Broadened assessments, health education and cognitive aids in the remote memory clinic
The prevalence of dementia is increasing and poses a health challenge for individuals and society. Despite the desire to know their risks and the importance of initiating early therapeutic options, large parts of the population do not get access to memory clinic-based assessments. Remote memory clin...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-12-01
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| Series: | Frontiers in Public Health |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1033515/full |
| _version_ | 1811190203076837376 |
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| author | Andrew P. Owens Christine Krebs Sajini Kuruppu Anna-Katharine Brem Anna-Katharine Brem Tobias Kowatsch Tobias Kowatsch Tobias Kowatsch Dag Aarsland Stefan Klöppel |
| author_facet | Andrew P. Owens Christine Krebs Sajini Kuruppu Anna-Katharine Brem Anna-Katharine Brem Tobias Kowatsch Tobias Kowatsch Tobias Kowatsch Dag Aarsland Stefan Klöppel |
| author_sort | Andrew P. Owens |
| collection | DOAJ |
| description | The prevalence of dementia is increasing and poses a health challenge for individuals and society. Despite the desire to know their risks and the importance of initiating early therapeutic options, large parts of the population do not get access to memory clinic-based assessments. Remote memory clinics facilitate low-level access to cognitive assessments by eschewing the need for face-to-face meetings. At the same time, patients with detected impairment or increased risk can receive non-pharmacological treatment remotely. Sensor technology can evaluate the efficiency of this remote treatment and identify cognitive decline. With remote and (partly) automatized technology the process of cognitive decline can be monitored but more importantly also modified by guiding early interventions and a dementia preventative lifestyle. We highlight how sensor technology aids the expansion of assessments beyond cognition and to other domains, e.g., depression. We also illustrate applications for aiding remote treatment and describe how remote tools can facilitate health education which is the cornerstone for long-lasting lifestyle changes. Tools such as transcranial electric stimulation or sleep-based interventions have currently mostly been used in a face-to-face context but have the potential of remote deployment—a step already taken with memory training apps. Many of the presented methods are readily scalable and of low costs and there is a range of target populations, from the worried well to late-stage dementia. |
| first_indexed | 2024-04-11T14:47:32Z |
| format | Article |
| id | doaj.art-d2ec8e8b04914129970bba1be83e5b2b |
| institution | Directory Open Access Journal |
| issn | 2296-2565 |
| language | English |
| last_indexed | 2024-04-11T14:47:32Z |
| publishDate | 2022-12-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Public Health |
| spelling | doaj.art-d2ec8e8b04914129970bba1be83e5b2b2022-12-22T04:17:36ZengFrontiers Media S.A.Frontiers in Public Health2296-25652022-12-011010.3389/fpubh.2022.10335151033515Broadened assessments, health education and cognitive aids in the remote memory clinicAndrew P. Owens0Christine Krebs1Sajini Kuruppu2Anna-Katharine Brem3Anna-Katharine Brem4Tobias Kowatsch5Tobias Kowatsch6Tobias Kowatsch7Dag Aarsland8Stefan Klöppel9Department of Old Age Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandInstitute for Implementation Science in Health Care, University of Zurich, Zurich, SwitzerlandSchool of Medicine, University of St. Gallen, St. Gallen, SwitzerlandCentre for Digital Health Interventions, Department Management, Technology, and Economics at ETH Zurich, Zurich, SwitzerlandDepartment of Old Age Psychiatry, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, United KingdomUniversity Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, Bern, SwitzerlandThe prevalence of dementia is increasing and poses a health challenge for individuals and society. Despite the desire to know their risks and the importance of initiating early therapeutic options, large parts of the population do not get access to memory clinic-based assessments. Remote memory clinics facilitate low-level access to cognitive assessments by eschewing the need for face-to-face meetings. At the same time, patients with detected impairment or increased risk can receive non-pharmacological treatment remotely. Sensor technology can evaluate the efficiency of this remote treatment and identify cognitive decline. With remote and (partly) automatized technology the process of cognitive decline can be monitored but more importantly also modified by guiding early interventions and a dementia preventative lifestyle. We highlight how sensor technology aids the expansion of assessments beyond cognition and to other domains, e.g., depression. We also illustrate applications for aiding remote treatment and describe how remote tools can facilitate health education which is the cornerstone for long-lasting lifestyle changes. Tools such as transcranial electric stimulation or sleep-based interventions have currently mostly been used in a face-to-face context but have the potential of remote deployment—a step already taken with memory training apps. Many of the presented methods are readily scalable and of low costs and there is a range of target populations, from the worried well to late-stage dementia.https://www.frontiersin.org/articles/10.3389/fpubh.2022.1033515/fullonline therapycognitiondevicesdementiaserious games |
| spellingShingle | Andrew P. Owens Christine Krebs Sajini Kuruppu Anna-Katharine Brem Anna-Katharine Brem Tobias Kowatsch Tobias Kowatsch Tobias Kowatsch Dag Aarsland Stefan Klöppel Broadened assessments, health education and cognitive aids in the remote memory clinic Frontiers in Public Health online therapy cognition devices dementia serious games |
| title | Broadened assessments, health education and cognitive aids in the remote memory clinic |
| title_full | Broadened assessments, health education and cognitive aids in the remote memory clinic |
| title_fullStr | Broadened assessments, health education and cognitive aids in the remote memory clinic |
| title_full_unstemmed | Broadened assessments, health education and cognitive aids in the remote memory clinic |
| title_short | Broadened assessments, health education and cognitive aids in the remote memory clinic |
| title_sort | broadened assessments health education and cognitive aids in the remote memory clinic |
| topic | online therapy cognition devices dementia serious games |
| url | https://www.frontiersin.org/articles/10.3389/fpubh.2022.1033515/full |
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