Mobile health applications for people with dementia: a systematic review and synthesis of qualitative studies

ABSTRACT

Objective

To review the qualitative literature on mobile health applications for people with dementia.

Methods

A systematic review was undertaken. Five databases were searched using relevant keywords. Titles, abstracts and full-text papers were screened independently by two reviewers. Data extraction and quality assessment were conducted. Analysis was guided by framework synthesis and underpinned by the Digital Health Engagement Model.

Results

Nine studies were included. Three themes emerged around the experiences of people with dementia when using health apps. The technology seemed to improve some aspects of physical, mental and social health such as stimulating cognitive function and communication skills. When implementing health applications with persons with dementia six themes came to light. How well an application or mobile device was designed and the quality of information on it, seemed to influence use. Digital knowledge and skills were also needed to engage with the technology. One’s personal lifestyle and agency were other relevant factors affecting implementation, along with the health of an individual with dementia.

Conclusion

Further research examining the efficacy of health apps for people with dementia is required. Utilizing co-design approaches to create mobile technology with those with dementia should also be considered.

PROSPERO Registration Number

CRD42015029846

KEYWORDS:

• Dementia
• Alzheimer’s
• mobile application
• health app
• mobile health

Acknowledgments

We would like to thank Sheena Moffat, the Subject Librarian at Edinburgh Napier University for her assistance with preparing a robust search strategy.

Author contributions

SOC conceived the study and secured funding. AB undertook the search and both AB and SOC conducted screening, data extraction and quality assessment. Data analysis was performed by SOC and checked by AB. SOC wrote the first draft of the manuscript. All authors reviewed and edited the manuscript and approved the final version. The views expressed are those of the authors and not necessarily those of the Burdett Trust for Nursing.

Conflict of Interest

The authors report no conflict of interest.

Supplementary material

Supplemental data for this article can be accessed on the publisher’s website.

Additional information

Funding

We gratefully acknowledge funding from the Burdett Trust for Nursing who supported this systematic review.