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Cai X, Zhào H, Li Z, Ding Y, Huang Y. Detecting apathy in patients with cerebral small vessel disease. Front Aging Neurosci 2022; 14:933958. [PMID: 35992598 PMCID: PMC9381828 DOI: 10.3389/fnagi.2022.933958] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/01/2022] [Accepted: 07/13/2022] [Indexed: 11/23/2022] Open
Abstract
Background Apathy is attracting more and more attention in clinical practice. As one of the most common features of cerebral small vessel disease (CSVD), the assessment of apathy still mainly relies on observers. With the development of Information and Communication Technologies (ICTs), new objective tools take part in the early detection of apathy. Objectives To detect apathy in patients with CSVD and find out the relationship between apathy and actigraphic data sampled from the diurnal and nocturnal periods. Methods A total of 56 patients with CSVD were recruited for a cross-sectional observational study. Apathy was diagnosed by the diagnostic criteria for apathy in neurocognitive disorders. The presence of lacunes, white matter hyperintensities, cerebral microbleeds (CMBs), and perivascular spaces (PVS) in magnetic resonance imaging (MRI) images were rated independently. Actigraph devices were worn in the non-dominant hands of each subject for 7 consecutive days to collect samples of raw data, and diurnal vector magnitude (VM) and a series of sleep quality variables were obtained. Results We found that the frequency of apathy in Chinese patients with CSVD reached 37.50%. Patients in the Apathy+ group showed more lacunes and CMBs, and higher Fazekas scores in comparison to apathy-group individuals. Diurnal VM, instead of other sleep quality variables, was lower in CSVD patients with apathy relative to those without apathy. Lastly, we discovered that diurnal VM and total time in bed (TTB) correlated negatively with apathy severity in patients with CSVD. Conclusion Actigraphy is a promising choice to evaluate apathy in patients with CSVD.
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Affiliation(s)
- Xiaoping Cai
- Department of Neurology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, China
- 7th Department of Health Cadre, The Second Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Hóngyi Zhào
- Department of Neurology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, China
- Department of Neurology, NO 984 Hospital of PLA, Beijing, China
| | - Zhiyi Li
- Department of Neurology, NO 984 Hospital of PLA, Beijing, China
| | - Yu Ding
- Department of Neurology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, China
| | - Yonghua Huang
- Department of Neurology, The Seventh Medical Center of Chinese PLA General Hospital, Beijing, China
- *Correspondence: Yonghua Huang,
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König A, Zeghari R, Guerchouche R, Duc Tran M, Bremond F, Linz N, Lindsay H, Langel K, Ramakers I, Lemoine P, Bultingaire V, Robert P. Remote cognitive assessment of older adults in rural areas by telemedicine and automatic speech and video analysis: protocol for a cross-over feasibility study. BMJ Open 2021; 11:e047083. [PMID: 34475154 PMCID: PMC8413472 DOI: 10.1136/bmjopen-2020-047083] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2020] [Accepted: 07/27/2021] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Early detection of cognitive impairments is crucial for the successful implementation of preventive strategies. However, in rural isolated areas or so-called 'medical deserts', access to diagnosis and care is very limited. With the current pandemic crisis, now even more than ever, remote solutions such as telemedicine platforms represent great potential and can help to overcome this barrier. Moreover, current advances made in voice and image analysis can help overcome the barrier of physical distance by providing additional information on a patients' emotional and cognitive state. Therefore, the aim of this study is to evaluate the feasibility and reliability of a videoconference system for remote cognitive testing empowered by automatic speech and video analysis. METHODS AND ANALYSIS 60 participants (aged 55 and older) with and without cognitive impairment will be recruited. A complete neuropsychological assessment including a short clinical interview will be administered in two conditions, once by telemedicine and once by face-to-face. The order of administration procedure will be counterbalanced so half of the sample starts with the videoconference condition and the other half with the face-to-face condition. Acceptability and user experience will be assessed among participants and clinicians in a qualitative and quantitative manner. Speech and video features will be extracted and analysed to obtain additional information on mood and engagement levels. In a subgroup, measurements of stress indicators such as heart rate and skin conductance will be compared. ETHICS AND DISSEMINATION The procedures are not invasive and there are no expected risks or burdens to participants. All participants will be informed that this is an observational study and their consent taken prior to the experiment. Demonstration of the effectiveness of such technology makes it possible to diffuse its use across all rural areas ('medical deserts') and thus, to improve the early diagnosis of neurodegenerative pathologies, while providing data crucial for basic research. Results from this study will be published in peer-reviewed journals.
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Affiliation(s)
- Alexandra König
- STARS Team, Institut National de Recherche en Informatique et en Automatique Centre de Recherche Sophia Antipolis Méditerranée, Sophia Antipolis, France
- Cobtek (Cognition-Behaviour-Technology) Lab, FRIS, Universite Cote d'Azur, Nice, France
| | - Radia Zeghari
- Cobtek (Cognition-Behaviour-Technology) Lab, FRIS, Universite Cote d'Azur, Nice, France
| | - Rachid Guerchouche
- STARS Team, Institut National de Recherche en Informatique et en Automatique Centre de Recherche Sophia Antipolis Méditerranée, Sophia Antipolis, France
- Cobtek (Cognition-Behaviour-Technology) Lab, FRIS, Universite Cote d'Azur, Nice, France
| | - Minh Duc Tran
- STARS Team, Institut National de Recherche en Informatique et en Automatique Centre de Recherche Sophia Antipolis Méditerranée, Sophia Antipolis, France
| | - François Bremond
- STARS Team, Institut National de Recherche en Informatique et en Automatique Centre de Recherche Sophia Antipolis Méditerranée, Sophia Antipolis, France
| | - Nicklas Linz
- German Research Centre for Artificial Intelligence Saarbrucken Branch, Saarbrucken, Germany
| | - Hali Lindsay
- Deutsches Forschungszentrum fur Kunstliche Intelligenz GmbH Standort Saarbrucken, Saarbrucken, Germany
| | - Kai Langel
- Janssen Healthcare Innovation, Beerse, Belgium
| | | | - Pascale Lemoine
- Centre Hospitalier de Digne-les-Bains, Digne-les-Bains, France
| | | | - Philippe Robert
- Cobtek (Cognition-Behaviour-Technology) Lab, FRIS, Universite Cote d'Azur, Nice, France
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Pilot Study to Assess the Feasibility of a Mobile Unit for Remote Cognitive Screening of Isolated Elderly in Rural Areas. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18116108. [PMID: 34198917 PMCID: PMC8201036 DOI: 10.3390/ijerph18116108] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/20/2021] [Revised: 05/23/2021] [Accepted: 06/01/2021] [Indexed: 12/02/2022]
Abstract
Background: Given the current COVID-19 pandemic situation, now more than ever, remote solutions for assessing and monitoring individuals with cognitive impairment are urgently needed. Older adults in particular, living in isolated rural areas or so-called ‘medical deserts’, are facing major difficulties in getting access to diagnosis and care. Telemedical approaches to assessments are promising and seem well accepted, reducing the burden of bringing patients to specialized clinics. However, many older adults are not yet adequately equipped to allow for proper implementation of this technology. A potential solution could be a mobile unit in the form of a van, equipped with the telemedical system which comes to the patients’ home. The aim of this proof-of-concept study is to evaluate the feasibility and reliability of such mobile unit settings for remote cognitive testing. Methods and analysis: eight participants (aged between 69 and 86 years old) from the city of Digne-Les-Bains volunteered for this study. A basic neuropsychological assessment, including a short clinical interview, is administered in two conditions, by telemedicine in a mobile clinic (equipped van) at a participants’ home and face to face in a specialized clinic. The administration procedure order is randomized, and the results are compared with each other. Acceptability and user experience are assessed among participants and clinicians in a qualitative and quantitative manner. Measurements of stress indicators were collected for comparison. Results: The analysis revealed no significant differences in test results between the two administration procedures. Participants were, overall, very satisfied with the mobile clinic experience and found the use of the telemedical system relatively easy. Conclusion: A mobile unit equipped with a telemedical service could represent a solution for remote cognitive testing overcoming barriers in rural areas to access specialized diagnosis and care.
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Robert P, Albrengues C, Fabre R, Derreumaux A, Pancrazi MP, Luporsi I, Dubois B, Epelbaum S, Mercier G, Foulon P, Bremond F, Manera V. Efficacy of serious exergames in improving neuropsychiatric symptoms in neurocognitive disorders: Results of the X-TORP cluster randomized trial. ALZHEIMER'S & DEMENTIA (NEW YORK, N. Y.) 2021; 7:e12149. [PMID: 34013018 PMCID: PMC8112479 DOI: 10.1002/trc2.12149] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/04/2020] [Revised: 11/24/2020] [Accepted: 01/06/2021] [Indexed: 01/05/2023]
Abstract
INTRODUCTION The aim of this study was to evaluate the efficacy of a serious exergame in improving the neuropsychiatric symptoms of patients with neurocognitive disorders. METHODS X-Torp is a serious exergame combining motor and cognitive activities. Ninety-one subjects (mean age = 81.7 years, mean Mini-Mental State Examination = 18.3) were recruited in 16 centers. Centers were randomized into intervention and control centers. Subjects underwent assessment for cognitive and behavioral symptoms at baseline (BL), the end of the intervention (W12), and 12 weeks after the end of the intervention (W24). RESULTS The comparison of neuropsychiatric symptoms between BL and W12 and W24 showed that subjects of the intervention group improved in apathy between BL and W12. Mixed analysis (time BL, W12, W24 x group) indicated a significant increase in apathy and neuropsychiatric symptoms in the control subjects. DISCUSSION The use of X-Torp improved neuropsychiatric symptoms, particularly apathy. Future studies should more consistently use behavioral and neuropsychiatric symptoms as outcome measures.
