Use of Tablet Devices (iPads) in the Management of Agitation among Inpatients with Dementia: an Open-Label Study

Abstract Objectives To investigate the feasibility, safety and utility of tablet devices (iPad) as novel nonpharmacological tools in managing older psychiatric inpatients with agitation and dementia. Methods Thirty-six patients at a geriatric psychiatry inpatient unit were provided with tablets when agitated and used various apps on the tablet related to communication, games, music, web browser, and photography during their stay. Study staff documented the frequency, duration, and app usage history, and rated the extent to which agitation improved after tablet use. Results All participants, regardless of dementia severity, were able to utilize apps and were rated by staff to have clinical benefit. Dementia severity was negatively associated with app complexity. Age was negatively associated with frequency and duration of tablet use. Conclusions Tablet use as a nonpharmacological intervention for agitation in older adults, including those with severe dementia, appears to be feasible, safe, and of potential utility.