Lillian Hung

Lillian Hung
University of British Columbia - Vancouver | UBC · School of Nursing

RN PhD
Leading the IDEA Lab for research on Innovation in DEmentia & Aging

About

122
Publications
25,802
Reads
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930
Citations
Citations since 2017
102 Research Items
852 Citations
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Introduction
Dr. Lillian Hung examines how technology and the environment impact the care experiences of older people. Her research is practice-based and patient-oriented.
Additional affiliations
December 2014 - present
Vancouver Coastal Health
Position
  • Clinical Nurse Specialist
Education
July 2018 - June 2020
Simon Fraser University
Field of study
  • Gerontology
September 2013 - October 2017
January 2006 - September 2008
Simon Fraser University
Field of study
  • Gerontology

Publications

Publications (122)
Article
Full-text available
Research about patients with dementia in the context of acute care has been traditionally designed and carried out by researchers with little or no involvement of people with dementia. Moving away from the traditional way of conducting research on people with dementia, this study involved people with dementia as experts of lived experiences to co-d...
Article
Full-text available
Background: Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are a growing demand and interest in using social robots in a variety of care settings to support dementia care, little is known about the impacts of the robotics and their...
Article
Full-text available
Introduction Social isolation is a significant issue in aged care settings (eg, long-term care (LTC) and hospital) and is associated with adverse outcomes such as reduced well-being and loneliness. Loneliness is linked with depression, anxiety, cognitive decline, weakened immune system, poor physical health, poor quality of life and mortality. The...
Article
Full-text available
Introduction The pandemic provides a unique opportunity to examine new directions in innovative technological approaches in long-term care (LTC) homes. While robotics could enhance staff capacity to provide care, there are potential technology risks and ethical concerns involved in technology use among older people residing in communal aged care ho...
Article
Full-text available
Introduction The objective of the scoping review is to understand what has been reported in the literature regarding facilitators and barriers to using smart television (smart TV) among older adults in care settings. Methods and analysis The scoping review will adopt the Joanna Briggs Institute scoping review methodology. It will occur between Mar...
Article
Objective This scoping review aimed to summarize current knowledge about the implementation, impacts, facilitators and barriers of virtual team-based care planning for older persons in formal care settings (e.g. home and community, primary, long-term and acute care). Methods The Joanna Briggs Institute (JBI) methodology was used. The Arksey and O’...
Article
Background: Long-term care (LTC) residents are more likely to experience loneliness, social isolation and have dementia (Garner et al., 2018; Hou & Ngo, 2021). The effects of isolation have been exacerbated by the COVID-19 pandemic. While assistive technology has been a popular topic in gerontological health research, there have been limited findi...
Article
Full-text available
During the COVID-19 pandemic, older adults with cognitive impairment experienced social isolation, stress, and challenges to stay healthy at home or in a long-term care facility. Technology-based interventions and assessment can be valuable in managing dementia at home before a crisis situation occurs, which can lessen caregiver burden and stress a...
Article
The effects of isolation and loneliness have been exacerbated by the COVID‐19 pandemic. While assistive technology offers potential benefits for long‐term care residents, there is limited evidence on technology adoption in complex care environments in LTC. The voices of older persons, family members and staff perspectives are not adequately include...
Article
Full-text available
Recent advancement of virtual reality (VR) technology has led to growing interest in using VR in aged-care settings. VR can help ameliorate experiences of loneliness and social isolation, which is especially important during the COVID-19 pandemic. As a result, increasingly more studies are being published on this topic, and a comprehensive review o...
Article
Full-text available
There is limited literature on using visual videos and images with people with dementia in care settings. We conducted a scoping review on this topic to fill this literature gap. Our scoping review adopted the Joanna Briggs Institute scoping review methodology. We eventually included eleven papers for the review and conducted the content analysis....
Article
Full-text available
This study assessed the feasibility of a remotely supervised online chair yoga (CY) intervention for older adults with dementia, exploring preliminary effects of CY on chronic pain, mobility, risk of falling, sleep disturbance, autonomic reactivity, cardiac rhythms (using IOM2 biofeedback device), and loneliness in this population. Using a one-grou...
Article
Full-text available
The purpose of our study is to provide comfort through digital resources (e.g., music and visual materials) for patients/residents with dementia in hospitals and long-term care. By working with users (patients/residents, families, and staff) and using a co-design approach, we have developed a mobile app prototype called “WhatMatters” to equip staff...