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Affiliation(s)
- Philippe Robert
- CoBTeK LabUniversité Côte d'AzurNiceFrance
- Centre mémoire CMRRCentre Hospitalier Universitaire de NiceNiceFrance
- Association Innovation AlzheimerNiceFrance
| | - Claire Albrengues
- Centre mémoire CMRRCentre Hospitalier Universitaire de NiceNiceFrance
| | - Roxane Fabre
- Département de Santé PubliqueCentre Hospitalier Universitaire de NiceNiceFrance
| | - Alexandre Derreumaux
- CoBTeK LabUniversité Côte d'AzurNiceFrance
- Centre mémoire CMRRCentre Hospitalier Universitaire de NiceNiceFrance
| | | | | | - Bruno Dubois
- Institut de la Mémoire et de la Maladie d'Alzheimer (IM2A) SalpetrièreParisFrance
| | - Stéphane Epelbaum
- Institut de la Mémoire et de la Maladie d'Alzheimer (IM2A) SalpetrièreParisFrance
| | - Grégoire Mercier
- UMR CEPELUniversité de MontpellierMontpellierFrance
- DIM, CHU de MontpellierHôpital La ColombiereMontpellierFrance
| | - Pierre Foulon
- Company GENIOUS Healthcare—Mindmaze GroupLausanneSwitzerland
| | | | - Valeria Manera
- CoBTeK LabUniversité Côte d'AzurNiceFrance
- Association Innovation AlzheimerNiceFrance
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A French-Greek Cross-Site Comparison Study of the Use of Automatic Video Analyses for the Assessment of Autonomy in Dementia Patients. BIOSENSORS-BASEL 2020; 10:bios10090103. [PMID: 32825735 PMCID: PMC7558972 DOI: 10.3390/bios10090103] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/13/2020] [Revised: 08/11/2020] [Accepted: 08/17/2020] [Indexed: 11/24/2022]
Abstract
Background: At present, the assessment of autonomy in daily living activities, one of the key symptoms in Alzheimer’s disease (AD), involves clinical rating scales. Methods: In total, 109 participants were included. In particular, 11 participants during a pre-test in Nice, France, and 98 participants (27 AD, 38 mild cognitive impairment—MCI—and 33 healthy controls—HC) in Thessaloniki, Greece, carried out a standardized scenario consisting of several instrumental activities of daily living (IADLs), such as making a phone call or preparing a pillbox while being recorded. Data were processed by a platform of video signal analysis in order to extract kinematic parameters, detecting activities undertaken by the participant. Results: The video analysis data can be used to assess IADL task quality and provide clinicians with objective measurements of the patients’ performance. Furthermore, it reveals that the HC statistically significantly outperformed the MCI, which had better performance compared to the AD participants. Conclusions: Accurate activity recognition data for the analyses of the performance on IADL activities were obtained.
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Sacco G, Ben-Sadoun G, Bourgeois J, Fabre R, Manera V, Robert P. Comparison between a Paper-Pencil Version and Computerized Version for the Realization of a Neuropsychological Test: The Example of the Trail Making Test. J Alzheimers Dis 2019; 68:1657-1666. [DOI: 10.3233/jad-180396] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Affiliation(s)
- Guillaume Sacco
- Université Côte d’Azur, CoBTeK lab IA, France
- Université Côte d’Azur, CHU Pôle Réhabilitation Autonomie Vieillissement, CMRR, France
| | | | | | | | | | - Philippe Robert
- Université Côte d’Azur, CoBTeK lab IA, France
- Université Côte d’Azur, CHU Pôle Réhabilitation Autonomie Vieillissement, CMRR, France
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Abstract
BACKGROUND Virtual reality applications to assist older adult with cognitive and functional decline are fast growing. However, such technological developments face limitations such as due to limited constructs and ecological validity. This study was aimed at investigating age-related changes in functional abilities and their associated cognitive underpinnings during task performance in virtual and real environments. METHOD Twenty-two younger adults (university students) and 22 older adults (aged 58-74) performed a multiple errands task twice, once in the "Discoveries" section of the National Museum of Scotland and once in the same room as a virtual environment. Accuracy and distance traveled were measured in both groups. Cognitive and daily living abilities were recorded in older adults using standard and novel questionnaires. RESULTS The testing environment had a significant effect on how efficient individuals performed the task. Older and younger adults' performance was alike but older adults relied on more cognitive resources. Older adults struggled in the virtual but not in the real environment. Younger but not older adults could transfer knowledge between environments. CONCLUSION The use of technology to assist frail older adults and those affected by dementia is growing rapidly. For these novel tools to be theoretically valid, they need to incorporate knowledge of the challenges they pose to these vulnerable groups. Here we present evidence of such challenges and their cognitive underpinnings. This theory may be considered by future applications aimed at enhancing functional abilities in these populations.
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Affiliation(s)
- Mario A Parra
- a School of Social Sciences, Psychology , University Heriot-Watt , Edinburgh , UK.,b Human Cognitive Neuroscience , Edinburgh University , Edinburgh , UK.,c Alzheimer's Scotland Dementia Research Centre, University of Edinburgh , Edinburgh , UK.,d Neuroprogressive and Dementia Network , NHS Scotland , UK.,e Universidad Autónoma del Caribe, Programa de Psicología, Barranquilla , Colombia
| | - Rini I Kaplan
- b Human Cognitive Neuroscience , Edinburgh University , Edinburgh , UK
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Zucchella C, Sinforiani E, Tamburin S, Federico A, Mantovani E, Bernini S, Casale R, Bartolo M. The Multidisciplinary Approach to Alzheimer's Disease and Dementia. A Narrative Review of Non-Pharmacological Treatment. Front Neurol 2018; 9:1058. [PMID: 30619031 PMCID: PMC6300511 DOI: 10.3389/fneur.2018.01058] [Citation(s) in RCA: 121] [Impact Index Per Article: 20.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2018] [Accepted: 11/21/2018] [Indexed: 12/22/2022] Open
Abstract
Background: Alzheimer's disease (AD) and dementia are chronic diseases with progressive deterioration of cognition, function, and behavior leading to severe disability and death. The prevalence of AD and dementia is constantly increasing because of the progressive aging of the population. These conditions represent a considerable challenge to patients, their family and caregivers, and the health system, because of the considerable need for resources allocation. There is no disease modifying intervention for AD and dementia, and the symptomatic pharmacological treatments has limited efficacy and considerable side effects. Non-pharmacological treatment (NPT), which includes a wide range of approaches and techniques, may play a role in the treatment of AD and dementia. Aim: To review, with a narrative approach, current evidence on main NPTs for AD and dementia. Methods: PubMed and the Cochrane database of systematic reviews were searched for studies written in English and published from 2000 to 2018. The bibliography of the main articles was checked to detect other relevant papers. Results: The role of NPT has been largely explored in AD and dementia. The main NPT types, which were reviewed here, include exercise and motor rehabilitation, cognitive rehabilitation, NPT for behavioral and psychological symptoms of dementia, occupational therapy, psychological therapy, complementary and alternative medicine, and new technologies, including information and communication technologies, assistive technology and domotics, virtual reality, gaming, and telemedicine. We also summarized the role of NPT to address caregivers' burden. Conclusions: Although NPT is often applied in the multidisciplinary approach to AD and dementia, supporting evidence for their use is still preliminary. Some studies showed statistically significant effect of NPT on some outcomes, but their clinical significance is uncertain. Well-designed randomized controlled trials with innovative designs are needed to explore the efficacy of NPT in AD and dementia. Further studies are required to offer robust neurobiological grounds for the effect of NPT, and to examine its cost-efficacy profile in patients with dementia.
