Designing P4 healthcare interventions for managing cognitive decline and dementia : where are we at?

Patou, François and Ciccone, Nicholas and Thorpe, Julia and Maier, Anja (2020) Designing P4 healthcare interventions for managing cognitive decline and dementia : where are we at? Journal of Engineering Design, 31 (7). pp. 379-398. ISSN 1466-1837 (https://doi.org/10.1080/09544828.2020.1763272)

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Abstract

This paper presents a systematic literature review aimed at assessing how well current technology-based interventions that focus on dementia and other cognitive impairments align with the principles of the P4 vision for healthcare: Predictive, Preventive, Personalised and Participative. A search of the SCOPUS database yielded 887 articles, of which 48 were ultimately selected for analysis. Looking at whether and how each intervention implements each ‘P’-principle, our results suggest a partial and non-systemic embrace of the P4 vision. Reasoning on possible explanations for this state-of-the-art, we propose that our findings represent an opportunity for the engineering design community to engage with P4-based healthcare delivery models through the development of design frameworks, new indicators for assessing the success of such healthcare delivery models, as well as tools and methods.

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