Empowering Out‐of‐Home Participation and Collaborative Care in Early‐Stage Dementia: From Concept to Technology Use
The study presents a comprehensive example of complex intervention design, integrating co-created insights from knowledge users with relevant theory and evidence. Key outputs include intervention principles that prioritize empowerment and cognitive accessibility for PLWD, hypothesized mechanisms of processes (e.g., dyadic care negotiation dynamics, self-perception adjustment and technology adoption), and projected outcomes (e.g., enhanced out-of-home participation and improved dyadic care collaboration). Illustrative case studies further demonstrate potential real-world applications of, and hypothesized outcomes resulting from, the smart insole intervention compared to current care practices CONCLUSION: A structured, evidence-based approach to complex intervention design can support the translation of theory, user needs, and empirical evidence into actionable intervention strategies and evaluative frameworks. Digital health technologies, such as the smart insole intervention described here, hold promise for fostering empowerment and dignity among PLWD while promoting ethical, collaborative care arrangements with their care partners.
Authors
- Habib Chaudhury (ORCID: https://orcid.org/0000-0001-5770-3776)
- Thomas Tannou (ORCID: https://orcid.org/0000-0003-3476-9822)
- C Normandin
- Amy Hwang (ORCID: https://orcid.org/0000-0003-0217-6088)
- Rosalie H. Wang (ORCID: https://orcid.org/0000-0001-7777-9989)
- Sayeh Bayat (ORCID: https://orcid.org/0000-0003-2554-2140)
- Ishaan Singla
- Maxime Lussier
- Ron Beleno
Institutions
- Royal Bank of Canada (CA)
- Simon Fraser University (CA)
- University of Toronto (CA)
- Whitby Hospital (GB)
- Institut Universitaire de Gériatrie de Montréal (CA)
- Centre Intégré Universitaire de Santé et de Services Sociaux du Centre-Sud-de-l'Île-de-Montréal (CA)
- Ontario Brain Institute (CA)
- Hotchkiss Brain Institute (CA)
Publication Details
- Journal
- Alzheimer s & Dementia
- Published
- 2025-12-01
- DOI
- https://doi.org/10.1002/alz70858_102455
- Primary Topic
- Dementia and Cognitive Impairment Research
- Type
- article
- Field-Weighted Citation Impact
- 0.00