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Factors That Influence Successful Adoption of Real-Time Location Systems for Use in a Dementia Care Setting: Mixed
Lynn Haslam-Larmer1, Alisa Grigorovich1,2, Leia Shum1
1KITE Research Institute, Toronto Rehabilitation Institute, University Health Network, Ontario, ON, Canada.
Healthcare providers adopted real-time location systems (RTLS) for dementia care due to perceived usefulness and improved job performance. The technology enhanced patient search time and provided peace of mind for staff.
Area of Science:
- Gerontology
- Health Informatics
- Technology Adoption
Background:
- Real-time location systems (RTLS) are increasingly explored in healthcare for dementia care.
- RTLS can potentially address resource gaps and improve care delivery in dementia settings.
- This study focuses on the adoption factors of RTLS in an inpatient dementia unit.
Purpose of the Study:
- To explore factors influencing the adoption or nonadoption of RTLS in a specialized inpatient dementia unit.
- To assess the fit between technology attributes and healthcare providers' intentions to adopt RTLS.
Main Methods:
- A mixed-methods approach using quantitative surveys and qualitative interviews with frontline healthcare providers (HCPs).
- Deductive analysis of interviews using the Fit Between Individuals, Task, and Technology framework.
- Assessed individual-task, individual-technology, and task-technology fit.
Main Results:
- Individual-task fit: HCPs identified tasks and perceived missing at-risk patient events.
- Task-technology fit: Themes included task reorganization, personal control, and efficiency.
- Individual-technology fit: Factors comprised privacy, trust, user interfaces, and safety perceptions.
Conclusions:
- Most HCPs adopted the RTLS tablet app, citing usefulness, technological comfort, and job alignment.
- HCPs perceived dramatic reductions in patient search time.
- While care improvements were implied, HCPs reported increased peace of mind regarding patient activity levels.
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