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Affiliation(s)
| | - Elena Sinforiani
- Alzheimer's Disease Assessment Unit, Laboratory of Neuropsychology, IRCCS Mondino Foundation, Pavia, Italy
| | - Stefano Tamburin
- Neurology Unit, University Hospital of Verona, Verona, Italy
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Angela Federico
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Elisa Mantovani
- Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy
| | - Sara Bernini
- Alzheimer's Disease Assessment Unit, Laboratory of Neuropsychology, IRCCS Mondino Foundation, Pavia, Italy
| | - Roberto Casale
- Neurorehabilitation Unit, Department of Rehabilitation, HABILITA, Bergamo, Italy
| | - Michelangelo Bartolo
- Neurorehabilitation Unit, Department of Rehabilitation, HABILITA, Bergamo, Italy
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Teipel S, König A, Hoey J, Kaye J, Krüger F, Robillard JM, Kirste T, Babiloni C. Use of nonintrusive sensor-based information and communication technology for real-world evidence for clinical trials in dementia. Alzheimers Dement 2018; 14:1216-1231. [PMID: 29936147 PMCID: PMC6179371 DOI: 10.1016/j.jalz.2018.05.003] [Citation(s) in RCA: 34] [Impact Index Per Article: 5.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/02/2018] [Revised: 04/20/2018] [Accepted: 05/03/2018] [Indexed: 12/11/2022]
Abstract
Cognitive function is an important end point of treatments in dementia clinical trials. Measuring cognitive function by standardized tests, however, is biased toward highly constrained environments (such as hospitals) in selected samples. Patient-powered real-world evidence using information and communication technology devices, including environmental and wearable sensors, may help to overcome these limitations. This position paper describes current and novel information and communication technology devices and algorithms to monitor behavior and function in people with prodromal and manifest stages of dementia continuously, and discusses clinical, technological, ethical, regulatory, and user-centered requirements for collecting real-world evidence in future randomized controlled trials. Challenges of data safety, quality, and privacy and regulatory requirements need to be addressed by future smart sensor technologies. When these requirements are satisfied, these technologies will provide access to truly user relevant outcomes and broader cohorts of participants than currently sampled in clinical trials.
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Affiliation(s)
- Stefan Teipel
- Department of Psychosomatic Medicine, University of Rostock, Rostock, Germany; DZNE, German Center for Neurodegenerative Diseases, Rostock, Germany.
| | - Alexandra König
- Centre Mémoire de Ressources et de Recherche (CMRR), Centre Hospitalier Universitaire Nice, Cobtek (Cognition-Behaviour-Technology) Research Lab, Université de Nice Sophia Antipolis, Nice, France
| | - Jesse Hoey
- David R. Cheriton School of Computer Science, University of Waterloo, Waterloo, Canada
| | - Jeff Kaye
- NIA - Layton Aging & Alzheimer's Disease Center and ORCATECH, Oregon Center for Aging & Technology, Oregon Health & Science University, Portland, OR, USA
| | - Frank Krüger
- Institute of Communications Engineering, University of Rostock, Rostock, Germany
| | - Julie M Robillard
- Division of Neurology, Department of Medicine, University of British Columbia, Vancouver, Canada
| | - Thomas Kirste
- Institute of Computer Science, University of Rostock, Rostock, Germany
| | - Claudio Babiloni
- Department of Physiology and Pharmacology "Vittorio Erspamer", University of Rome "La Sapienza", Rome, Italy; Institute for Research and Medical Care, IRCCS San Raffaele IRCCS San Raffaele and Cassino, Rome and Cassino, Italy
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Maresova P, Tomsone S, Lameski P, Madureira J, Mendes A, Zdravevski E, Chorbev I, Trajkovik V, Ellen M, Rodil K. Technological Solutions for Older People with Alzheimer's Disease: Review. Curr Alzheimer Res 2018; 15:975-983. [PMID: 29701154 PMCID: PMC6128069 DOI: 10.2174/1567205015666180427124547] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2018] [Revised: 04/15/2018] [Accepted: 04/25/2018] [Indexed: 01/17/2023]
Abstract
In the nineties, numerous studies began to highlight the problem of the increasing number of people with Alzheimer's disease in developed countries, especially in the context of demographic progress. At the same time, the 21st century is typical of the development of advanced technologies that penetrate all areas of human life. Digital devices, sensors, and intelligent applications are tools that can help seniors and allow better communication and control of their caregivers. The aim of the paper is to provide an up-to-date summary of the use of technological solutions for improving health and safety for people with Alzheimer's disease. Firstly, the problems and needs of senior citizens with Alzheimer's disease (AD) and their caregivers are specified. Secondly, a scoping review is performed regarding the technological solutions suggested to assist this specific group of patients. Works obtained from the following libraries are used in this scoping review: Web of Science, PubMed, Springer, ACM and IEEE Xplore. Four independent reviewers screened the identified records and selected relevant articles which were published in the period from 2007 to 2018. A total of 6,705 publications were selected. In all, 128 full papers were screened. Results obtained from the relevant studies were furthermore divided into the following categories according to the type and use of technologies: devices, processing, and activity recognition. The leading technological solution in the category of devices are wearables and ambient noninvasive sensors. The introduction and utilization of these technologies, however, bring about challenges in acceptability, durability, ease of use, communication, and power requirements. Furthermore, it needs to be pointed out that these technological solutions should be based on open standards.
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Affiliation(s)
- Petra Maresova
- Address correspondence to this author at the Department of Economics, Faculty of Informatics and Management, University of Hradec Kralove, Rokitanskeho 62, 50003, Hradec Kralove, Czech Republic; Tel: + 420 737 928 745; E-mail:
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11
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D'Onofrio G, Sancarlo D, Ricciardi F, Panza F, Seripa D, Cavallo F, Giuliani F, Greco A. Information and Communication Technologies for the Activities of Daily Living in Older Patients with Dementia: A Systematic Review. J Alzheimers Dis 2017; 57:927-935. [PMID: 28304297 DOI: 10.3233/jad-161145] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
BACKGROUND Significant innovations have been introduced in recent years in the application of information and communication technologies (ICTs) to support healthcare for patients with dementia. OBJECTIVE In the present systematic review, our goal is to keep track of ICT concepts and approaches to support the range of activities of daily living for people with dementia and to provide a snapshot of the effect that technology is having on patients' self-reliance. METHODS We reviewed the literature and identified systematic reviews of cohort studies and other authoritative reports. Our selection criteria included: (1) activities of daily living, (2) ICT, and (3) dementia. RESULTS We identified 56 studies published between 2000 and 2015, of which 26 met inclusion criteria. The present systematic review revealed many ICT systems that could purportedly support the range of activities of daily living for patients with dementia. The results showed five research bodies: 1) technologies used by patients with dementia, 2) technologies used by caregivers, 3) monitoring systems, 4) ambient assistive living with ICTs, and 5) tracking and wayfinding. CONCLUSIONS There is a potential for ICTs to support dementia care at home and to improve quality of life for caregivers, reducing healthcare costs and premature institutional care for these patients.
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Affiliation(s)
- Grazia D'Onofrio
- Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.,BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy
| | - Daniele Sancarlo
- Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy
| | - Francesco Ricciardi
- ICT, Innovation & Research Unit, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy
| | - Francesco Panza
- Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy.,Department of Basic Medicine, Neurodegenerative Disease Unit, Neuroscience, and Sense Organs, University of Bari Aldo Moro, Bari, Italy.,Department of Clinical Research in Neurology, University of Bari Aldo Moro, "Pia Fondazione Cardinale G. Panico", Tricase, Lecce, Italy
| | - Davide Seripa
- Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy
| | - Filippo Cavallo
- BioRobotics Institute, Scuola Superiore Sant'Anna, Pontedera, Italy
| | - Francesco Giuliani
- ICT, Innovation & Research Unit, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy
| | - Antonio Greco
- Department of Medical Sciences, Geriatric Unit and Laboratory of Gerontology and Geriatrics, IRCCS "Casa Sollievo della Sofferenza", San Giovanni Rotondo, Foggia, Italy
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12
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Manera V, Ben-Sadoun G, Aalbers T, Agopyan H, Askenazy F, Benoit M, Bensamoun D, Bourgeois J, Bredin J, Bremond F, Crispim-Junior C, David R, De Schutter B, Ettore E, Fairchild J, Foulon P, Gazzaley A, Gros A, Hun S, Knoefel F, Olde Rikkert M, Phan Tran MK, Politis A, Rigaud AS, Sacco G, Serret S, Thümmler S, Welter ML, Robert P. Recommendations for the Use of Serious Games in Neurodegenerative Disorders: 2016 Delphi Panel. Front Psychol 2017; 8:1243. [PMID: 28790945 PMCID: PMC5524915 DOI: 10.3389/fpsyg.2017.01243] [Citation(s) in RCA: 48] [Impact Index Per Article: 6.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/29/2016] [Accepted: 07/07/2017] [Indexed: 11/21/2022] Open
Abstract
The use of Serious Games (SG) in the health domain is expanding. In the field of neurodegenerative disorders (ND) such as Alzheimer’s disease, SG are currently employed both to support and improve the assessment of different functional and cognitive abilities, and to provide alternative solutions for patients’ treatment, stimulation, and rehabilitation. As the field is quite young, recommendations on the use of SG in people with ND are still rare. In 2014 we proposed some initial recommendations (Robert et al., 2014). The aim of the present work was to update them, thanks to opinions gathered by experts in the field during an expert Delphi panel. Results confirmed that SG are adapted to elderly people with mild cognitive impairment (MCI) and dementia, and can be employed for several purposes, including assessment, stimulation, and improving wellbeing, with some differences depending on the population (e.g., physical stimulation may be better suited for people with MCI). SG are more adapted for use with trained caregivers (both at home and in clinical settings), with a frequency ranging from 2 to 4 times a week. Importantly, the target of SG, their frequency of use and the context in which they are played depend on the SG typology (e.g., Exergame, cognitive game), and should be personalized with the help of a clinician.
