Introduction: Global Needs Assessment for Dementia Care
This document presents the outlining our structured approach of the JAIN Foundation to needs assessments in dementia care. As an international non-profit organization, our mission is to improve the quality of life for people with dementia. We do this by facilitating interdisciplinary collaboration between care professionals, informal caregivers, policymakers, technology companies, and academic institutions. The JAIN Foundation specifically focuses on the responsible development and application of Artificial Intelligence (AI) to support people with dementia, their families, and care professionals.
The complexity and dynamics of dementia care require a continuous understanding of current needs. Therefore, we do not view needs assessments as a one-time exercise, but as an ongoing process. By conducting multiple assessments annually, both nationally and internationally, we ensure that our initiatives and the solutions we support align with the real needs of all stakeholders: people with dementia, their loved ones, care professionals, and decision-makers.
The findings from these assessments guide the strategic direction of the JAIN Foundation and inform our contributions to targeted innovation, policy development, and collaboration within the care chain. This document provides insight into our methodology, focus areas, and alignment with relevant national and international policy frameworks, including the Dutch National Dementia Strategy and the guidelines of Alzheimer’s Disease International (ADI).
We invite you to explore our approach and the insights derived from our research, aiming for a collaborative and effective response to the global challenges of dementia care.
Sincerely
Hans Arnold, CEO en Founder JAIN Foundation
JAIN Foundation – Global Needs Assessment in Dementia Care
Improving Quality of Life Through Innovation
The JAIN Foundation is an international non-profit organization focused on enhancing the quality of life for people with dementia. Through an interdisciplinary approach, the Foundation collaborates with care professionals, caregivers, policymakers, technology developers, and academic institutions to develop sustainable solutions. One of the core activities of the Foundation is the implementation of structured needs assessments—nationally and internationally—to identify current gaps and opportunities in dementia care. These assessments serve as the foundation for targeted innovation, policy engagement, and strategic partnerships. Central to the JAIN Foundation’s mission is the application of AI-driven tools and technologies that support people with dementia, empower caregivers, and reduce the burden on care professionals.
The Importance of Structural Needs Assessment
Needs assessment in dementia care is not a one-off task but a continuous learning process. The nature of dementia varies per individual, and societal and technological conditions are constantly evolving. By conducting multiple annual assessments, the JAIN Foundation remains informed about both urgent and emerging issues. These assessments target formal care providers, informal caregivers, policymakers, tech developers, and people living with dementia.
Key domains of focus include:
- Autonomy and quality of life for people with dementia
- Workload and support needs of care professionals
- Availability and usability of technology, with a particular emphasis on AI applications
- Ethics, privacy, and digital care acceptance
- Public-private collaboration
- Policy and funding models
Alignment with the Dutch National Dementia Strategy
The Foundation’s assessments align directly with the Dutch National Dementia Strategy 2021–2030, focusing on three pillars:
- Better quality of life for people with dementia and their loved ones
- More knowledge and insight into dementia
- A society designed to be dementia-friendly
The JAIN Foundation contributes to each:
- Through co-creation with people with dementia, the Foundation develops solutions that enhance daily life.
- Through collaboration with universities and the Expert Committee, JAIN stimulates knowledge growth in AI, technology, and ethics.
- Through the JAIN Challenges and local pilots, inclusive and dementia-friendly living environments are being established.
Global Perspective: Views from ADI and Related Organizations
Awareness of technology’s potential in dementia care is growing worldwide. Organizations like Alzheimer’s Disease International (ADI), Alzheimer Nederland, and the Alzheimer’s Society increasingly stress the role of technology in supporting people with dementia and their caregivers.
Technology, according to these organizations, should:
- Promote independence and autonomy (supporting ADLs, memory aids, daily routines)
- Provide safety and reassurance (wandering detection, fall sensors, medication reminders)
- Facilitate social connection (video calling, simple devices, robotic companions)
- Enhance cognitive stimulation and well-being (games, music therapy, VR)
- Support caregivers (remote monitoring, platforms for emotional support and information sharing)
- Be person-centered and easy to use (tailored to the phase of dementia)
- Enable data-driven care (insight into health trends, prevention, personalized care)
- Be ethically sound (safeguarding privacy, autonomy, and transparency)
Examples of Relevant Technologies:
- Smart home technology (sensors, lighting, GPS)
- Communication tools (video calling, simple phones/tablets)
- Memory aids (digital calendars, talking clocks)
- Wearables and monitoring (sleep, activity, vitals)
- Virtual reality (reminiscence, relaxation)
- Robotics (companion robots, pet robots)
- Digital care coordination platforms
These insights are incorporated into the JAIN Foundation’s assessments and programming. They translate ADI’s guidelines into actionable innovations and interventions, tested locally through pilots and the JAIN Challenges. Increasingly, these tools are AI-powered, enhancing personalization, adaptability, and proactive care.