Article
Full-text available
We conducted a scoping review to analyze evidence about online group-based exercise programs. We searched six electronic databases and conducted team analysis with patient and family partners. Of 1,166 screened articles, the final review included 8 publications. Results identified three types of technology-based group exercise interventions for peo...
Article
Background: The COVID-19 pandemic has disproportionately impacted older adults living with dementia in Long-Term Care (LTC). Social isolation and loss of connections with families among residents have been detrimental and severely impacted quality of life. Method: This project aims to enhance LTC homes' capacity to support virtual family visits...
Article
COVID‐19’s physical distancing mandates have increased the likelihood of experiencing social isolation and loneliness for residents in long‐term care (LTC), especially those living with dementia. Social isolation correlates with health risks, including depression and cognitive decline. Telepresence robots can be remotely driven and facilitate socia...
Article
Background: The COVID-19 pandemic has significant impact on long-term care (LTC) residents' health and well-being. Objectives: This study investigated resident experiences of loneliness during the COVID-19 pandemic in Canadian LTC homes to offer lessons learned and implications. Methods: 15 residents and 16 staff members were recruited from tw...
Article
Background: Little research has been conducted on telehealth-based interventions in older adults. There has been no study of the use of telehealth-based online chair yoga (CY) to improve physical activity and manage dementia symptoms and socialisation for older adults with dementia who are socially isolated. Objectives: The study identified bene...
Preprint
Full-text available
Health disparities between First Nations, Inuit, and Métis peoples and the general Canadian population continue to exist. Systemic barriers continue to undervalue the importance of working towards collective solutions that support the health and well-being of First Nations, Inuit, and Métis people. In this paper, we use storytelling to reflect on a...
Article
Full-text available
Background and Objectives Government-mandated health and safety restrictions to mitigate the effects of COVID-19 intensified challenges in caring for older adults in long-term care (LTC) without family/care partners. This article describes the experiences of a multidisciplinary research team in implementing an evidence-based intervention for family...
Article
This knowledge translation study qualitatively explores strategies that facilitated hospital staff engagement in online educational games for dementia education. Interdisciplinary staff (n = 2010) in 10 hospitals played online games to learn about basic communication techniques. We identified five facilitating strategies, E-GAME: Easy access to lea...
Preprint
BACKGROUND Worldwide, the COVID-19 pandemic has resulted in profound loss of life among older adults living in long-term care (LTC) homes. As a pandemic response, LTC homes enforced infection control processes including isolating older adults in their rooms, cancelling therapeutic programs, and restricting family member visits. Social isolation neg...
Article
Background: Worldwide, the COVID-19 pandemic has resulted in profound loss of life among older adults living in long-term care (LTC) homes. As a pandemic response, LTC homes enforced infection control processes including isolating older adults in their rooms, cancelling therapeutic programs, and restricting family member visits. Social isolation n...
Article
Background and objectives: The pandemic of coronavirus disease 2019 (COVID-19) challenged educators to move staff education online and explore innovative ways to motivate learning to support dementia care for patients in geriatric settings. This article presents how the Consolidated Framework for Implementation Research (CFIR) was used to support...
Preprint
Full-text available
Background The COVID-19 pandemic has disproportionately impacted LTC residents and exacerbated residents’ risks of social isolation and loneliness. The unmet emotional needs of residents in LTC have driven researchers and decision-makers to consider novel technologies to improve care and quality of life for residents. Ageist stereotypes have contri...
Preprint
Full-text available
Background: COVID-19’s physical distancing mandates have increased the likelihood of experiencing social isolation and loneliness for residents in long-term care, especially those living with dementia. Social isolation correlates with health risks, including depression and cognitive decline. Telepresence robots can be remotely driven and facilitate...
Article
Full-text available
Introduction Increasingly more studies are being conducted on the use of virtual reality (VR) and augmented reality (AR) in aged care settings. These technologies can decrease experiences of loneliness which is especially important during the COVID-19 pandemic. With the growing interest in using VR/AR in care settings among older adults, a comprehe...
Article
Full-text available
Context: Despite being widely used with older adults in the community, there is limited literature on using the de Jong Gierveld Loneliness Scale with older adults living in long-term care (LTC).Objective: The purpose of this article is to discuss the considerations of using this scale with older adults in LTC.Method: Our team consisted of older pe...
Preprint
Background Long-term care (LTC) settings have been disproportionately affected by the COVID-19 pandemic; it is vital to investigate unmet needs and explore practical strategies for supporting LTC residents and staff. The involvement of patient partners and family community members in research planning, implementation and evaluation is the basis of...
