<mets:mets OBJID="eprint_28471" LABEL="Eprints Item" xsi:schemaLocation="http://www.loc.gov/METS/ http://www.loc.gov/standards/mets/mets.xsd http://www.loc.gov/mods/v3 http://www.loc.gov/standards/mods/v3/mods-3-3.xsd" xmlns:mets="http://www.loc.gov/METS/" xmlns:mods="http://www.loc.gov/mods/v3" xmlns:xlink="http://www.w3.org/1999/xlink" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance"><mets:metsHdr CREATEDATE="2026-05-01T09:36:17Z"><mets:agent ROLE="CUSTODIAN" TYPE="ORGANIZATION"><mets:name>Uninimx</mets:name></mets:agent></mets:metsHdr><mets:dmdSec ID="DMD_eprint_28471_mods"><mets:mdWrap MDTYPE="MODS"><mets:xmlData><mods:titleInfo><mods:title>Non‑pharmacological care for early-stage dementia through smart environments in Colombia: a mixed‑methods study and methodological guide for caregivers and patients</mods:title></mods:titleInfo><mods:name type="personal"><mods:namePart type="given">Mariano</mods:namePart><mods:namePart type="family">Romero-Torres</mods:namePart><mods:role><mods:roleTerm type="text">author</mods:roleTerm></mods:role></mods:name><mods:name type="personal"><mods:namePart type="given">Jon</mods:namePart><mods:namePart type="family">Arambarri</mods:namePart><mods:role><mods:roleTerm type="text">author</mods:roleTerm></mods:role></mods:name><mods:name type="personal"><mods:namePart type="given">Tobias A.</mods:namePart><mods:namePart type="family">Parodi-Camano</mods:namePart><mods:role><mods:roleTerm type="text">author</mods:roleTerm></mods:role></mods:name><mods:abstract>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.</mods:abstract><mods:classification authority="lcc">Biomedicina</mods:classification><mods:classification authority="lcc">Psicología</mods:classification><mods:originInfo><mods:dateIssued encoding="iso8061">2026-03</mods:dateIssued></mods:originInfo><mods:genre>Artículo</mods:genre></mets:xmlData></mets:mdWrap></mets:dmdSec><mets:amdSec ID="TMD_eprint_28471"><mets:rightsMD ID="rights_eprint_28471_mods"><mets:mdWrap MDTYPE="MODS"><mets:xmlData><mods:useAndReproduction>
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