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Affiliation(s)
- Valeria Manera
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Université Côte d'Azur, INRIA, STARSSophia Antipolis, France
| | - Grégory Ben-Sadoun
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France
| | - Teun Aalbers
- Radboudumc Alzheimer Center, Donders Institute for Medical NeuroSciences, RadboudumcNijmegen, Netherlands
| | | | - Florence Askenazy
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Centre Ressources Autisme, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Children's Hospitals of Nice CHU-LenvalNice, France.,IA AssociationNice, France
| | - Michel Benoit
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,IA AssociationNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire, Hôpital PasteurNice, France
| | - David Bensamoun
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire, Hôpital PasteurNice, France
| | - Jérémy Bourgeois
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Centre Ressources Autisme, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Children's Hospitals of Nice CHU-LenvalNice, France
| | | | | | | | - Renaud David
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,IA AssociationNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Centre Mémoire de Ressource et de RechercheNice, France
| | - Bob De Schutter
- College for Education, Health and Society, Miami University, OxfordOH, United States
| | - Eric Ettore
- Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Centre Mémoire de Ressource et de RechercheNice, France
| | - Jennifer Fairchild
- Department of Veterans Affairs, VA Palo Alto Health Care System, LivermoreCA, United States.,Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, StanfordCA, United States
| | | | - Adam Gazzaley
- Departments of Neurology and Psychiatry and Department of Physiology, University of California, San Francisco, San FranciscoCA, United States
| | - Auriane Gros
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Centre Mémoire de Ressource et de RechercheNice, France
| | - Stéphanie Hun
- Centre Ressources Autisme, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Children's Hospitals of Nice CHU-LenvalNice, France
| | - Frank Knoefel
- Bruyère Memory Program, Bruyère Research InstituteOttawa, ON, Canada.,Department of Family Medicine, University of OttawaOttawa, ON, Canada.,Department of Systems and Computer Engineering, Carleton UniversityOttawa, ON, Canada
| | - Marcel Olde Rikkert
- Department of Geriatrics and Radboudumc Alzheimer Center, Radboud University Medical CenterNijmegen, Netherlands
| | | | - Antonios Politis
- 1st Department of Psychiatry, Eginition Hospital, National and Kapodistrian University of AthensAthens, Greece
| | - Anne S Rigaud
- Hopital Broca, Assistance Publique-Hôpitaux de ParisParis, France.,Faculty of Medicine, Université Paris DescartesParis, France
| | - Guillaume Sacco
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Centre Mémoire de Ressource et de RechercheNice, France
| | - Sylvie Serret
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,Centre Ressources Autisme, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Children's Hospitals of Nice CHU-LenvalNice, France
| | - Susanne Thümmler
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,IEM Rossetti des PEP 06Nice, France.,Centre Ressources Autisme, Service Universitaire de Psychiatrie de l'Enfant et de l'Adolescent, Children's Hospitals of Nice CHU-LenvalNice, France
| | - Marie L Welter
- UMR-S975, Institut du Cerveau et de la Moelle épiniere, Université Pierre et Marie CurieParis, France.,U975, INSERMParis, France.,UMR 7225, CNRSParis, France.,Département de Neurologie, Hôpitaux Universitaires Pitié-Salpêtrière, Assistance Publique-Hôpitaux de ParisParis, France
| | - Philippe Robert
- Université Côte d'Azur, Cognition, Behaviour, Technology - CoBTeKNice, France.,IA AssociationNice, France.,Université Côte d'Azur, Centre Hospitalier Universitaire de Nice, Centre Mémoire de Ressource et de RechercheNice, France
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13
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Meiland F, Innes A, Mountain G, Robinson L, van der Roest H, García-Casal JA, Gove D, Thyrian JR, Evans S, Dröes RM, Kelly F, Kurz A, Casey D, Szcześniak D, Dening T, Craven MP, Span M, Felzmann H, Tsolaki M, Franco-Martin M. Technologies to Support Community-Dwelling Persons With Dementia: A Position Paper on Issues Regarding Development, Usability, Effectiveness and Cost-Effectiveness, Deployment, and Ethics. JMIR Rehabil Assist Technol 2017; 4:e1. [PMID: 28582262 PMCID: PMC5454557 DOI: 10.2196/rehab.6376] [Citation(s) in RCA: 147] [Impact Index Per Article: 21.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2016] [Revised: 10/16/2016] [Accepted: 10/24/2016] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND With the expected increase in the numbers of persons with dementia, providing timely, adequate, and affordable care and support is challenging. Assistive and health technologies may be a valuable contribution in dementia care, but new challenges may emerge. OBJECTIVE The aim of our study was to review the state of the art of technologies for persons with dementia regarding issues on development, usability, effectiveness and cost-effectiveness, deployment, and ethics in 3 fields of application of technologies: (1) support with managing everyday life, (2) support with participating in pleasurable and meaningful activities, and (3) support with dementia health and social care provision. The study also aimed to identify gaps in the evidence and challenges for future research. METHODS Reviews of literature and expert opinions were used in our study. Literature searches were conducted on usability, effectiveness and cost-effectiveness, and ethics using PubMed, Embase, CINAHL, and PsycINFO databases with no time limit. Selection criteria in our selected technology fields were reviews in English for community-dwelling persons with dementia. Regarding deployment issues, searches were done in Health Technology Assessment databases. RESULTS According to our results, persons with dementia want to be included in the development of technologies; there is little research on the usability of assistive technologies; various benefits are reported but are mainly based on low-quality studies; barriers to deployment of technologies in dementia care were identified, and ethical issues were raised by researchers but often not studied. Many challenges remain such as including the target group more often in development, performing more high-quality studies on usability and effectiveness and cost-effectiveness, creating and having access to high-quality datasets on existing technologies to enable adequate deployment of technologies in dementia care, and ensuring that ethical issues are considered an important topic for researchers to include in their evaluation of assistive technologies. CONCLUSIONS Based on these findings, various actions are recommended for development, usability, effectiveness and cost-effectiveness, deployment, and ethics of assistive and health technologies across Europe. These include avoiding replication of technology development that is unhelpful or ineffective and focusing on how technologies succeed in addressing individual needs of persons with dementia. Furthermore, it is suggested to include these recommendations in national and international calls for funding and assistive technology research programs. Finally, practitioners, policy makers, care insurers, and care providers should work together with technology enterprises and researchers to prepare strategies for the implementation of assistive technologies in different care settings. This may help future generations of persons with dementia to utilize available and affordable technologies and, ultimately, to benefit from them.
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Affiliation(s)
- Franka Meiland
- Department of Psychiatry, VU University medical centre, Amsterdam, Netherlands
| | - Anthea Innes
- Universities of Salford and Stirling UK, Manchester, Stirling, United Kingdom
| | - Gail Mountain
- School of Health and Related Research (ScHARR), University of Sheffield, Sheffield, United Kingdom
| | - Louise Robinson
- Institute for Ageing, Newcastle University, Newcastle, United Kingdom
| | - Henriëtte van der Roest
- Department of General Practice and Elderly Care Medicine, VU university medical centre, Amsterdam, Netherlands
| | - J Antonio García-Casal
- Iberian Research Psychosciences Institute, Psychosocial Rehabilitation Centre, Intras Foundation, Zamora, Spain
| | | | - Jochen René Thyrian
- German Center for Neurodegenerative Diseases (DZNE), Site Rostock, Greifswald, Germany
| | - Shirley Evans
- Association for Dementia Studies, University of Worcester, Worcester, United Kingdom
| | - Rose-Marie Dröes
- Department of Psychiatry, VU University medical centre, Amsterdam, Netherlands
| | - Fiona Kelly
- Centre for Person-centred Practice Research, Queen Margaret University, Edinburgh, United Kingdom
| | | | - Dympna Casey
- School of Nursing and Midwifery, National University of Ireland Galway, Galway, Ireland
| | - Dorota Szcześniak
- Department of Psychiatry, Wroclaw Medical University, Wroclaw, Poland
| | - Tom Dening
- Division of Psychiatry & Applied Psychology, University of Nottingham, Nottingham, United Kingdom
| | - Michael P Craven
- NIHR MindTech Healthcare Technology Co-operative, Institute of Mental Health, University of Nottingham Innovation Park, Nottingham, United Kingdom
- Bioengineering Research Group, Faculty of Engineering, University of Nottingham, Nottingham, United Kingdom
| | - Marijke Span
- Windesheim University of Applied Sciences, Zwolle, Netherlands
| | | | - Magda Tsolaki
- Memory and dementia outpatient clinic, 3rd Department of Neurology, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - Manuel Franco-Martin
- Iberian Research Psychosciences Institute, Psychiatric Department in Zamora Hospital, Salamanca University, Zamora, Spain
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14
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de Werd MME, Hoelzenbein AC, Boelen DHE, Rikkert MGMO, Hüell M, Kessels RPC, Voigt-Radloff S. Interrater Reliability and Concurrent Validity of a New Rating Scale to Assess the Performance of Everyday Life Tasks in Dementia: The Core Elements Method. Am J Alzheimers Dis Other Demen 2016; 31:605-611. [PMID: 27303065 PMCID: PMC10852601 DOI: 10.1177/1533317516653468] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Errorless learning (EL) is an instructional procedure involving error reduction during learning. Errorless learning is mostly examined by counting correctly executed task steps or by rating them using a Task Performance Scale (TPS). Here, we explore the validity and reliability of a new assessment procedure, the core elements method (CEM), which rates essential building blocks of activities rather than individual steps. Task performance was assessed in 35 patients with Alzheimer's dementia recruited from the Relearning methods on Daily Living task performance of persons with Dementia (REDALI-DEM) study using TPS and CEM independently. Results showed excellent interrater reliabilities for both measure methods (CEM: intraclass coefficient [ICC] = .85; TPS: ICC = .97). Also, both methods showed a high agreement (CEM: mean of measurement difference [MD] = -3.44, standard deviation [SD] = 14.72; TPS: MD = -0.41, SD = 7.89) and correlated highly (>.75). Based on these results, TPS and CEM are both valid for assessing task performance. However, since TPS is more complicated and time consuming, CEM may be the preferred method for future research projects.