Preprint
Full-text available
Lillian Hung is Canada Research Chair in Senior Care and the founder of the Innovation in Dementia and Aging (IDEA) lab, Assistant Professor in the School of Nursing at the University of British Columbia. Her team in the IDEA lab examines how technology impacts the care experiences of persons with dementia. She brings young and older people togethe...
Article
Background: and Purpose: Social isolation and caregiver burden call for an innovative way to deliver a chair yoga (CY) intervention to older adults with dementia who cannot travel to a community center. During a remotely supervised CY session, the yoga instructor can monitor each participant's pose and correct poses to optimize efficacy of CY and...
Article
Full-text available
Introduction: More than 50 million people worldwide are living with dementia in 2020, and this number is expected to double every 20 years. Physical exercise is a growing field in non-pharmacological interventions for dementia care. Due to public health measures during the COVID-19 pandemic, more people have considered adapting to technology-based...
Article
Full-text available
Co-development of healthcare technology with users helps produce user-friendly products, ensuring safe device usage and meeting patients' needs. For developers considering healthcare innovations, engaging user experience can reduce production time and cost while maximizing device application. The purpose of this paper is to report lessons learned f...
Article
Full-text available
Background COVID-19 has significant impact on long-term care (LTC) residents and staff. The purpose of this paper is to report the data gathered during a COVID-19 outbreak in a Canadian LTC home regarding staff experiences, challenges, and needs, to offer lessons learned and implications. Methods A total of 30 staff from multiple disciplines parti...
Article
The COVID-19 pandemic has exposed persistent inequities in the long-term care sector and brought strict social/physical distancing distancing and public health quarantine guidelines that inadvertently put long-term care residents at risk for social isolation and loneliness. Virtual communication and technologies have come to the forefront as the pr...
Article
Full-text available
Social isolation has been a significant issue in aged care settings, particularly during the COVID-19 pandemic, and is associated with adverse outcomes, including loneliness, depression, and cognitive decline. While robotic assistance may help mitigate social isolation, it would be helpful to know how to adopt technology in aged care. This scoping...
Article
Full-text available
Heightened isolation during the pandemic has exacerbated the stress, anxiety, and adverse consequences through the loss of family connections older people experience in LTC. Heavy workload and staffing shortage limit staff’s capacity to assist residents in accessing regular virtual visits. Using a Collaborative Action Research (CAR) approach, this...
Article
Full-text available
The COVID-19 pandemic has exposed the fragile state of patient involvement in research. The involvement of the most vulnerable population (older people with dementia) in research was even more challenging. This presentation outlines challenges my research team encountered in patient-led projects (older people with dementia) and describes how we fou...
Article
Full-text available
The COVID-19 pandemic brings challenges to patient partnerships in research. In-person research meetings with patient partners were prohibited. In this presentation, we outline specific issues we encountered in a patient-led dementia research project, which involved a literature review study and gathering community stakeholders to identify the top...
Article
Background: Although there have been considerable public concerns about the impact of COVID-19 on residents living in long-term care homes, much less attention has focused on lessons learned from staff experiences about caring for people with dementia during outbreaks. The outbreaks added significant additional stress to the nursing workforce, whi...
Conference Paper
Full-text available
Background COVID-19 imposed extreme constraints on Canadian long-term care (LTC) homes, leading to intense isolation for residents, restricted family visits, and staff shortages. Consequently, these challenges negatively impacted the mental and physical health of residents, family, and interdisciplinary workforce in LTC homes. Objectives • To des...
Article
Full-text available
Introduction COVID-19 has necessitated greater adoption of virtual care (eg, telephone (audio), videoconference) delivery models. Virtual care provides opportunities for innovative practice in care planning with older persons and meaningful family engagement by synchronously involving multiple care providers. Nevertheless, there remains a paucity o...
Article
Full-text available
The COVID-19 pandemic is spreading across the globe, and it could take years for society to fully recover. Personal protective equipment (PPE), various hygiene measures, and social distancing have been implemented to reduce "human to human" contact, which is an essential part of outbreak prevention. The pressure of the pandemic combined with decrea...
Article
Full-text available
Reduction in competence makes older adults with dementia more sensitive to the influence of the physical environment. The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N=11), Canada and Stockholm (N=13), Sweden had a diffe...
Preprint
Full-text available
Background: COVID-19 has signi�cant impact on long-term care (LTC) residents and staff. The purpose of this paper is to report the data gathered during a COVID-19 outbreak in a Canadian LTC home regarding staff experiences, challenges, and needs, to offer lessons learned and implications. Methods: A total of 30 staff from multiple disciplines parti...
