Table 1.
Study, year | Origin | Technology type and purpose | Stakeholders involved | NIHRa stage of research in which PPIb took place | Role of stakeholders involved | PPI methods |
Davies et al [53], 2019 | United Kingdom | Website to provide information and peer and professional support for caregivers of people with dementia toward end of life | Research development group including 6 HCPsc, 2 members of a dementia charity organization, and 1 carer | Design of the research, undertaking and management of the research, and analysis of data | Refining the aims of the wider project and steering the project throughout | Steering group, group meetings, and 1:1 meetings |
Kort and van Hoof [54], 2014 | The Netherlands | Website with information about home modifications for people with dementia and their family caregivers | 3 dyads (people with dementia+carer) and, separately, a group of 20 (carers or residential home staff) | Did not fit model | Contributing to the iterative design process | Observations, consultation rounds, and questionnaire |
Schikhof et al [55], 2010 | The Netherlands | Monitoring system in residential home for people with dementia to detect anomalies (eg, panicking and falls) | 8 nursing home staff members and 13 family representatives (as proxies for people with dementia) | Did not fit model | Contributing to the iterative design process | Interviews, workshops for prototype testing, informal group meetings, and focus groups |
Muñoz et al [56], 2022 | Canada | Virtual reality game to support engagement in exercise for people with dementia | 7 people with dementia or MCId, 5 older adults without dementia, industry partners, and HCPs | Design of the research and undertaking and management of the research; elements did not fit model | Contributing to the iterative design process; HCPs and industry representatives also had a role in designing and managing the study | Prototype testing and interviews (people with dementia or MCI and older adults), research group meetings (HCPs), and focus group (older adults without dementia, members of the research team, and industry representatives) |
Eisapour et al [57], 2020, also with reference to Eisapour et al [58], 2018, and Eisapour [59], 2018 | Canada | Virtual reality game to support engagement in exercise for people with dementia | HCPs and 3 people with dementia | One PPI representative involved in the main research team, presumed to be throughout; other elements did not fit model | Contributing to the iterative design process and involved in the main research team | Focus groups, observations, informal discussions in care home, and prototype testing; one member of the original focus group subsequently joined the research team |
Hanson et al [60], 2007 | Sweden | Home computer-based education and support program providing information, support tools, and exercises for people with dementia and their carers | 7 people with dementia | Did not fit model | Contributing to the iterative design process | Group meetings to develop support program content and computer skills tuition for group members |
Orpwood et al [61], 2004 | Finland and others part of the ENABLE project | Various assistive technology devices: picture gramophone, calendar, tap monitor, lost object locator, gas cooker monitor, and night-light | Family carers (as proxies for people with dementia), paid carers, and older adults without dementia | Did not fit model | Contributing to the iterative design process | Informal group meetings and focus groups |
Kort et al [62], 2019 | The Netherlands | Various projects described: a smart pill box and real-time location systems (also a website as documented separately [51]) | People with dementia and carers (past or current) | Did not fit model | Contributing to the iterative design process | Varied between projects: observations, consultations, storytelling, focus groups, and “thinking aloud” sessions |
Hendriks et al [63], 2017, also with reference to Hendriks et al [64], 2014 | Belgium | System for monitoring the mealtimes of people with dementia in a care home using sensors and data input by carers into the app | Industry representatives, academics and HCPs, professional carers, people with dementia, and informal carers | Did not fit model | Contributing to the iterative design process | Meetings, feedback sessions with HCPs or professional carers, integration of research team into daily life at care home, and group “mapping” sessions with people with dementia and carers |
Orpwood et al [65], 2007 | United Kingdom | Various technology projects: music player, video streaming of outside world scenes into the homes of people with dementia, conversation prompter for people with dementia, and “sequence support” tool for prompting ADLse | Varied across projects: people with dementia; carers; and other “user representatives,” including academics from the social sciences, engineering, and dementia organizations | Did not fit model | Contributing to the iterative design process | Varied across projects: user survey, co-design workshops, observations, 1:1 user testing, and interviews |