The JAIN Challenges: National and International Context
The JAIN Challenge is an annual innovation competition organized in various countries by the JAIN Foundation in partnership with local stakeholders. It is a key tool for gathering insights and encouraging solution development. Winners receive support in networking, validation, mentoring, and opportunities for international scale-up.
Multiple editions have been organized in the Netherlands, with support from care organizations, academic institutions, and regional development partners. International editions have been held in Spain, Switzerland, India, and Canada. The JAIN Challenges operate as ecosystems where needs, technology, care, and policy intersect.
Insights from these Challenges feed directly into the Foundation’s assessments. For example, rural Spain emphasizes digital support, while Dutch priorities focus on AI integration and workload reduction.
Role of the JAIN Expert Committee
The international JAIN Expert Committee includes professionals in:
- Geriatrics and elderly care
- Neuroscience and psychology
- Ethics and AI governance
- ICT and data science
- Human-centered design and care innovation
- Health policy and economics
Members are affiliated with universities, hospitals, governments, and innovative enterprises globally. Their expertise is crucial in interpreting assessment results and translating them into concrete recommendations for policy, product development, and implementation. Many experts focus on the ethical and practical integration of AI into dementia care.
The committee also advises national and international JAIN Challenges—reviewing submissions, mentoring winners, and identifying broader trends based on field experience. This creates continuous feedback between practice, science, and innovation.
Needs Assessment Methodology
The Foundation employs mixed-methods research, including:
- Structured interviews with care professionals and caregivers
- Focus groups with people with dementia and loved ones
- Surveys with policymakers and tech developers
- Participatory observations in home and care settings
- Desk research and policy analysis
- Data review from pilots and evaluations
A distinctive aspect of the Foundation’s method is the active involvement of people with dementia—as far as possible—in identifying and expressing their own needs. This inclusive innovation model leads to more relevant, person-centered solutions.
Findings from Recent Assessments
Key takeaways from recent analyses:
People with dementia and families:
- Strong need for familiarity, safety, and routine
- Digital support is welcome if simple, reliable, and privacy-safe
- Concern over loss of autonomy due to over-controlling technology
Care professionals:
- Persistent high workload and administrative burden
- Positive attitudes toward intuitive and reliable technologies
- Need for training and co-involvement in implementation
Policymakers:
- Growing urgency over aging and workforce shortages
- Demand for data-informed decision-making
- Interest in scalable and cost-effective innovations
Tech developers:
- Willingness to collaborate, but uncertainties around regulation
- Need for access to real-life testing environments and data
Signals from the JAIN Expert Committee
- Gaps between technology and actual needs: Technologies are often complex, overfocused on monitoring, and lack social or emotional value. Integration into existing workflows remains limited.
- Ethical concerns remain under-addressed: AI decision-making risks autonomy. Privacy may be legally secured, but people still feel out of control. Digitally excluded groups may be marginalized.
- Inclusion of people with dementia in innovation: Their lived experience should guide every phase of development. This requires adapted research methods—short sessions, visuals, safe settings, involvement of familiar persons.
- AI and data for prevention: AI can help detect changes (e.g., sleep, behavior) to enable early intervention. However, systems must be transparent, explainable, and supportive—not autonomous or opaque.
Strategic Priorities for Future JAIN Challenges
Based on needs assessments and Expert Committee insights:
- Social inclusion & technology: tools that connect, not isolate
- Human-centered AI for home care: support, not control
- Dementia-friendly living environments: smart neighborhoods, not just gadgets
- Support for informal caregivers: digital balance between involvement and relief
- Care ethics & AI governance: transparency, fairness, explainability
- Prevention & early detection: AI as a tool, with clear response pathways
From Assessment to Action
The Foundation uses findings to:
- Launch testbeds and validation pilots in real-life settings
- Develop targeted JAIN Challenges
- Advise governments and health insurers
- Share best practices at international events and publications
Collaborations include:
- Universities: UvA, TU/e, ETH Zürich
- Care organizations in NL, Spain, India, Switzerland
- Social-impact tech startups
- Municipalities and regional health networks
Looking Ahead: From Insight to Impact
The JAIN Foundation views needs assessment as the starting point of impact-driven innovation. By mapping lived experiences and sector-wide gaps, the Foundation builds the foundation for better technologies, smarter policy, and inclusive collaboration. A central pillar of this innovation is the meaningful, ethical deployment of AI to support everyday life, caregiving, and professional practice in dementia care.
Our ambition: scale this approach across Europe and globally, focusing on:
- Culturally contextualized solutions
- Embedding innovations in care education and practice
- Transparent ethics and safety evaluations
- Long-term impact tracking
Conclusion
The JAIN Foundation’s global needs assessment exposes what is truly needed in dementia care. Through inclusive dialogue—from clients to policymakers—and by translating insights into action, the Foundation delivers unique contributions to future-proof care. The synergy of science, AI-powered innovation, and human dignity lies at the heart of JAIN’s global mission.
By explicitly aligning with both the Dutch Dementia Strategy and global insights from ADI, JAIN supports policy and practice that matter—locally and globally.