Article
Full-text available
The aim of the longitudinal study was to examine whether residents with dementia in long-term facilities with variability in physical environmental characteristics in Vancouver (N= 11), Canada and Stockholm (N=13), Sweden had a difference in their quality of life (QoL). QoL was assessed using Dementia Care Mapping tool three times over one year for...
Article
The COVID-19 pandemic has exposed persistent inequities in the long-term care sector and brought strict social/physical distancing distancing and public health quarantine guidelines that inadvertently put long-term care residents at risk for social isolation and loneliness. Virtual communication and technologies have come to the forefront as the pr...
Article
Full-text available
Following the public health policies enacted in British Columbia, our long-term care (LTC) home restricted visitors from the outside. This was upsetting for residents, families and LTC home staff. Before the restrictions, several families brought food every day and assisted during mealtimes, and families and staff worked together to provide a suppo...
Article
Full-text available
Introduction Music is so widely available and inexpensive in the modern world; it is a common option for stress reduction, comfort and enjoyment. Silent disco headphones are used among young people; however, no study has yet investigated whether it is feasible to use these headphones to support mental health and well-being among older people with d...
Article
Full-text available
Aims: This scoping review explores key strategies of creating inclusive dementia-friendly communities that support people with dementia and their informal caregiver. Background: Social exclusion is commonly reported by people with dementia. Dementia-friendly community has emerged as an idea with potential to contribute to cultivating social inclusi...
Article
Full-text available
Objectives This study aimed to explore staff perspectives of the physical environment in supporting their care practices for residents living with dementia in Canadian and Swedish long-term care facilities. Design An exploratory, descriptive, qualitative research design based on focus groups was used. Participants A total of 24 staff members who...
Article
Full-text available
The COVID-19 pandemic crisis revealed severe implications on the care of older adults in Canada. Gerontological nurses are the leaders and frontline workforce who can make a difference in improving care with older adults. Now, it is more important than ever to increase specialized knowledge about the care of older adults among nurses. The Canadian...
Preprint
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With increasing cases of COVID-19 worldwide, implementation and compliance of public health measures during the pandemic have been the foremost concern globally. Clear, consistent and credible messages are essential for promoting compliance with COVID-19 public health measures. There is a need for more targeted communication strategies to engage yo...
Preprint
Full-text available
The COVID-19 pandemic crisis revealed severe implications on the care of older adults in Canada. Gerontological nurses are the leaders and frontline workforce who can make a difference in improving care with older adults. Now, it is more important than ever to increase specialized knowledge about the care of older adults among nurses. The Canadian...
Article
Full-text available
Silent disco headphones have been used among young people in concerts and parties; such headphones have extended distance coverage for broadcasting from a transmitter, features of noise cancelation, and three channels of music. Rather than using a speaker system, music is delivered by wireless headphones and facilitated by a DJ via a built-in micro...
Article
Full-text available
People staying in hospitals need more support to cope with the lockdown and visitor restriction during the COVID-19 pandemic, especially for older people with cognitive or physical impairment. Everyday technology such as a touchscreen tablet has great potential to support person-centred care. We aimed to support the adoption of tablets for hospital...
Article
People staying in hospitals need more support to cope with the lock down and visitor restriction during the COVID‐19 pandemic, especially for older people with cognitive or physical impairment. Everyday technology such as a touchscreen tablet has great potential to support person‐centred care. Aims: We aimed to support the adoption of tablets for h...
Article
Full-text available
Social exclusion is commonly reported by people with dementia and their families. Dementia‐friendly community has emerged as an idea that holds potential to contribute to the mitigation of social exclusion. The objective of the scoping review is to identify strategies of creating dementia‐friendly communities that support people with dementia and t...
Article
Full-text available
Introduction People with dementia may refuse care because they feel overwhelmed by an unfamiliar environment. Everyday technology such as tablets have the potential to support person-centred dementia care in hospitals. Aims We aimed to identify barriers and enabling factors in order to develop a toolkit to support the use of tablets in engaging in...
Article
Background: Being in an unfamiliar environment away from family can exacerbate emotional stress in hospitalised older people with dementia. Technology solutions can be used to address their mental and emotional health needs. Aim: To generate greater understanding of technology adoption and to test strategies supporting virtual care interventions...
Preprint
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The article provides evidence that virtual care offered useful support for family connections before and during the time of the COVID-19 pandemic.
Poster
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The lockdown in hospitals and care homes can generate anxiety for families. People with dementia may not be able to follow isolation and infection control procedures. We developed a toolkit to support using virtual care for hospitalized older people with dementia.
