Download PDF
Psychiatr Prax 2021; 48(S 01): S37-S41
DOI: 10.1055/a-1369-3178
Originalarbeit

Ethische Aspekte co-intelligenter Assistenztechnologien in der Versorgung von Menschen mit Demenz

Ethical Aspects of Co-Intelligent Assisitive Technologies in Dementia Care
Mark Schweda
1   Abteilung Ethik in der Medizin, Department für Versorgungsforschung, Fakultät VI – Medizin und Gesundheitswissenschaften, Carl von Ossietzky Universität Oldenburg
,
Silke Schicktanz
2   Institut für Ethik und Geschichte der Medizin, Universitätsmedizin Göttingen
› Author AffiliationsDiese Arbeit ist im Rahmen des BMBF-geförderten Forschungsprojekts EIDEC (Förderkennzeichen 01GP1901) entstanden.
› Further Information
Also available at
    Permissions and Reprints

Zusammenfassung

Intelligente technische Assistenzsysteme werden zunehmend als Lösung für die Versorgung von Menschen mit Demenz diskutiert. Der Beitrag betrachtet zentrale ethische Herausforderungen des Einsatzes derartiger Assistenzsysteme. Dabei konzentriert er sich auf Fragen der Privatheit und des Empowerments.

Abstract

Smart assistive technologies are increasingly discussed as a solution for the care of people with dementia. The article considers central ethical challenges of the use of such systems. It focuses on issues of privacy and empowerment.

