Typology of Technology-Supported Dementia Care Interventions From an In-Home Telehealth Trial

West J Nurs Res. 2019 Dec;41(12):1724-1746. doi: 10.1177/0193945919825861. Epub 2019 Jan 28.


Identifying the needs of dementia caregivers is critical for supporting dementia home care. This study identified a typology of expert interventions delivered to dementia caregivers during an innovative telehealth trial that used in-home video recordings to directly observe care challenges. Qualitative content analysis was used to analyze narrative notes describing interventions that were developed based on video data submitted by 33 caregiver-care recipient dyads. Two major themes emerged: education and skills for dementia care and caregiver support. Ten subthemes included education and skills related to: behavioral and psychological symptoms of dementia, disease expectations, safety, activities of daily living, medical care optimization, and medication utilization and caregiver support related to: respite, positive reinforcement, social and financial support, and self-care. Families providing in-home dementia care experience a wide range of care challenges. By using video data, dementia care experts were able to witness and evaluate challenging care situations and provide individualized feedback.

Trial registration: ClinicalTrials.gov NCT02483520.

Keywords: Alzheimer’s disease; behavioral symptoms; caregivers; gerontology; home care; location of care; methods; population focus; qualitative; telemedicine.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Caregivers / psychology
  • Dementia / complications
  • Dementia / nursing*
  • Equipment and Supplies / classification*
  • Equipment and Supplies / standards
  • Equipment and Supplies / statistics & numerical data
  • Female
  • Home Care Services / standards
  • Home Care Services / trends
  • Humans
  • Male
  • Middle Aged
  • Qualitative Research
  • Telemedicine / instrumentation*
  • Telemedicine / methods
  • Telemedicine / trends

Associated data

  • ClinicalTrials.gov/NCT02483520