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        <dc:title>Non‑pharmacological care for early-stage dementia through smart environments in Colombia: a mixed‑methods study and methodological guide for caregivers and patients</dc:title>
        <dc:creator>Romero-Torres, Mariano</dc:creator>
        <dc:creator>Arambarri, Jon</dc:creator>
        <dc:creator>Parodi-Camano, Tobias A.</dc:creator>
        <dc:subject>Biomedicina</dc:subject>
        <dc:subject>Psicología</dc:subject>
        <dc:description>Background
Dementia is increasing in Latin America, creating demand for non-pharmacological support that can be delivered safely at home. Smart environments and related digital tools may help caregivers and people with early-stage dementia by supporting safety, reminders, and communication. This study assessed needs and acceptability in Colombia and produced a methodological guide for technology selection.

Methods
We conducted a sequential exploratory mixed-methods study. First, a focused evidence synthesis informed a feature catalogue and instrument design. Second, we administered a cross-sectional questionnaire to caregivers and people living with early-stage dementia. Quantitative data were summarised with descriptive statistics and non-parametric group comparisons; open-ended responses were analysed thematically and integrated with the quantitative findings.

Results
Fifty-one responses were analysed. Safety-oriented functions (for example, fall detection and geolocation), reminders for activities of daily living, tele-assistance, and cognitive tele-stimulation were the most frequently prioritised. Acceptability was generally higher for low-burden technologies with clear usefulness, and age differences were limited across key comparisons.

Conclusions
In this sample, smart-environment-enabled non-pharmacological support was feasible and broadly acceptable for early-stage dementia care. The methodological guide emphasises prioritising safety and reminders, reducing interaction burden, and incorporating privacy-by-design. Further studies should validate these findings with larger and more diverse samples and evaluate implementation outcomes.</dc:description>
        <dc:date>2026-03</dc:date>
        <dc:type>Artículo</dc:type>
        <dc:type>PeerReviewed</dc:type>
        <dc:format>text</dc:format>
        <dc:language>en</dc:language>
        <dc:identifier>http://repositorio.unini.edu.mx/id/eprint/28471/1/bf87c935-cfe0-47c6-93f8-aafc53fefd24_f1000res177177.pdf</dc:identifier>
        <dc:identifier>  Artículo Materias &gt; Biomedicina &lt;http://repositorio.unini.edu.mx/view/subjects/uneat=5Fbm.html&gt;
Materias &gt; Psicología &lt;http://repositorio.unini.edu.mx/view/subjects/uneat=5Fps.html&gt; Universidad Internacional Iberoamericana México &gt; Investigación &gt; Artículos y libros &lt;http://repositorio.unini.edu.mx/view/divisions/uninimx=5Fproduccion=5Fcientifica.html&gt; Abierto Inglés Background Dementia is increasing in Latin America, creating demand for non-pharmacological support that can be delivered safely at home. Smart environments and related digital tools may help caregivers and people with early-stage dementia by supporting safety, reminders, and communication. This study assessed needs and acceptability in Colombia and produced a methodological guide for technology selection. Methods We conducted a sequential exploratory mixed-methods study. First, a focused evidence synthesis informed a feature catalogue and instrument design. Second, we administered a cross-sectional questionnaire to caregivers and people living with early-stage dementia. Quantitative data were summarised with descriptive statistics and non-parametric group comparisons; open-ended responses were analysed thematically and integrated with the quantitative findings. Results Fifty-one responses were analysed. Safety-oriented functions (for example, fall detection and geolocation), reminders for activities of daily living, tele-assistance, and cognitive tele-stimulation were the most frequently prioritised. Acceptability was generally higher for low-burden technologies with clear usefulness, and age differences were limited across key comparisons. Conclusions In this sample, smart-environment-enabled non-pharmacological support was feasible and broadly acceptable for early-stage dementia care. The methodological guide emphasises prioritising safety and reminders, reducing interaction burden, and incorporating privacy-by-design. Further studies should validate these findings with larger and more diverse samples and evaluate implementation outcomes. metadata Romero-Torres, Mariano; Arambarri, Jon y Parodi-Camano, Tobias A. mail SIN ESPECIFICAR, jon.arambarri@uneatlantico.es, SIN ESPECIFICAR     &lt;http://repositorio.unini.edu.mx/id/eprint/28471/1/bf87c935-cfe0-47c6-93f8-aafc53fefd24_f1000res177177.pdf&gt;     (2026) Non‑pharmacological care for early-stage dementia through smart environments in Colombia: a mixed‑methods study and methodological guide for caregivers and patients.  F1000Research, 15.  p. 433.  ISSN 2046-1402     </dc:identifier>
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