Could everyday technology improve access to assessments? A pilot study on the feasibility of screening cognition in people with Parkinson's disease using the Montreal Cognitive Assessment via Internet videoconferencing

Stillerova, Tereza; Liddle, Jacki; Gustafsson, Louise; Lamont, Robyn; Silburn, Peter A.

doi:10.1111/1440-1630.12288

Cited by 60 publications

(56 citation statements)

References 25 publications

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“…It was also possible to reach a working diagnosis and recommend relevant treatments for each patient. A more recent study investigated the feasibility of administering a measure of global cognitive function, the Montreal Cognitive Assessment test, face-to-face and then remotely via videoconference in 11 participants with Parkinson's disease ( Stillerova et al, 2016 ). The authors reported that the higher scores in the test were not favored by either method of administration (i.e.…”

Section: Discussionmentioning

confidence: 99%

Assessing Cognitive Function in Older Adults Using a Videoconference Approach

et al. 2016

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BackgroundThe use of communication technologies is an emerging trend in healthcare and research. Despite efficient, reliable and accurate neuropsychological batteries to evaluate cognitive performance in-person, more diverse and less expensive and time consuming solutions are needed. Here we conducted a pilot study to determine the applicability of a videoconference (VC, Skype®) approach to assess cognitive function in older adults, using The Telephone Interview for Cognitive Status-Modified – Portuguese version (TICSM-PT).MethodsAfter inclusion and exclusion criteria, 69 individuals (mean age = 74.90 ± 9.46 years), selected from registries of local health centers and assisted-living facilities, were assessed on cognitive performance using videoconference, telephone and in-person approaches.FindingsThe videoconference administration method yielded comparable results to the traditional application. Correlation analyses showed high associations between the testing modalities: TICSM-PT VC and TICSM-PT telephone (r = 0.885), TICSM-PT VC and MMSE face-to-face (r = 0.801). Using the previously validated threshold for cognitive impairment on the TICSM-PT telephone, TICSM-PT VC administration presented a sensitivity of 87.8% and a specificity of 84.6%.InterpretationFindings indicate for the range of settings where videoconference approaches can be used, and for their applicability and acceptability, providing an alternative to current cognitive assessment methods. Continued validation studies and adaptation of neuropsychological instruments is warranted.

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Section: Discussionmentioning

confidence: 99%

Assessing Cognitive Function in Older Adults Using a Videoconference Approach

et al. 2016

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“…Moderately to severely affected children with CP are more dependent to their mothers as main caregivers in performing their activities of daily living for their whole life (Razavi, Rassafiani, Sarfaraz, Malekpour, & Salehi, 2013). As a result, mothers have to spend a long time for taking care (e.g., to feed, bathe, and clothe) of these children (Rassafiani & Sahaf, 2011;Stillerova, Liddle, Gustafsson, Lamont, & Silburn, 2016). Taking care of these children is time-consuming and is a source of stress for their mothers (Rassafiani, Kahjoogh, Hosseini, & Sahaf, 2012).…”

Section: Introductionmentioning

confidence: 99%

A web-based daily care training to improve the quality of life of mothers of children with cerebral palsy: A randomized controlled trial

Nobakht

Rassafiani

Hosseini

et al. 2020

Research in Developmental Disabilities

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Background: Mothers of moderately to severely affected children with cerebral palsy (CP) have to spend a long time to take care of their children. This time-consuming responsibility affects their physical and psychosocial health. Therefore, mothers as caregivers are required to receive special training to take care of their children. Aims: The aim of this study was to evaluate the effectiveness of a developed web-based intervention for daily care training of children with CP on their mothers' quality of life (QOL), anxiety, depression, stress, and their musculoskeletal pain. Methods and procedures: This study was a single blind randomized controlled trial. 91 mothers of children with CP with Gross Motor Function Classification System (GMFCS) levels III, IѴ, and Ѵ, who aged from 4 to 12 years were assigned to the intervention and control groups using block randomization. Mothers in the control group received their routine face to face occupational therapy intervention and mothers in the intervention group received 12 weeks web-based intervention. QOL, depression, anxiety, stress, and pain were measured before and after the intervention in both groups. Outcomes and results: The results of analysis of covariance showed that after controlling the mean score of pretest of pain, the mean score of post-tests in the intervention and control groups was significantly different (P < 0.05). The mean scores of physical health and total QOL scores of post-tests in the intervention group were significantly higher than the control group with controlling pretest scores. Conclusions and implications: Designed web-based intervention affects the caregivers' QOL and pain significantly. This intervention can be used to provide daily care training for mothers of children with CP.

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“…A previous randomized controlled trial reported that telemedicine allowed valid measurement of activities of daily living, the UPDRS, and the Movement Disorder Society sponsored revision of the UPDRS [8, 9]. Moreover, telemedicine has been shown to be able to evaluate the patient's cognition as well as motor performance [10].…”

Section: Introductionmentioning

confidence: 99%

“…Thus, previous studies have reported the usefulness of videoconferencing telemedicine in this field, but the evidence for telemedicine using tablet device in PD is not sufficient. Tablet devices may be more suitable for real-time telemedicine for movement disorders, considering both mobility of the patient and quality of the video [10, 13]. This is in contrast to previous video call systems that required a desktop or laptop PC [7, 8, 11, 14–18, 24].…”

Section: Introductionmentioning

confidence: 99%

A Randomized Crossover Pilot Study of Telemedicine Delivered via iPads in Parkinson’s Disease

Sekimoto

Oyama

Hatano

et al. 2019

Parkinson's Disease

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Background We investigated the feasibility and safety of a video-based telemedicine system, delivered via a tablet, in Parkinson's disease (PD). Methods In a randomized, crossover, open-label pilot trial, we compared a telemedicine period (regular visits every two months with intermediate video calls via an iPad mini) with a control period (regular visits every two months), both lasting 6 months. We included 10 patients diagnosed with PD according to the British Brain Bank criteria, aged 20–75 years. The primary outcome was the PD questionnaire summary index (PDQ-39 SI). Secondary outcomes included the Hoehn and Yahr Stage and scores on the Unified PD Rating Scale (UPDRS) part I–IV, Beck Depression Inventory (BDI), and visual analog scale for satisfaction. Results Both study periods were completed by 10 patients with PD. Friedman's test revealed that there were no significant differences between the two periods in primary and secondary outcomes (p > 0.05). With respect to visual analog scale scores for satisfaction, participants indicated high satisfaction with the telemedicine system. The number of extra hospital visits and phone calls did not differ between the periods. There were no adverse events or side effects. Conclusions We observed that a telemedicine system delivered via a tablet could successfully be used by patients as a part of their care. Further studies investigating the use of telemedicine to replace in-person visits are warranted. This trial is registered with UMIN000015536.

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Could everyday technology improve access to assessments? A pilot study on the feasibility of screening cognition in people with Parkinson's disease using the Montreal Cognitive Assessment via Internet videoconferencing

Cited by 60 publications

References 25 publications

Assessing Cognitive Function in Older Adults Using a Videoconference Approach

Assessing Cognitive Function in Older Adults Using a Videoconference Approach

A web-based daily care training to improve the quality of life of mothers of children with cerebral palsy: A randomized controlled trial

A Randomized Crossover Pilot Study of Telemedicine Delivered via iPads in Parkinson’s Disease

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