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Mobile Apps to Support the Care for
People with Dementia
         Neil Maiden, Kos Zachos, Kristine Karlsen and
                          Sara Jones




Centre for Creativity
in Professional
Centre for Creativity in
                                        Professional Practice



Overview
Short presentation and demo
   – Creativity in care for people
     with dementia
   – Mobile software apps for
     care staff
   – The Carer app – a software
     demonstration
   – The next steps




Funded by EU-funded MIRROR integrated
   project 257617, 2010-14
Centre for Creativity in
                                           Professional Practice



Creative Thinking in Dementia Care
Drive towards individualized care
  – Limited support for care staff
  Three Opportunities (MacManus 2011)
  – Managing challenging behavior
  – Adapting to evolving understanding of resident
  – Devising stimulation to residents with advanced stage
    dementia
Exploiting knowledge from other domains
  – Recruit knowledge into dementia care
  – Parallel and other worlds techniques
  – Case-based and analogical reasoning
Centre for Creativity in
                                            Professional Practice



Mobile Software Apps
Care staff are mobile
  – Existing desktop applications ineffective
Exploit mobile apps


                                    resident rooms



                                day rooms
                                    Successful adoption
                                     in pilot care home
Centre for Creativity in
                                                        Professional Practice



Carer Software App
        1. Care staff describes                   6. Care staff review
               challenging situation              and enact preferred
Supports creative                                 case
problem solving about
challenging behaviour               queries   previous cases

           2. Mobile app invokes                       5. Carer service passes
                 Carer service       Carer service     cases to mobile app
                                    queries   previous cases


                                   Repository
                                  of good care
                 3. Carer service    practice  4. Carer service
               matches described                     retrieves up to three
          situation to good cases                    matched cases



                              Reflect and store cases
                              of good case practices
Centre for Creativity in
                                            Professional Practice


Supports Two Types of Matched
Challenging Behaviour
1. Most similar cases in dementia care
    –   Service seeks literally-similar cases
    –   Sharing good practices across case homes
    –   P-level creative problem solving (Boden 1996)
•   Structurally similar cases in other domains
    –   Teaching, policing, [others]
    –   Service seeks analogical-similar cases
    –   Sharing good practices across domains
    –   Gentner’s (1983) structure-mapping theory
    –   S-level creative problem solving (Boden 1996)
Centre for Creativity in
                                                                 Professional Practice



Analogically-Similar Cases
Challenging behaviour example
     “A resident is refusing to move from the dining room, and
     verbally abusing and striking his neighour. The care staff is
     restraining the resident and calming the neighbour.”
Parse, extract and match intentional structures
                             neighbour                                      other pupil
             verbally                                       verbally
             abuses                                         abuses
                                         1. mapping
                        strikes                                        strikes
    resident                  calms                    pupil                 calms
refuses to                                     refuses to
move from        restrains                     move from        restrains

                                carer                                           teacher
  dining room                                     classroom
                                         2. transfer
Centre for Creativity in
                  Professional Practice



Carer in Action
Centre for Creativity in
                                      Professional Practice



Next Steps
Further formative evaluation
  – App extension to support
    analogical problem solving with
    selected case
  – Longer-term rollout of software
    apps in selected care homes
  – Investigate effect of creative
    problem solving and
    individualized care
Further development
  – Collaborative creative problem
    solving in teams
  – Extend with collaborative
    creativity techniques and tools

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Neil Maiden's Presentation at ICLcity 2011

  • 1. Mobile Apps to Support the Care for People with Dementia Neil Maiden, Kos Zachos, Kristine Karlsen and Sara Jones Centre for Creativity in Professional
  • 2. Centre for Creativity in Professional Practice Overview Short presentation and demo – Creativity in care for people with dementia – Mobile software apps for care staff – The Carer app – a software demonstration – The next steps Funded by EU-funded MIRROR integrated project 257617, 2010-14
  • 3. Centre for Creativity in Professional Practice Creative Thinking in Dementia Care Drive towards individualized care – Limited support for care staff Three Opportunities (MacManus 2011) – Managing challenging behavior – Adapting to evolving understanding of resident – Devising stimulation to residents with advanced stage dementia Exploiting knowledge from other domains – Recruit knowledge into dementia care – Parallel and other worlds techniques – Case-based and analogical reasoning
  • 4. Centre for Creativity in Professional Practice Mobile Software Apps Care staff are mobile – Existing desktop applications ineffective Exploit mobile apps resident rooms day rooms  Successful adoption in pilot care home
  • 5. Centre for Creativity in Professional Practice Carer Software App 1. Care staff describes 6. Care staff review challenging situation and enact preferred Supports creative case problem solving about challenging behaviour queries previous cases 2. Mobile app invokes 5. Carer service passes Carer service Carer service cases to mobile app queries previous cases Repository of good care 3. Carer service practice 4. Carer service matches described retrieves up to three situation to good cases matched cases Reflect and store cases of good case practices
  • 6. Centre for Creativity in Professional Practice Supports Two Types of Matched Challenging Behaviour 1. Most similar cases in dementia care – Service seeks literally-similar cases – Sharing good practices across case homes – P-level creative problem solving (Boden 1996) • Structurally similar cases in other domains – Teaching, policing, [others] – Service seeks analogical-similar cases – Sharing good practices across domains – Gentner’s (1983) structure-mapping theory – S-level creative problem solving (Boden 1996)
  • 7. Centre for Creativity in Professional Practice Analogically-Similar Cases Challenging behaviour example “A resident is refusing to move from the dining room, and verbally abusing and striking his neighour. The care staff is restraining the resident and calming the neighbour.” Parse, extract and match intentional structures neighbour other pupil verbally verbally abuses abuses 1. mapping strikes strikes resident calms pupil calms refuses to refuses to move from restrains move from restrains carer teacher dining room classroom 2. transfer
  • 8. Centre for Creativity in Professional Practice Carer in Action
  • 9. Centre for Creativity in Professional Practice Next Steps Further formative evaluation – App extension to support analogical problem solving with selected case – Longer-term rollout of software apps in selected care homes – Investigate effect of creative problem solving and individualized care Further development – Collaborative creative problem solving in teams – Extend with collaborative creativity techniques and tools