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Affiliation(s)
- Maartje M E de Werd
- Department of Medical Psychology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Department of Geriatric Medicine, Radboud Alzheimer Centre, Radboud University Medical Centre, Nijmegen, the Netherlands
- Department of Psychology, De Zorggroep, Venlo, the Netherlands
| | - Angela C Hoelzenbein
- Department of Social Psychology and Methodology, Psychological Institute, University of Freiburg, Breisgau, Germany
| | - Daniëlle H E Boelen
- Department of Medical Psychology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Klimmendaal Rehabilitation Centre Arnhem, the Netherlands
| | - Marcel G M Olde Rikkert
- Department of Geriatric Medicine, Radboud Alzheimer Centre, Radboud University Medical Centre, Nijmegen, the Netherlands
- Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, the Netherlands
| | - Michael Hüell
- Center for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Freiburg, Germany
| | - Roy P C Kessels
- Department of Medical Psychology, Radboud University Medical Centre, Nijmegen, the Netherlands
- Department of Geriatric Medicine, Radboud Alzheimer Centre, Radboud University Medical Centre, Nijmegen, the Netherlands
- Donders Institute for Brain, Cognition, and Behaviour, Radboud University, Nijmegen, the Netherlands
| | - Sebastian Voigt-Radloff
- Center for Geriatric Medicine and Gerontology, University Medical Center Freiburg, Freiburg, Germany
- University Medical Center Freiburg, Cochrane Germany, Freiburg, Germany
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15
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Gros A, Bensamoun D, Manera V, Fabre R, Zacconi-Cauvin AM, Thummler S, Benoit M, Robert P, David R. Recommendations for the Use of ICT in Elderly Populations with Affective Disorders. Front Aging Neurosci 2016; 8:269. [PMID: 27877126 PMCID: PMC5099137 DOI: 10.3389/fnagi.2016.00269] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2016] [Accepted: 10/24/2016] [Indexed: 12/27/2022] Open
Abstract
Objective: Affective disorders are frequently encountered among elderly populations, and the use of information and communication technologies (ICT) could provide an added value for their recognition and assessment in addition to current clinical methods. The diversity and lack of consensus in the emerging field of ICTs is however a strong limitation for their global use in daily practice. The aim of the present article is to provide recommendations for the use of ICTs for the assessment and management of affective disorders among elderly populations with or without dementia. Methods: A Delphi panel was organized to gather recommendations from experts in the domain. A set of initial general questions for the use of ICT in affective disorders was used to guide the discussion of the expert panel and to analyze the Strengths, Weaknesses, Opportunities, and Threats (SWOT) of employing ICT in elderly populations with affective disorders. Based on the results collected from this first round, a web survey was sent to local general practitioners (GPs) and to all interns in psychiatry in France. Results: The results of the first round revealed that ICT may offer very useful tools for practitioners involved in the diagnosis and management of affective disorders. However, the results of the web survey showed the interest to explain better to current and upcoming practitioners the utility of ICT especially for people living with dementia.
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Affiliation(s)
- Auriane Gros
- Département de Neurologie, Centre Mémoire de Ressources et de Recherche, Centre Hospitalier Universitaire de DijonDijon, France; CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia AntipolisNice, France; Centre Edmond et Lily Safra pour la Recherche sur la Maladie d'Alzheimer, Centre Mémoire de Ressources et de Recherche, Institut Claude Pompidou, Centre Hospitalier Universitaire de NiceNice, France
| | - David Bensamoun
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia AntipolisNice, France; Département de Psychiatrie, Hôpital Pasteur, Centre Hospitalier Universitaire de NiceNice, France
| | - Valeria Manera
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia Antipolis Nice, France
| | - Roxane Fabre
- Centre Edmond et Lily Safra pour la Recherche sur la Maladie d'Alzheimer, Centre Mémoire de Ressources et de Recherche, Institut Claude Pompidou, Centre Hospitalier Universitaire de NiceNice, France; Département de Santé Publique, Hôpital L'Archet, Centre Hospitalier Universitaire de NiceNice, France
| | | | - Susanne Thummler
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia Antipolis Nice, France
| | - Michel Benoit
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia AntipolisNice, France; Département de Psychiatrie, Hôpital Pasteur, Centre Hospitalier Universitaire de NiceNice, France
| | - Philippe Robert
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia AntipolisNice, France; Centre Edmond et Lily Safra pour la Recherche sur la Maladie d'Alzheimer, Centre Mémoire de Ressources et de Recherche, Institut Claude Pompidou, Centre Hospitalier Universitaire de NiceNice, France
| | - Renaud David
- CoBTek (Cognition-Behaviour-Technology), University of Nice Sophia AntipolisNice, France; Centre Edmond et Lily Safra pour la Recherche sur la Maladie d'Alzheimer, Centre Mémoire de Ressources et de Recherche, Institut Claude Pompidou, Centre Hospitalier Universitaire de NiceNice, France
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16
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Villafañe JH, Pirali C, Isgrò M, Vanti C, Buraschi R, Negrini S. Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial. J Chiropr Med 2016; 15:229-234. [PMID: 27857630 DOI: 10.1016/j.jcm.2016.08.011] [Citation(s) in RCA: 19] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/06/2016] [Accepted: 08/25/2016] [Indexed: 01/22/2023] Open
Abstract
OBJECTIVE The purpose of this study was to investigate the effectiveness of action observation therapy (AOT) compared with written information in patients submitted to a physical therapy program after primary total hip arthroplasty (THA). METHODS We conducted a prospective clinical trial. Twenty-four patients with THA, 62.5% female (aged 69.0 ± 8.5 years), received AOT in addition to conventional physical therapy (experimental group) or written information in addition to conventional physical therapy (exercise and information group) for 10 sessions. Outcomes used were visual analog scale, hip active and passive range of motion, Barthel Index, Short Form 36 (SF-36) Health Survey, Tinetti Scale, and Lequesne Index measurements. All measures were collected at baseline and at the end of the intervention. Repeated measures analysis of variance was used to examine the interventions effects within groups and between groups. RESULTS No relevant baseline differences were observed between groups. Both treatments produced statistically significant improvements on visual analog scale, active and passive range of motion, Barthel Index, SF-36, Tinetti Scale, and Lequesne Index immediately after the intervention (all, P < .001). SF-36 (physical functioning subscale) revealed a statistically significant intergroups difference (P = .02) after treatment. CONCLUSIONS Both treatments were effective at improving pain, functional status, quality of life, and gait features in patients with primary THA. In addition to conventional physical therapy, AOT improved perceived physical function more than written information. TRIAL REGISTRATION IDENTIFIER NCT02861638.
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Affiliation(s)
| | | | | | - Carla Vanti
- OMT School of Physical Therapy, Alma Mater Studiorum, University of Bologna, Italy
| | | | - Stefano Negrini
- University of Brescia, IRCCS Don Gnocchi Foundation, Milan, Italy
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17
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Quesada-Arencibia A, Pérez-Brito E, García-Rodríguez CR, Pérez-Brito A. An eHealth information technology platform to help the treatment of mental disorders. Health Informatics J 2016; 24:337-355. [PMID: 27694617 DOI: 10.1177/1460458216669555] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
For this project, we have used new technologies to create a new channel of communication between doctors and patients in the treatment of mental disorders. We have created a web application using an adaptable design accessible from any mobile device, which allows doctors to adapt their patients' therapy to real-time knowledge of their current condition. In turn, patients can express their mood state with respect to the component elements of their therapy.