Schlüsselwörter

Demenz - technische Assistenzsysteme - Ethik - Privatheit - Empowerment

Keywords

dementia - assistive technologies - ethics - privacy - empowerment


Publication History

Article published online:
02 March 2021

© 2021. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 

  • Literatur

  • 1 Frebel L. Roboter gegen das Vergessen? Technische Assistenz bei Altersdemenz im Spielfilm aus medizinethischer Sicht. In: Weber K, Fangerau H, Frommeld D, Manzeschke A. Hrsg. Technisierung des Alltags. Beitrag für ein gutes Leben?. Stuttgart: Steiner; 2015: 99-116
    Google Scholar
  • 2 Thyrian JR, Stentzel U. Die Entwicklung der geschätzten Anzahl an Demenz erkrankter Menschen auf Kreisebene in Deutschland für 2030. Psychiat Prax 2020; DOI: 10.1055/a-1228-4974.
    Article in Thieme ConnectPubMedGoogle Scholar
  • 3 Deutscher Ethikrat. Robotik für Gute Pflege. Berlin: 2020. https://www.ethikrat.org/fileadmin/Publikationen/Stellungnahmen/deutsch/stellungnahme-robotik-fuer-gute-pflege.pdf
    Google Scholar
  • 4 BMFSFJ/BMG. Nationale Demenzstrategie. Berlin: BMFSFJ/BMG; 2020: 129 https://www.nationale-demenzstrategie.de/
    Google Scholar
  • 5 Schweda M, Kirste T, Hein A. et al. The Emergence of Co-Intelligent Monitoring and Assistive Technologies in Dementia Care – An Outline of Technological Trends and Ethical Aspects. Bioethica Forum 2020; 12: 29-37
    PubMedGoogle Scholar
  • 6 Schmidt L, Wahl H-W. Alter und Technik. In: Hank K, Schulz-Nieswandt F, Wagner M, Zank S. Hrsg. Alternsforschung. Berlin: Nomos; 2019: 537-556
    CrossrefGoogle Scholar
  • 7 Bharucha AJ, Anand V, Forlizzi J. et al. Intelligent Assistive Technology Applications to Dementia Care: Current Capabilities, Limitations, and Future Challenges. Am J Geriatr Psychiatry 2009; 17: 88-104
    CrossrefPubMedGoogle Scholar
  • 8 Evans J, Brown M, Coughlan T. et al. A systematic review of dementia focused assistive technology. In: Kurosu M. Hrsg. HCI. Cham: Springer; 2015: 406-417
    Google Scholar
  • 9 Ashgar I, Cang S, Yu H. A systematic mapping study on assistive technologies for people with dementia. SKIMA 2015; (Suppl. 09) 1-8
    PubMedGoogle Scholar
  • 10 Ienca M, Fabrice J, Elger B. et al. Intelligent assistive technology for Alzheimer’s disease and other dementias: a systematic review. J Alzheimers Dis 2017; 56: 1301-1340
    CrossrefPubMedGoogle Scholar
  • 11 Ray PP, Dash D, De D. A Systematic Review and Implementation of IoT-Based Pervasive Sensor-Enabled Tracking System for Dementia Patients. J Med Syst 2019; 43: 287
    CrossrefPubMedGoogle Scholar
  • 12 Koo BM, Vizer LM. Mobile technology for cognitive assessment of older adults: a scoping review. Innov Aging 2019; 3: igy038
    PubMedGoogle Scholar
  • 13 Husebo BS, Heintz HL, Berge LI. et al. Sensing Technology to Facilitate Behavioral and Psychological Symptoms and to Monitor Treatment Response in People With Dementia. A Systematic Review. Front Pharmacol 2020; 10: 1699
    CrossrefPubMedGoogle Scholar
  • 14 D’Onofrio G, Sancarlo D, Ricciardi F. et al. Information and communication technologies for the activities of daily living in older patients with dementia: A systematic review. J Alzheimerʼs Dis 2017; 57: 927-935
    CrossrefPubMedGoogle Scholar
  • 15 Mihailidis A, Boger JN, Craig T. et al. The COACH prompting system to assist older adults with dementia through handwashing: An efficacy study. BMC Geriatr 2008; 8: 28
    CrossrefPubMedGoogle Scholar
  • 16 Bewernitz MW, Mann WC, Dasler P. et al. Feasibility of machine-based prompting to assist persons with dementia. Assist Technol 2009; 21: 196-207
    CrossrefPubMedGoogle Scholar
  • 17 Góngora Alonso S, Hamrioui S, de la Torre Díez I. et al. Social robots for people with aging and dementia: a systematic review of literature. Telemed J E Health 2019; 25: 533-540
    CrossrefPubMedGoogle Scholar
  • 18 Leng M, Liu P, Zhang P. et al. Pet robot intervention for people with dementia: a systematic review and meta-analysis of randomized controlled trials. Psychiatry Res 2019; 271: 516-525
    CrossrefPubMedGoogle Scholar
  • 19 Martin S, Bengtsson JE, Dröes RM. Assistive technologies and issues relating to privacy, ethics and security. In: Mulvenna MD, Nugent C. eds. Supporting people with dementia using pervasive health technologies. 1. Aufl. London: Springer; 2010: 63-76
    CrossrefGoogle Scholar
  • 20 Rösler B. Der Wert des Privaten. Frankfurt/M: Suhrkamp; 2001
    Google Scholar
  • 21 Beard RL, Fox PJ. Resisting social disenfranchisement: Negotiating collective identities and everyday life with memory loss. Soc Sci Med 2008; 66: 1509-1520
    CrossrefPubMedGoogle Scholar
  • 22 Morte Ferrer R, Toboso-Martín M, Aparicio Payá M. et al. Personal autonomy in elderly and disabled: How assistive technologies impact on it. In: Haltaufderheide J, Hovemann J, Vollmann J. eds. Aging between participation and simulation: Ethical dimensions of socially assistive technologies in elderly care. Berlin: De Gruyter; 2020: 185-198
    CrossrefGoogle Scholar
  • 23 Kolkowska E, Kajtazi M. Privacy dimensions in design of smart home systems for elderly people. WISP Proceedings 2015; (Suppl. 17) 526-537
    PubMedGoogle Scholar
  • 24 Cavoukian A, Fisher A, Killen S. et al. Remote home health care technologies: How to ensure privacy? Build it in: Privacy by design. IDIS 2010; 3: 363-378
    CrossrefPubMedGoogle Scholar
  • 25 O’Rourke HM, Duggleby W, Fraser KD. et al. Factors that affect quality of life from the perspective of people with dementia: a metasynthesis. J Am Geriatr Soc 2015; 63: 24-38
    CrossrefPubMedGoogle Scholar
  • 26 Elder A. False friends and false coinage: a tool for navigating the ethics of sociable robots. ACM SIGCAS 2016; 45: 248-254
    CrossrefPubMedGoogle Scholar
  • 27 Perkins DD, Zimmerman MA. Empowerment theory, research, and application. Am J Community Psychol 1995; 23: 569-579
    CrossrefPubMedGoogle Scholar
  • 28 Chiapperino L, Tengland PA. Empowerment in healthcare policy making: Three domains of substantive controversy. Health Prom J A 2015; 26: 210-215
    CrossrefPubMedGoogle Scholar
  • 29 Feste C, Anderson RM. Empowerment: From philosophy to practice. Patient Educ Couns 1995; 26: 139-144
    CrossrefPubMedGoogle Scholar
  • 30 Kim KI, Gollamudi SS, Steinhubl S. Digital technology to enable aging in place. Exp Gerontol 2017; 88: 25-31
    CrossrefPubMedGoogle Scholar
  • 31 Van Dijk J, Hendriks N, Frauenberger C. et al. Empowering people with impairments: How participatory methods can inform the design of empowering artifacts. Participatory Design Conference: Short Papers, Interactive Exhibitions, Workshops-Volume 2 (Suppl. 14): 121-122
    PubMedGoogle Scholar