Article
Full-text available
Introduction The number of people with dementia is increasing worldwide, with the majority of people with dementia living at home in the community. WHO calls for global action on the public health response to dementia. Social exclusion is commonly reported by people with dementia and their families. Dementia-friendly and inclusive community has eme...
Research
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Background: The prevalence of pain in older adults living in long-term care homes is as high as 80% in developed countries. A Pain Initiative was implemented to improve the pain experience of older adults in two care homes in Vancouver, Canada. This initiative consisted of education and coaching to strengthen the staff teams' competence and confide...
Article
Full-text available
People with dementia are at high risk during the coronavirus disease 2019 (COVID-19) pandemic. Many people with dementia live alone in the community or with another older person. The closure of the coffee shop and business stores can disrupt social routines. Social distancing is necessary to reduce the chance of spreading the infection. Still, it c...
Article
Full-text available
The use of touchscreen tablets, such as the iPad, offers potential to support the person with dementia staying in a care setting, ranging from a long-term care home to an adult day programme. Although electronic devices are used among people with dementia, a comprehensive review of studies focusing on their impact and how they may be used effective...
Preprint
Full-text available
The use of touchscreen tablets such as the iPad may offer potential to support the person with dementia staying in a care setting. Although electronic devices are used among people with dementia, a comprehensive review of studies focusing on their impact and how they may be used effectively in care settings is lacking. We conducted a scoping review...
Article
Full-text available
Background: In Canada, rates of hospital admission from opioid overdose are higher for older adults (≥ 65) than younger adults, and opioid use disorder (OUD) is a growing concern. In response, Health Canada commissioned the Canadian Coalition of Seniors' Mental Health to create guidelines for the prevention, screening, assessment, and treatment of...
Article
Full-text available
The growing prevalence of older patients in hospital wards demands clinical leaders find innovative ways to meet the needs of this population. PARO, a robotic pet seal, was designed to provide emotional and social support. Previous research has found PARO helpful for older people with dementia in long term care and community settings. Still, there...
Article
Full-text available
New technology, such as social robots, opens up new opportunities in hospital settings. PARO, a robotic pet seal, was designed to provide emotional and social support for older people with dementia. We applied video-ethnographic methods, including conversational interviews and observations with video recording among 10 patient participants while th...
Article
Full-text available
Introduction The disabilities associated with dementia make the adjustment to staying in a care setting stressful. Separation from family can exacerbate the effects of stress. The use of touch screen tablets such as an iPad may offer potential to support the person with dementia staying in a care setting. Although electronic devices are used among...
Article
Full-text available
PARO, a robotic pet, was designed to provide emotional and social support for older people with dementia. This project aims to explore the perception of persons with dementia about the role of PARO in a hospital setting. Video-ethnographic methods were applied. Patient and family partners were involved in the fieldwork of data collection and analys...
Article
Full-text available
Innovative research in care practice for older people can benefit from the active involvement of patient and family partners. Involvement may begin with identifying priorities, then move to formulate research questions and to plan the research methods, to data collection, and finally to analysis and knowledge dissemination. However, in the field of...
Poster
Full-text available
Given the complexity of providing dementia care in hospitals, integrating technology into practice is a high challenge and an important opportunity. Although there are growing demands and interest in using social robots in a variety of care settings to support dementia care, little is known about the impacts of the robotics and their application in...
Article
Full-text available
Purpose In this action study, researchers worked with a team of interdisciplinary practitioners to co-develop knowledge and practice in a medical unit of a large urban hospital in Canada. An appreciative inquiry approach was utilized to guide the project. This article specifically focuses on examining the research experiences of practitioners and t...
Article
The topic of what motivates staff to accept new research knowledge and apply in practice is an important one to explore. This project involves using gamification (game thinking and mechanics) to support rapid knowledge uptake. The traditional academic publication offers limited effectiveness as practitioners often find the content boring and diffic...
Article
Full-text available
Introduction Hospital staff lacks knowledge and skills in dementia care. There is a need to understand how person‐centered care theory can be operationalized in staff's practices to improve dementia care. Aims To describe the staff's experiences of learning and applying the Gentle Persuasive Approaches (GPA) to enact person‐centered care in a hosp...
Article
Background: Staying in the hospital can be a very stressful experience for older people with dementia. A familiar face and reassuring voice of a family member or friend can offer a sense of safety and comfort. Aims: To explore the feasibility and acceptability of using an iPad Simulated Presence Therapy intervention with hospitalized older people w...
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