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While technical feasibility often drives development, the decision-making process that might lead to their adoption (or rejection) is not fully understood. We aim to explore contextual factors influencing this process and \u201cnecessities\u201d technology should fulfil from the user-perspective, so that the use of assistive technologies can be better targeted\u2013 potentially fostering a more supportive home environment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>In this qualitative study, interviews (8 people with dementia and 7 partners) and focus groups (7 focus groups included a total of 29 participants) with individuals with milder stages of dementia living at home and their support\/care-network were carried out. Grounded Theory and Structuring Content Analysis were used to analyse the data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Six main thematic categories outline the decision-making process. The \u201cassessment of (one\u2019s own) resources\u201d, while evaluating the \u201c(potential) benefits of assistive technologies\u201d contrasts with \u201c(potential) adverse effects\u201d of their use (or their non-use respectively), shaping the context of the decision-making process. There is an appraisal of necessary \u201c(pre-existing) trust\u201d in technology. An a priori \u201copenness towards assistive technologies\u201d intersects latter aspects. A very substantial \u201cneed for information\u201d is noted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>While technical feasibility and tailored solutions are important, they are not the sole determinants of assistive technology adoption in this group. The desire to preserve self-determination and independence emerges as a key motive for choosing assistive technologies; technology can also be seen to invoke stress and negative emotions, and will consequently be rejected. Technology should, moreover, be perceived to be \u201cmeaningful\u201d on different levels. Considering these points when developing technologies and addressing them when counselling those affected by dementia and their networks may \u201ctip the scale\u201d towards acceptance.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1186\/s12877-025-05945-2","type":"journal-article","created":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T04:06:44Z","timestamp":1770264404000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Adopting assistive technologies for the support and care of people with mild dementia living at home\u2014Understanding the decision-making process: a qualitative study"],"prefix":"10.1186","volume":"26","author":[{"given":"Sarah","family":"Palmdorf","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tristan","family":"Gruschka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gerrit","family":"Elia\u00df","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Angela","family":"Nikelski","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Eva","family":"Trompetter","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lea","family":"Stark","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Karlheim","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christoph","family":"Dockweiler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefan H.","family":"Kreisel","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,2,5]]},"reference":[{"issue":"6","key":"5945_CR1","doi-asserted-by":"publisher","first-page":"1085","DOI":"10.1093\/geronb\/gbad039","volume":"78","author":"M Waymouth","year":"2023","unstructured":"Waymouth M, Siconolfi D, Friedman EM, Saliba D, Ahluwalia SC, Shih RA. 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