OTQualitativeThe Canadian journal of nursing research = Revue canadienne de recherche en sciences infirmieres2026

Alert Systems for People Living with Dementia who go Missing: Case Studies in Canada, Scotland, and the United States.

Adebusola Adekoya, Lili Liu, Veronique Boscart and 1 others

PMID 42105099

WHAT IT FOUND

People living with dementia went missing during routine walks or drives.

Families described fear and helplessness, and some turned to GPS phones, ID bracelets, or alert systems that were sometimes unavailable or not activated.

Key findings

01Participants described missing incidents as distressing, terrifying, and emotionally overwhelming, with outcomes ranging from safe returns to unresolved cases.

02Timely reporting to police, accurate information, early planning, and notifying the public and transportation services were described as helping locate missing persons, while delayed reporting and unreliable tips could hinder searches.

03Alert system implementation was helped by involving the right people early, community buy-in, funding, legislative support, and lived experience, but was challenged by sustainability, leadership changes, and limited evaluation.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This was a qualitative study of experiences, not a test of whether alert systems reduce missing incidents or improve outcomes. Participants were recruited purposively through networks and social media, so they may have been especially interested in or supportive of alert systems. Most participants were White, so the findings may not fully reflect the perspectives of racialized groups. Home care and long-term care staff were not specifically recruited, so those service settings may be underrepresented. The interview guide was not pilot tested. Alert system implementation often lacked formal evaluation, and evidence of impact was mostly anecdotal.

Declared interests

The first author was funded by the Alzheimer Society Research Program/AGE-WELL Doctoral Award and the Canadian Nurses Foundation Kathleen Rowat Graduate Student Award. The authors declared no potential conflicts of interest.

The easy way to misread this

Do not read these stories as evidence that alert systems, GPS devices, or ID bracelets reliably prevent or resolve missing incidents. The study reports experiences and implementation challenges, and the authors note alert system impact was mostly anecdotal and not formally evaluated.

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