| Foreword | 6 |
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| Contents | 8 |
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| Contributors | 10 |
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| Part I Background | 14 |
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| 1 Supporting People with Dementia Using Pervasive Healthcare Technologies | 15 |
| 1.1 Introduction | 15 |
| 1.2 Why Select Mild Dementia? | 16 |
| 1.3 The European Policy Landscape | 18 |
| 1.3.1 Demographic Ageing | 18 |
| 1.3.2 The Care Burden | 19 |
| 1.3.3 European Policy Areas | 19 |
| 1.4 Pervasive Healthcare Technology and Services | 20 |
| 1.5 Background to the Research | 20 |
| 1.6 The Role of the User in the Design Process | 22 |
| 1.7 Pervasive Healthcare Technology | 23 |
| 1.8 Evaluation and Assessment of Cognitive Prosthetics | 23 |
| 1.9 The Way Ahead | 24 |
| References | 25 |
| 2 Prevalence and Clinical Features of Dementia | 27 |
| 2.1 Definition and Overview | 27 |
| 2.2 Historical Background | 28 |
| 2.3 Extent of Dementia | 29 |
| 2.4 Health Economic Impact | 29 |
| 2.5 Dementia Subtypes | 30 |
| 2.6 Relationship Between Normal Ageing and Dementia | 30 |
| 2.7 Risk Factors for Dementia | 31 |
| 2.8 Burden of Illness for Patient and Carer | 31 |
| 2.9 Management of Dementia | 32 |
| References | 33 |
| 3 State of the Art in Electronic Assistive Technologies for People with Dementia | 34 |
| 3.1 Introduction | 34 |
| 3.2 Support for Memory | 36 |
| 3.3 Support for Daily Life Activities | 37 |
| 3.4 Support for Social Contacts | 40 |
| 3.5 Enhancing Feeling of Safety | 41 |
| 3.6 Conclusion | 45 |
| References | 45 |
| 4 Review of ICT-Based Services for Identified Unmet Needs in People with Dementia | 47 |
| 4.1 Introduction | 48 |
| 4.2 Method | 49 |
| 4.2.1 Selection Criteria | 50 |
| 4.2.2 Search Procedure | 51 |
| 4.2.3 Analysis | 51 |
| 4.3 Results | 52 |
| 4.3.1 Need for General and Personalized Information | 52 |
| 4.3.1.1 Information on Dementia | 52 |
| 4.3.1.2 Information on Service Offerings | 52 |
| 4.3.1.3 Information on Legal and Financial Issues and on Care and Support Services | 53 |
| 4.3.1.4 Information on Personal Condition, Care Appointments and Care Planning | 53 |
| 4.3.2 Need for Support with Regard to Symptoms of Dementia | 54 |
| 4.3.2.1 ICT Compensation for Disabilities Such as Memory Problems | 54 |
| 4.3.2.2 ICT Supporting the Carer, Flexibly and Personalized, in Instrumental Care | 56 |
| 4.3.2.3 ICT Support for People with Dementia and Carers with Regard to Behavioural and Psychological Changes and How to Cope with Them | 57 |
| 4.3.2.4 Emotional Support for People with Dementia and Carers | 58 |
| 4.3.3 Need for Social Contact and Company for the Person with Dementia | 58 |
| 4.3.4 Need for Health Monitoring and Perceived Safety | 60 |
| 4.4 Conclusion and Discussion | 62 |
| 4.4.1 Available ICT-Based Services per Needs Area | 62 |
| 4.4.2 Limitations of the Current Study | 63 |
| 4.4.3 Societal Relevance | 64 |
| 4.4.4 Technological Interest and Research Recommendations | 65 |
| References | 66 |
| 5 Assistive Technologies and Issues Relating to Privacy, Ethics and Security | 72 |
| 5.1 Introduction | 72 |
| 5.2 Technology Options from a User Perspective | 73 |
| 5.3 Ethics | 74 |
| 5.4 Privacy | 75 |
| 5.5 Security | 76 |
| 5.6 Discussion on Ethical Practice and Technology Use | 77 |
| 5.6.1 Explicitness, Legal and Procedural Context | 78 |
| 5.6.2 Person-Centred Approach | 79 |
| 5.6.3 Care Staff Training | 79 |
| 5.6.4 Protection and Paternalism | 79 |
| 5.6.5 Information, Demonstration and Individual Consent | 80 |
| 5.7 Summary and Conclusions | 81 |
| 5.8 Appendix: Checklists to Assist Using Technology with People Who Have Dementia | 82 |
| For Professionals and Field Test Personnel | 82 |
| For Developers | 83 |
| For Researchers | 84 |
| References | 84 |
| Part II The Role of the User in the Design Process | 86 |
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| 6 Identifying User Needs and the Participative Design Process | 87 |
| 6.1 Introduction | 88 |
| 6.2 Method | 90 |
| 6.2.1 Design | 90 |
| 6.2.2 Sample and Setting | 90 |
| 6.2.3 Measurement | 91 |
| 6.2.4 Procedure | 91 |
| 6.2.5 Analysis | 93 |
| 6.3 Results | 93 |
| 6.3.1 Sample Characteristics | 94 |
| 6.3.2 Met and Unmet Needs and Wishes of Persons with Dementia | 94 |
| 6.3.2.1 Support for Memory | 94 |
| 6.3.2.2 Support for Social Contacts | 97 |
| 6.3.2.3 Support for Daily Activities | 97 |
| 6.3.2.4 Feelings of Safety | 98 |
| 6.3.3 Disabilities, Personal and Context Information Relevant for Developing ICT Solutions | 98 |
| 6.3.4 Final Top Four List | 98 | <
