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Identifying Facilitators and Obstacles in Piloting Dementia Initiatives Within a Living Lab Approach: Systematic

Sara Alves1,2, Natália Duarte1,2, Teodora Figueiredo3,4

  • 1CIDIFAD - Centro de Investigação, Diagnóstico, Formação e Acompanhamento das Demências, Santa Casa de Misericórdia de Riba D'Ave, Travessa Conde de Riba de Ave, Braga, 4765-267, Portugal, 351 252900900.

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|March 31, 2026
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Summary

Piloting dementia care initiatives in Living Labs (LLs) presents unique challenges and facilitators. Addressing operational, ethical, and governance issues is key for successful, user-centered dementia care innovation.

Keywords:
cognitive impairmentdigital healthinnovationquadruple helix approachreal-world applicationuser-centered approach

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Area of Science:

  • Gerontology
  • Health Services Research
  • Human-Computer Interaction

Background:

  • Dementia impacts over 55 million globally, posing challenges for intervention development and implementation.
  • Living Labs (LLs) offer real-world settings for co-creating and testing dementia care interventions.
  • Operational, ethical, and governance hurdles can impede dementia-focused LL initiatives.

Purpose of the Study:

  • To identify and synthesize facilitators and challenges in piloting dementia-related initiatives using a Living Lab approach.

Main Methods:

  • Systematic review of studies from inception to January 31, 2024, in major databases (PubMed, Web of Science, Scopus, EBSCOhost).
  • Inclusion criteria: studies reporting piloting, implementation, or evaluation of dementia initiatives in LLs.
  • Narrative synthesis using content and thematic analysis, adhering to PRISMA guidelines.

Main Results:

  • Fifteen European studies revealed two main themes: organizational/operational issues and ethical/legal considerations.
  • Key operational subthemes included end-user engagement, research design, co-design, and LL governance.
  • Facilitators: familiar environments, collaboration, iterative evaluation, flexible co-design. Barriers: cognitive fluctuations, digital literacy, engagement inconsistency, resource limits, regulatory fragmentation.

Conclusions:

  • Successful dementia LL piloting demands methodological adaptability, robust governance, and ethical protocols for cognitive impairment.
  • Findings offer guidance for developing sustainable, user-centered LLs to advance dementia care innovation.