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Affiliation(s)
| | | | | | - Ana Pérez-Brito
- Fundación Canaria Contra la Leucemia Alejandro da Silva, Spain
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18
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, D'Amico F, Renna C, Pinto K. Technology-Aided Programs to Support Positive Verbal and Physical Engagement in Persons with Moderate or Severe Alzheimer's Disease. Front Aging Neurosci 2016; 8:87. [PMID: 27148050 PMCID: PMC4838628 DOI: 10.3389/fnagi.2016.00087] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/25/2015] [Accepted: 04/08/2016] [Indexed: 01/10/2023] Open
Abstract
Pilot studies using technology-aided programs to promote verbal reminiscence and mild physical activity (i.e., positive forms of engagement) in persons with moderate or severe Alzheimer's disease have provided promising results (Lancioni et al., 2015a,b). The present two studies were aimed at upgrading and/or extending the assessment of those programs. Specifically, Study 1 upgraded the program for verbal reminiscence and assessed it with eight new participants. The upgraded version automatically monitored the participants' verbal behavior during the sessions, in which photos and brief videos were used to foster verbal reminiscence. Monitoring allowed computer approval and reminders to be consistent with the participants' behavior. Study 2 extended the assessment of the program for promoting mild physical activity with 10 new participants for whom arm-raising responses were targeted. The results of Study 1 showed that the participants' mean percentages of intervals with verbal engagement/reminiscence were below 10 during baseline and control sessions and between above 50 and nearly 80 during the intervention. The results of Study 2 showed that the mean frequencies of arm-raising responses were about or below four and between about 10 and 19 per session during the baseline and the intervention, respectively. The general implications of the aforementioned results and the need for new research in the area were discussed.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari Bari, Italy
| | - Nirbhay N Singh
- Medical College of Georgia, Augusta University Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin Austin, TX, USA
| | - Jeff Sigafoos
- School of Education, Victoria University of Wellington Wellington, New Zealand
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19
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Robert P, Leroi I, Manera V. Editorial: ICT for Assessment and Rehabilitation in Alzheimer's Disease and Related Disorders. Front Aging Neurosci 2016; 8:6. [PMID: 26834631 PMCID: PMC4718975 DOI: 10.3389/fnagi.2016.00006] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2015] [Accepted: 01/07/2016] [Indexed: 12/01/2022] Open
Affiliation(s)
- Philippe Robert
- CoBTeK Laboratory (Cognition, Behaviour, Technology), University of Nice Sophia Antipolis, Nice, France; Centre Mémoire de Ressources et de Recherche, CHU de Nice, Nice, France
| | - Iracema Leroi
- Institute of Brain, Behavior and Mental Health, University of Manchester , Manchester , UK
| | - Valeria Manera
- CoBTeK Laboratory (Cognition, Behaviour, Technology), University of Nice Sophia Antipolis , Nice , France
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20
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Teipel S, Babiloni C, Hoey J, Kaye J, Kirste T, Burmeister OK. Information and communication technology solutions for outdoor navigation in dementia. Alzheimers Dement 2016; 12:695-707. [DOI: 10.1016/j.jalz.2015.11.003] [Citation(s) in RCA: 44] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/30/2015] [Revised: 10/21/2015] [Accepted: 11/12/2015] [Indexed: 10/22/2022]
Affiliation(s)
- Stefan Teipel
- Department of Psychosomatic Medicine University of Rostock Rostock Germany
- DZNE German Center for Neurodegenerative Diseases Rostock Germany
| | - Claudio Babiloni
- Department of Physiology and Pharmacology “V. Erspamer” University of Rome “La Sapienza” Rome Italy
- IRCCS San Raffaele Pisana of Rome Rome Italy
| | - Jesse Hoey
- School of Computer Science University of Waterloo Waterloo Ontario Canada
| | - Jeffrey Kaye
- NIA ‐ Layton Aging & Alzheimer's Disease Center and ORCATECH, the Oregon Center for Aging & Technology Oregon Health & Science University Portland OR USA
| | - Thomas Kirste
- Department of Computer Science University of Rostock Rostock Germany
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21
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Robert P, David R. Les nouvelles technologies en neuropsychiatrie : de l’évaluation à la stimulation. Eur Psychiatry 2015. [DOI: 10.1016/j.eurpsy.2015.09.135] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
Abstract
Les objets technologiques, dont les nouvelles technologies de l’information et de la communication (nTIC), ainsi que les jeux vidéo dits « sérieux » (serious games) envahissent notre quotidien depuis quelques années. Leur utilisation dans les disciplines médicales est actuellement en développement croissant, notamment dans le domaine des neurosciences et du vieillissement. L’objectif de ce symposium est de présenter, en premier lieu, les recommandations scientifiques actuelles sur l’utilisation des nTIC et des serious games dans la prise en charge du sujet âgé et des atteintes neuropsychiatriques pouvant être associées. Ensuite, seront présentées les méthodes, utilisant les nTIC et les serious games, permettant d’améliorer l’évaluation et le dépistage des troubles cognitifs et des symptômes thymiques et comportementaux, ainsi que les stratégies non pharmacologiques, utilisant ces outils technologiques, permettant la stimulation des performances cognitives et la prise en charge des perturbations thymiques.
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22
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Recommandations pour l’utilisation des technologiques de l’information et de la communication (TIC) et des serious games dans les pathologies neuropsychiatriques. Eur Psychiatry 2015. [DOI: 10.1016/j.eurpsy.2015.09.136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/19/2022] Open
Abstract
Avec le vieillissement de la population, la maladie d’Alzheimer et les pathologies neurodégénératives représentent un défi majeur de santé publique. Dans la maladie d’Alzheimer, le stade démentiel est diagnostiqué quand la symptomatologie cognitive et psycho-comportementale interfère avec le fonctionnement social et entraîne une désadaptation du sujet dans les activités de vie quotidienne. Parallèlement, les nouvelles Technologies de l’Information et de la Communication (nTIC) prennent une part de plus en plus importante dans notre vie quotidienne et peuvent être un support tant pour l’évaluation que pour une aide directe des usagers. Cette communication a pour objectif de présenter les recommandations venant d’experts ingénieurs et professionnels de santé concernant l’utilisation des nTIC :– pour l’évaluation en pratique quotidienne et dans le cadre des essais thérapeutiques ;– pour la stimulation des patients.Dans ce cadre, sera présenté le site MEMO dédié à l’entraînement des patients.
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König A, Sacco G, Bensadoun G, Bremond F, David R, Verhey F, Aalten P, Robert P, Manera V. The Role of Information and Communication Technologies in Clinical Trials with Patients with Alzheimer's Disease and Related Disorders. Front Aging Neurosci 2015; 7:110. [PMID: 26106324 PMCID: PMC4460798 DOI: 10.3389/fnagi.2015.00110] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/12/2015] [Accepted: 05/23/2015] [Indexed: 12/04/2022] Open
Affiliation(s)
- Alexandra König
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France ; School for Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University Medical Center , Maastricht , Netherlands
| | - Guillaume Sacco
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France ; Rehabilitation Unit, Department of Geriatrics, CHU de Nice , Nice , France ; Centre d'Innovation et d'Usages en Santé (CIU-S), Cimiez Hospital, University Hospital of Nice , Nice , France
| | - Gregory Bensadoun
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France
| | | | - Renaud David
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France ; Centre Mémoire de Ressources et de Recherche, CHU de Nice , Nice , France
| | - Frans Verhey
- School for Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University Medical Center , Maastricht , Netherlands
| | - Pauline Aalten
- School for Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University Medical Center , Maastricht , Netherlands
| | - Philippe Robert
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France ; Centre d'Innovation et d'Usages en Santé (CIU-S), Cimiez Hospital, University Hospital of Nice , Nice , France ; Centre Mémoire de Ressources et de Recherche, CHU de Nice , Nice , France
| | - Valeria Manera
- CoBTeK Cognition Behaviour Technology EA 7276, Research Center Edmond and Lily Safra, University of Nice Sophia Antipolis , Nice , France
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Lancioni GE, Singh NN, O'Reilly MF, Sigafoos J, D'Amico F, Ferlisi G, Denitto F, De Vanna F, Belardinelli MO. Patients with moderate Alzheimer's disease engage in verbal reminiscence with the support of a computer-aided program: a pilot study. Front Aging Neurosci 2015; 7:109. [PMID: 26089797 PMCID: PMC4452885 DOI: 10.3389/fnagi.2015.00109] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2015] [Accepted: 05/22/2015] [Indexed: 11/24/2022] Open
Abstract
This study focused on the assessment of a program recently developed for helping patients with moderate Alzheimer’s disease engage in computer-mediated verbal reminiscence (Lancioni et al., 2014a). Sixteen participants were involved in the study. Six of them used the original program version with the computer showing a virtual partner posing questions and providing attention and guidance. The other 10 used a slightly modified program version with the computer presenting photos and videos and providing encouragements to talk as well as attention and guidance. Participants were exposed to brief program sessions individually. The results showed that 15 participants (five of those using the first version and all of those using the second version) had a clear and lasting increase in verbal engagement/reminiscence during the intervention sessions with the program. Those 15 participants had mean percentages of intervals with verbal engagement/reminiscence below 10 during baseline and between about 45 and 75 during the intervention. The results’ implications and the need for new research were discussed.