Savitch et al [66], 2012 | United Kingdom | Website providing information about assistive technology for people with dementia | People with dementia and, separately, a steering group that also included 1 person with dementia | Steering group: detail not given; elements did not fit model | Contributing to the iterative design process (people with dementia); steering group also provided input throughout | Interviews, focus groups, co-design workshops, and involvement in steering group meetings |
Perkins et al [52], 2022 | United Kingdom, Ireland, Hong Kong, India, and Brazil | Web-based delivery of CSTf | 4 people with dementia, 4 family carers, 4 service managers, and 8 CST group facilitators from the United Kingdom and Hong Kong; additional stakeholders in India | Design of the research and undertaking and management of the research | Designing and developing a protocol (people with dementia, carers, service managers, and CST facilitators) and field-testing of the protocol and subsequently giving feedback following testing (CST facilitators) | Focus groups (web-based); CST facilitators then tested the protocol with people with dementia in 5 countries; interviews with CST facilitators following field-testing |
Hwang et al [67], 2015 | Canada | Animated videos for prompting people with dementia with ADLs | 6 family carers | Did not fit model | Contributing to the iterative design process | Co-design workshops first to develop the concept and then refine the designs; 2 home visits for paper prototype evaluation |
Oksnebjerg et al [68], 2019 | Denmark | An app to support self-management for people with dementia, including a calendar and diary | 4 people with dementia, 4 family carers, and 4 paid carers | Did not fit model | Contributing to the iterative design process | Co-design workshops |
Hung et al [50], 2021 | Canada | PARO, a commercially available robot seal that uses AIg to support the social and emotional needs of the people with dementia interacting with it | 5 “patient and family partners” | Undertaking and managing the research, analysis of data, and dissemination of research findings | Supporting data collection, thematic analysis of data, and authoring of the paper | Supporting data collection with some patients or particular settings, analysis (4 × 1-h thematic analysis group sessions), and coauthoring the paper |
Rathnayake et al [37], 2021 | Australia | A mobile health app that provides information about dementia, care strategies, and tips for managing ADLs | Carers, HCPs, and IT experts | Did not fit model | Contributing to the iterative design process | Web-based survey, interviews, and co-design workshops |
Kowe et al [69], 2021, also with reference to Kowe et al [70], 2022 | Germany | Sensor-based activity management system | 6 family carers | Analysis of data | Supporting thematic analysis of interview data | 30-min group analysis session or workshop |
Daly Lynn et al [51], 2021, also with reference to Daly Lynn et al [71], 2019, and Daly Lynn et al [72], 2022 | United Kingdom | Smart home system for people with dementia in supported living | Peer researchers: 7 older adults without dementia; steering group: including 2 people with dementia, 1 family carer, and 2 dementia organization employees | Undertaking and management of the research, analysis of data, and dissemination; steering group: detail not given | Peer researchers: conducting interviews with research participants and supporting data analysis; steering group: ensuring that the voice of older people was central to the project and coauthoring the paper | 2-d training for peer researchers, conducting interviews jointly with a member of the research team, group thematic analysis session, and evaluation forms |
Banbury et al [73], 2021 | Australia | Virtual support program to provide information and peer support for carers of people with dementia | 6 family carers | Did not fit model | Contributing to the iterative design process | Co-design workshops and group meetings (all virtual) following the Double Diamond approach |
Fox et al [74], 2022 | United Kingdom | A mobile health app that delivers memory tests throughout the day to monitor cognition changes | 7 people with dementia, 7 family carers, and a PPI officer | Did not fit model | PPI officer as “proxy patient representative” in the research team; people with dementia and carers contributed to the iterative design process | Co-design workshops; PPI officer part of the main research group |
Rai et al [75], 2020 | United Kingdom | Virtual delivery of CST | People with dementia and family carers | Did not fit model | Contributing to the iterative design process | Consultation meetings and co-design workshops |
Owens et al [76], 2020 | Consortium spanning organizations in Europe and the United States | Remote monitoring and measurement technologies for people with dementia | People with dementia and family carers | Design of the research | Patient advisory board—supporting research planning and design and feedback on relevance and priorities | Provision of feedback on researchers’ literature review, group discussions, workshops, and other meetings of the patient advisory board |
