes, Martina},
      title        = {{I}mplementing {A}ctive {A}ssisted {L}iving {T}echnology in
                      the {L}ong-term {C}are of {P}eople {L}iving {W}ith
                      {D}ementia to {A}ddress {L}oneliness: {E}uropean {S}urvey.},
      journal      = {JMIR aging},
      volume       = {6},
      issn         = {2561-7605},
      address      = {Toronto, ON},
      publisher    = {JMIR Publications Inc.},
      reportid     = {DZNE-2023-00647},
      pages        = {e45231},
      year         = {2023},
      abstract     = {In the lives of people with dementia, loneliness is an
                      important issue with psychological and physical
                      consequences. Active assisted living (AAL) technology has
                      been gaining visibility in the care of persons living with
                      dementia, including addressing loneliness. However, to the
                      best of our knowledge, there is a lack of evidence
                      concerning the factors influencing the implementation of AAL
                      technology within the context of dementia, loneliness, and
                      long-term care (LTC).We aimed to identify the familiarity
                      with AAL technology that is promising for addressing
                      loneliness in persons living with dementia in LTC in Europe
                      and the factors influencing AAL technology implementation.A
                      web-based survey was developed based on findings from our
                      previous literature review. The Consolidated Framework for
                      Implementation Research guided the development and analysis
                      of the survey. Participants included 24 representatives of
                      Alzheimer Europe member associations from 15 European
                      countries. The data were analyzed using basic statistical
                      methods (descriptive statistics).The baby seal robot Paro
                      was reported to be the most familiar AAL technology by 19 of
                      24 participants addressing loneliness in people with
                      dementia living in LTC. Participants from Norway (n=2)
                      reported familiarity with 14 AAL technologies, and
                      participants from Serbia (n=1) reported zero familiarity. It
                      seems that countries that invest less in LTC facilities are
                      familiar with fewer AAL technologies. At the same time,
                      these countries report a more positive attitude toward AAL
                      technology, express a higher need for it, and see more
                      advantages than disadvantages than those countries that
                      invest more in LTC. However, a country's investment in LTC
                      facilities does not seem to be linked to other
                      implementation aspects such as costs, planning, and the
                      impact of infrastructure.Implementation of AAL technology to
                      address loneliness in dementia seems to be linked to
                      familiarity with the technology in a country as well as
                      national investment in LTC facilities. This survey confirms
                      the literature on higher investment countries' critical
                      stance in regard to AAL technology implementation to address
                      loneliness in persons living with dementia living in LTC.
                      Further research is needed to clarify the potential reasons
                      why familiarity with more AAL technology does not seem to be
                      directly linked with acceptance, positive attitude, or
                      satisfaction with AAL technology addressing loneliness in
                      persons living with dementia.},
      keywords     = {Alzheimer (Other) / CFIR (Other) / active assisted living
                      technology (Other) / dementia (Other) / implementation
                      (Other) / loneliness (Other) / long-term care (Other) /
                      social isolation (Other)},
      cin          = {AG Roes 2 ; AG Roes 2 ; AG Roes - IS / AG Teupen},
      ddc          = {610},
      cid          = {I:(DE-2719)1610003 / I:(DE-2719)5000076},
      pnm          = {353 - Clinical and Health Care Research (POF4-353)},
      pid          = {G:(DE-HGF)POF4-353},
      typ          = {PUB:(DE-HGF)16},
      pmc          = {pmc:PMC10334712},
      pubmed       = {pmid:37314840},
      doi          = {10.2196/45231},
      url          = {https://pub.dzne.de/record/258674},
}