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Affiliation(s)
- Giulio E Lancioni
- Department of Neuroscience and Sense Organs, University of Bari Bari, Italy
| | - Nirbhay N Singh
- Medical College of Georgia, Georgia Regents University Augusta, GA, USA
| | - Mark F O'Reilly
- Department of Special Education, University of Texas at Austin Austin, TX, USA
| | - Jeff Sigafoos
- Department of Educational Psychology, Victoria University of Wellington Wellington, New Zealand
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König A, Crispim-Junior CF, Covella AGU, Bremond F, Derreumaux A, Bensadoun G, David R, Verhey F, Aalten P, Robert P. Ecological Assessment of Autonomy in Instrumental Activities of Daily Living in Dementia Patients by the Means of an Automatic Video Monitoring System. Front Aging Neurosci 2015; 7:98. [PMID: 26082715 PMCID: PMC4451587 DOI: 10.3389/fnagi.2015.00098] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2015] [Accepted: 05/07/2015] [Indexed: 12/22/2022] Open
Abstract
Currently, the assessment of autonomy and functional ability involves clinical rating scales. However, scales are often limited in their ability to provide objective and sensitive information. By contrast, information and communication technologies may overcome these limitations by capturing more fully functional as well as cognitive disturbances associated with Alzheimer disease (AD). We investigated the quantitative assessment of autonomy in dementia patients based not only on gait analysis but also on the participant performance on instrumental activities of daily living (IADL) automatically recognized by a video event monitoring system (EMS). Three groups of participants (healthy controls, mild cognitive impairment, and AD patients) had to carry out a standardized scenario consisting of physical tasks (single and dual task) and several IADL such as preparing a pillbox or making a phone call while being recorded. After, video sensor data were processed by an EMS that automatically extracts kinematic parameters of the participants’ gait and recognizes their carried out activities. These parameters were then used for the assessment of the participants’ performance levels, here referred as autonomy. Autonomy assessment was approached as classification task using artificial intelligence methods that takes as input the parameters extracted by the EMS, here referred as behavioral profile. Activities were accurately recognized by the EMS with high precision. The most accurately recognized activities were “prepare medication” with 93% and “using phone” with 89% precision. The diagnostic group classifier obtained a precision of 73.46% when combining the analyses of physical tasks with IADL. In a further analysis, the created autonomy group classifier which obtained a precision of 83.67% when combining physical tasks and IADL. Results suggest that it is possible to quantitatively assess IADL functioning supported by an EMS and that even based on the extracted data the groups could be classified with high accuracy. This means that the use of such technologies may provide clinicians with diagnostic relevant information to improve autonomy assessment in real time decreasing observer biases.
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Affiliation(s)
- Alexandra König
- EA CoBTeK, Université Côte d'Azur (UCA) , Nice , France ; Alzheimer Center Limburg, Maastricht University Medical Center, School for Mental Health and Neuroscience , Maastricht , Netherlands
| | | | | | - Francois Bremond
- EA CoBTeK, Université Côte d'Azur (UCA) , Nice , France ; STARS, INRIA , Sophia Antipolis , France
| | | | | | - Renaud David
- EA CoBTeK, Université Côte d'Azur (UCA) , Nice , France ; Centre Mémoire de Ressources et de Recherche, CHU de Nice , Nice , France
| | - Frans Verhey
- Alzheimer Center Limburg, Maastricht University Medical Center, School for Mental Health and Neuroscience , Maastricht , Netherlands
| | - Pauline Aalten
- Alzheimer Center Limburg, Maastricht University Medical Center, School for Mental Health and Neuroscience , Maastricht , Netherlands
| | - Philippe Robert
- EA CoBTeK, Université Côte d'Azur (UCA) , Nice , France ; Centre Mémoire de Ressources et de Recherche, CHU de Nice , Nice , France
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Pillai JA, Bonner-Jackson A. Review of information and communication technology devices for monitoring functional and cognitive decline in Alzheimer's disease clinical trials. JOURNAL OF HEALTHCARE ENGINEERING 2015; 6:71-83. [PMID: 25708378 DOI: 10.1260/2040-2295.6.1.71] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
Abstract
Detecting and monitoring early cognitive impairment in Alzheimer's disease (AD) is a significant need in the field of AD therapeutics. Successful AD clinical trial designs have to overcome challenges related to the subtle nature of early cognitive changes. Continuous unobtrusive assessments using Information and Communication Technology (ICT) devices to capture markers of intra-individual change over time to assess cognitive and functional disability therefore offers significant benefits. We review the literature and provide an overview on randomized clinical trials in AD that use intelligent systems to monitor functional decline, as well as strengths, weaknesses, and future directions for the use of ICTs in a new generation of AD clinical trials.
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Affiliation(s)
- Jagan A Pillai
- Department of Neurology and Lou Ruvo Center, Brain Health Cleveland Clinic, Cleveland, OH, USA
| | - Aaron Bonner-Jackson
- Department of Neurology and Lou Ruvo Center, Brain Health Cleveland Clinic, Cleveland, OH, USA
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Kenigsberg PA, Aquino JP, Bérard A, Gzil F, Andrieu S, Banerjee S, Brémond F, Buée L, Cohen-Mansfield J, Mangialasche F, Platel H, Salmon E, Robert P. Dementia beyond 2025: Knowledge and uncertainties. DEMENTIA 2015; 15:6-21. [PMID: 25740575 DOI: 10.1177/1471301215574785] [Citation(s) in RCA: 33] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
Given that there may well be no significant advances in drug development before 2025, prevention of dementia-Alzheimer's disease through the management of vascular and lifestyle-related risk factors may be a more realistic goal than treatment. Level of education and cognitive reserve assessment in neuropsychological testing deserve attention, as well as cultural, social, and economic aspects of caregiving. Assistive technologies for dementia care remain complex. Serious games are emerging as virtual educational and pleasurable tools, designed for individual and cooperative skill building. Public policies are likely to pursue improving awareness and understanding of dementia; providing good quality early diagnosis and intervention for all; improving quality of care from diagnosis to the end of life, using clinical and economic end points; delivering dementia strategies quicker, with an impact on more people. Dementia should remain presented as a stand-alone concept, distinct from frailty or loss of autonomy. The basic science of sensory impairment and social engagement in people with dementia needs to be developed. E-learning and serious games programs may enhance public and professional education. Faced with funding shortage, new professional dynamics and economic models may emerge through coordinated, flexible research networks. Psychosocial research could be viewed as an investment in quality of care, rather than an academic achievement in a few centers of excellence. This would help provide a competitive advantage to the best operators. Stemming from care needs, a logical, systems approach to dementia care environment through organizational, architectural, and psychosocial interventions may be developed, to help reduce symptoms in people with dementia and enhance quality of life. Dementia-friendly environments, culture, and domesticity are key factors for such interventions.
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Affiliation(s)
| | | | | | | | - Sandrine Andrieu
- INSERM UMR 1027, Université Paul-Sabatier, CHU Toulouse, Toulouse, France
| | - Sube Banerjee
- Brighton and Sussex Medical School, University of Sussex, Brighton, United Kingdom
| | | | - Luc Buée
- INSERM UMR 837, CHR University of Lille, Lille, France
| | | | | | | | - Eric Salmon
- CHU Liège and Cyclotron Research Centre, University of Liège, Belgium
| | - Philippe Robert
- CMRR Memory Center, CHU and CoBTeK, University of Nice Sophia Antipolis, France
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Horr T, Messinger-Rapport B, Pillai JA. Systematic review of strengths and limitations of randomized controlled trials for non-pharmacological interventions in mild cognitive impairment: focus on Alzheimer's disease. J Nutr Health Aging 2015; 19:141-53. [PMID: 25651439 DOI: 10.1007/s12603-014-0565-6] [Citation(s) in RCA: 36] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
BACKGROUND Non-pharmacological interventions may improve cognition and quality of life, reduce disruptive behaviors, slow progression from Mild Cognitive Impairment (MCI) to dementia, and delay institutionalization. It is important to look at their trial designs as well as outcomes to understand the state of the evidence supporting non-pharmacological interventions in Alzheimer's disease (AD). An analysis of trial design strengths and limitations may help researchers clarify treatment effect and design future studies of non-pharmacological interventions for MCI related to AD. METHODS A systematic review of the methodology of Randomized Controlled Trials (RCTs) targeting physical activity, cognitive interventions, and socialization among subjects with MCI in AD reported until March 2014 was undertaken. The primary outcome was CONSORT 2010 reporting quality. Secondary outcomes were qualitative assessments of specific methodology problems. RESULTS 23 RCT studies met criteria for this review. Eight focused on physical activity, fourteen on cognitive interventions, and one on the effects of socialization. Most studies found a benefit with the intervention compared to control. CONSORT reporting quality of physical activity interventions was higher than that of cognitive interventions. Reporting quality of recent studies was higher than older studies, particularly with respect to sample size, control characteristics, and methodology of intervention training and delivery. However, the heterogeneity of subjects identified as having MCI and variability in interventions and outcomes continued to limit generalizability. CONCLUSIONS The role for non-pharmacological interventions targeting MCI is promising. Future studies of RCTs for non-pharmacological interventions targeting MCI related to AD may benefit by addressing design limitations.