Stavropoulos et al [77], 2021 | Greece, with involvement from multiple countries across Europe | A range of commercially available wearable devices | 11 people with dementia and 10 carers from 11 countries across Europe | Design of the research | Reviewing devices and providing information to guide the design of future research, aiming to make it more relevant and accessible and improve participant experience | One-off 2.5-h session including presentations, roundtable discussions, hands-on experimentation, and voting |
Liddle et al [17], 2022 | Australia | No specific technology discussed—study explored factors related to engagement with technology for people with dementia and carers | 15 people with dementia and carers (living experience expert reference group); 4 of them (2 people with dementia and 2 carers) were also members of the core research team and were listed as coauthors | Design of the research, undertaking and management of the research, analysis of data, and dissemination of research findings | Setting research priorities, supporting the design of interviews and developing the topic guide, thematic analysis of data, reflexivity sessions with the research team, and writing up of the study | Group sessions, discussions and meetings with reference group, group analysis sessions, and discussions of reflexivity |
Hassan et al [78], 2017 | United Kingdom | A range of commercially available wearable devices | >30 in total: people with dementia or MCI, carers, people with early-onset dementia (aged <65 y), and older adults without dementia | Design of the research | Contributing to research design (producing guidelines to optimize design and improve acceptability) and informing procurement decisions | Exploratory workshops in groups according to diagnosis (people with dementia+carers, people with early-onset dementia, and older adults without dementia), individual 1:1 meetings (people with MCI), and opportunities for stakeholders to try the devices at home |
Jacklin et al [79], 2020 | Canada | A wearable (wristband) for capturing movement-related behaviors (eg, falls, wandering, and agitation) | Indigenous community representatives, carers, community elders, and health and social care workers | Did not fit model | Informing the design of the research to ensure that culturally appropriate and inclusive methods are used | Community-based participatory research approach, focus groups (with carers), and preparation meetings with the Community Advisory Council to plan the research and ensure that appropriate methods are used |
Ghafurian et al [80], 2022 | Canada | App to support professional carers in communicating with people with dementia in nursing homes | 17 professional carers and 1 nurse | Did not fit model | Contributing to the iterative design process | Survey, focus groups, and co-design workshops |
Berge et al [81], 2022 | Norway | Tablet-based music app primarily used as a relational tool to support positive interactions between people with dementia and carers | People with dementia or other psychiatric conditions, carers, and HCPs | Did not fit model | Contributing to the iterative design process | Observations, interviews, and 2 focus groups; user testing of a prototype with 4 older adults with dementia or other psychiatric conditions |
Shadarevian et al [49], 2020 | Canada | Tablet for sharing family videos in hospital with people with dementia to support care provision, reduce social isolation, and reduce aggression | People with dementia, family carers, HCPs, and students | Undertaking and management of the research, analysis of data, and dissemination of research findings | Positioned as part of the research team throughout, guiding the research process; thematic analysis of interview data; creating a toolkit to support wider dissemination and adoption of the intervention; and coauthoring the paper | Monthly research project meetings, making videos, interviews, group thematic analysis session, manuscript reviewing and editing |
Tiersen et al [82], 2021 | United Kingdom | Smart home system for people with dementia in their own homes | People with dementia, carers, and HCPs | Did not fit model | Contributing to the iterative design process | Various across 9 substudies: semistructured interviews, focus groups, co-design workshops, surveys, home visits, online group meetings, and observations |
van der Roest et al [83], 2008 | The Netherlands | Website with customized information for people with dementia and their carers about health care and welfare services | People with dementia, carers, and HCPs | Did not fit model | Contributing to the iterative design process | Workshop exploring user needs (people with dementia, carers, and HCPs), further co-design workshops (HCPs), prototype testing, and questionnaire (family carers) |
aNIHR: National Institute for Health and Care Research.
bPPI: patient and public involvement.
cHCP: health care professional.
dMCI: mild cognitive impairment.
eADL: activity of daily living.
fCST: cognitive stimulation therapy.
gAI: artificial intelligence.