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Affiliation(s)
- T Horr
- J.A. Pillai, MBBS, PhD, Staff Neurologist, Lou Ruvo Center for Brain Health, Assistant Professor of Medicine, Cleveland Clinic Lerner College of Medicine, Case Western Reserve University, 9500 Euclid Ave / U10, Cleveland, OH 44195, Tel: 216 636 9467, Fax: 216 445 7013, E-mail:
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Benoit M, Guerchouche R, Petit PD, Chapoulie E, Manera V, Chaurasia G, Drettakis G, Robert P. Is it possible to use highly realistic virtual reality in the elderly? A feasibility study with image-based rendering. Neuropsychiatr Dis Treat 2015; 11:557-63. [PMID: 25834437 PMCID: PMC4357614 DOI: 10.2147/ndt.s73179] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/07/2023] Open
Abstract
BACKGROUND Virtual reality (VR) opens up a vast number of possibilities in many domains of therapy. The primary objective of the present study was to evaluate the acceptability for elderly subjects of a VR experience using the image-based rendering virtual environment (IBVE) approach and secondly to test the hypothesis that visual cues using VR may enhance the generation of autobiographical memories. METHODS Eighteen healthy volunteers (mean age 68.2 years) presenting memory complaints with a Mini-Mental State Examination score higher than 27 and no history of neuropsychiatric disease were included. Participants were asked to perform an autobiographical fluency task in four conditions. The first condition was a baseline grey screen, the second was a photograph of a well-known location in the participant's home city (FamPhoto), and the last two conditions displayed VR, ie, a familiar image-based virtual environment (FamIBVE) consisting of an image-based representation of a known landmark square in the center of the city of experimentation (Nice) and an unknown image-based virtual environment (UnknoIBVE), which was captured in a public housing neighborhood containing unrecognizable building fronts. After each of the four experimental conditions, participants filled in self-report questionnaires to assess the task acceptability (levels of emotion, motivation, security, fatigue, and familiarity). CyberSickness and Presence questionnaires were also assessed after the two VR conditions. Autobiographical memory was assessed using a verbal fluency task and quality of the recollection was assessed using the "remember/know" procedure. RESULTS All subjects completed the experiment. Sense of security and fatigue were not significantly different between the conditions with and without VR. The FamPhoto condition yielded a higher emotion score than the other conditions (P<0.05). The CyberSickness questionnaire showed that participants did not experience sickness during the experiment across the VR conditions. VR stimulates autobiographical memory, as demonstrated by the increased total number of responses on the autobiographical fluency task and the increased number of conscious recollections of memories for familiar versus unknown scenes (P<0.01). CONCLUSION The study indicates that VR using the FamIBVE system is well tolerated by the elderly. VR can also stimulate recollections of autobiographical memory and convey familiarity of a given scene, which is an essential requirement for use of VR during reminiscence therapy.
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Affiliation(s)
- Michel Benoit
- EA CoBTeK/IA, University of Nice Sophia Antipolis, CHU de Nice, Nice, France ; Clinique de Psychiatrie, Pole des Neurosciences Cliniques, CHU de Nice, France
| | - Rachid Guerchouche
- Institut National de Recherche en Informatique et en Automatique, Sophia-Antipolis CHU de Nice, Nice, France
| | - Pierre-David Petit
- EA CoBTeK/IA, University of Nice Sophia Antipolis, CHU de Nice, Nice, France
| | - Emmanuelle Chapoulie
- Institut National de Recherche en Informatique et en Automatique, Sophia-Antipolis CHU de Nice, Nice, France
| | - Valeria Manera
- EA CoBTeK/IA, University of Nice Sophia Antipolis, CHU de Nice, Nice, France
| | - Gaurav Chaurasia
- Institut National de Recherche en Informatique et en Automatique, Sophia-Antipolis CHU de Nice, Nice, France
| | - George Drettakis
- Institut National de Recherche en Informatique et en Automatique, Sophia-Antipolis CHU de Nice, Nice, France
| | - Philippe Robert
- EA CoBTeK/IA, University of Nice Sophia Antipolis, CHU de Nice, Nice, France ; Centre Mémoire de Ressources et de Recherche, CHU de Nice, Nice, France
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König A, Aalten P, Verhey F, Bensadoun G, Petit PD, Robert P, David R. A review of current information and communication technologies: can they be used to assess apathy? Int J Geriatr Psychiatry 2014; 29:345-58. [PMID: 24006215 DOI: 10.1002/gps.4017] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/28/2013] [Accepted: 07/30/2013] [Indexed: 11/11/2022]
Abstract
BACKGROUND Neuropsychiatric symptoms, such as apathy, have an important impact on the quality of life of both patients diagnosed with dementia and their caregivers and represent a strong predictor of progression of the illness. Current clinical assessment methods risk bias resulting from the assessor's subjectivity, pointing to a need for additional objective and systematic assessment tools. Therefore, the use of information and communication technologies (ICT) such as actigraphy and automatized video monitoring are of interest in addition to current assessment methods. AIM The goal of this study is to give an overview of current assessment tools for apathy in clinical practice and new approaches to assessment methods with the help ICT. METHODS This study was conducted with the use of narrative literature overview. RESULTS There is evidence that apart from the currently used assessment methods for apathy, new ICT approaches could provide clinicians with valuable additional information for an earlier detection and therefore more accurate diagnosis of apathy. CONCLUSIONS There are no ICT techniques specifically designed for the assessment of apathy, but nevertheless several techniques seem to be promising and deserve more study.
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Affiliation(s)
- Alexandra König
- Centre Mémoire de Ressources et de Recherche, Hôpital de Cimiez, Nice, France; School for Mental Health and Neuroscience, Alzheimer Center Limburg, Maastricht University Medical Center, Maastricht, the Netherlands
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Robert PH, König A, Amieva H, Andrieu S, Bremond F, Bullock R, Ceccaldi M, Dubois B, Gauthier S, Kenigsberg PA, Nave S, Orgogozo JM, Piano J, Benoit M, Touchon J, Vellas B, Yesavage J, Manera V. Recommendations for the use of Serious Games in people with Alzheimer's Disease, related disorders and frailty. Front Aging Neurosci 2014; 6:54. [PMID: 24715864 PMCID: PMC3970032 DOI: 10.3389/fnagi.2014.00054] [Citation(s) in RCA: 79] [Impact Index Per Article: 7.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2013] [Accepted: 03/05/2014] [Indexed: 11/17/2022] Open
Abstract
Alzheimer's disease and other related disorders (ADRD) represent a major challenge for health care systems within the aging population. It is therefore important to develop better instruments to assess the disease severity and progression, as well as to improve its treatment, stimulation, and rehabilitation. This is the underlying idea for the development of Serious Games (SG). These are digital applications specially adapted for purposes other than entertaining; such as rehabilitation, training and education. Recently, there has been an increase of interest in the use of SG targeting patients with ADRD. However, this field is completely uncharted, and the clinical, ethical, economic and research impact of the employment of SG in these target populations has never been systematically addressed. The aim of this paper is to systematically analyze the Strengths, Weaknesses, Opportunities, and Threats (SWOT) of employing SG with patients with ADRD in order to provide practical recommendations for the development and use of SG in these populations. These analyses and recommendations were gathered, commented on and validated during a 2-round workshop in the context of the 2013 Clinical Trial of Alzheimer's Disease (CTAD) conference, and endorsed by stakeholders in the field. The results revealed that SG may offer very useful tools for professionals involved in the care of patients suffering from ADRD. However, more interdisciplinary work should be done in order to create SG specifically targeting these populations. Furthermore, in order to acquire more academic and professional credibility and acceptance, it will be necessary to invest more in research targeting efficacy and feasibility. Finally, the emerging ethical challenges should be considered a priority.
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Affiliation(s)
- Philippe H. Robert
- EA CoBTeK/IA, University of Nice Sophia AntipolisNice, France
- Centre Mémoire de Ressources et de Recherche, CHU de NiceNice, France
| | - Alexandra König
- EA CoBTeK/IA, University of Nice Sophia AntipolisNice, France
- Alzheimer Centrum Limburg, School of Mental health and Neurosciences, Maastricht UniversityMaastricht, Netherlands
| | - Hélene Amieva
- Centre INSERM U897-Epidemiology-Biostatistics, University of Bordeaux, ISPEDBordeaux, France
| | - Sandrine Andrieu
- Inserm, UMR1027Toulouse, France
- Université de Toulouse III, UMR1027Toulouse, France
- CHU de Toulouse, Service d'épidémiologie et Santé PubliqueToulouse, France
| | - François Bremond
- EA CoBTeK/IA, University of Nice Sophia AntipolisNice, France
- INRIA - STARS - Sophia AntipolisFrance
| | | | - Mathieu Ceccaldi
- Centre Mémoire de Ressources et de RechercheCHU de Marseille, France
| | - Bruno Dubois
- CMRR CHU de Paris, IM2A, INSERM, UMR-S 975 (ICM)Paris, France
- Hôpital La Salpêtrière, Université Pierre et Marie Curie-Paris 6Paris, France
| | | | | | - Stéphane Nave
- pRED, Neuroscience, Roche, Centre MémoireBasel, Switzerland
| | - Jean M. Orgogozo
- Centre Mémoire de Ressources et de Recherche, CHU de BordeauxBordeaux, France
| | - Julie Piano
- Centre Mémoire de Ressources et de Recherche, CHU de NiceNice, France
| | - Michel Benoit
- EA CoBTeK/IA, University of Nice Sophia AntipolisNice, France
| | - Jacques Touchon
- Centre Mémoire de Ressources et de Recherche, CHU de MontpellierMontpellier, France
| | - Bruno Vellas
- INSERM UMR 1027, Gerontopole, CHU ToulouseToulouse, France
- INSERM UMR1027, Université de Toulouse III Paul SabatierToulouse, France
| | - Jerome Yesavage
- Palo Alto Veterans Affairs Health Care SystemPalo Alto, CA, USA
- Department of Psychiatry and Behavioral Sciences, Stanford University School of Medicine, Stanford UniversityStanford, CA, USA
| | - Valeria Manera
- EA CoBTeK/IA, University of Nice Sophia AntipolisNice, France
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