Feasibility of remote Memory Clinics using the plan, do, study, act (PDSA) cycle

Collins, Jemima; Mohamed, Biju; Bayer, Antony James

doi:10.1093/ageing/afab173

Cited by 6 publications

(3 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Quantitative tools aimed at measuring patients’ cognitive status and cognitive sub-domains by means of the MMSE scale [ 30 ] and the ACE-R scale [ 44 ]. These scales were chosen because they are better suited to remote administration [ 45 , 46 ].…”

Section: Methodsmentioning

confidence: 99%

Cognitive Digital Intervention for Older Patients with Parkinson’s Disease during COVID-19: A Mixed-Method Pilot Study

Santini

Rampioni

Stara

et al. 2022

IJERPH

View full text Add to dashboard Cite

Mild cognitive impairment is frequent among people with Parkinson’s disease. Cognitive training seems effective for cognitive status and for mitigating anxiety and depression. With the COVID-19 outbreak, such therapeutic interventions were delivered online. This longitudinal mixed-method study was aimed at evaluating the effectiveness of an online cognitive treatment, carried out during COVID times and based on Parkinson’s-Adapted Cognitive Stimulation Therapy, on cognitive domains and mood of 18 older people with Parkinson’s disease. After screening, the cognitive status and mood were assessed three times by Addenbrooke’s Cognitive Examination-Revised scale and the Geriatric Depression Scale-Short Form. At the follow-up, patients were also interviewed for understanding their experience with the technology. Such treatment was effective on the participants’ cognitive functions, but not on their mood. Despite some initial problems with the technology, the online intervention was experienced as a way of not being ‘left behind’, staying in contact with others, and being safe during the lockdown. This suggests that online cognitive treatment can be adopted to integrate face-to-face interventions by increasing their efficacy, accessibility, and long-term outcomes. Suggestions for future research are given.

show abstract

Section: Methodsmentioning

confidence: 99%

Cognitive Digital Intervention for Older Patients with Parkinson’s Disease during COVID-19: A Mixed-Method Pilot Study

Santini

Rampioni

Stara

et al. 2022

IJERPH

View full text Add to dashboard Cite

show abstract

“…There are now rapid advances in digital, imaging, and molecular biomarkers of AD (9)(10)(11)(12)(13), remote assessment opportunities (14,15), alongside the emergence of new therapies and knowledge of targeting modifiable risk factors (16). Early accurate aetiological diagnosis of AD is crucial to enable adequate treatment and is in line with public attitudes (17), but the uptake of the diagnostic biomarkers is extremely low in some countries, including the UK (18).…”

Section: Introductionmentioning

confidence: 99%

The SLaM Brain Health Clinic: a remote biomarker enhanced memory clinic for patients with mild cognitive impairment within an NHS mental health trust

Venkataraman,

Kandangwa,

Lemmen

et al. 2024

Preprint

View full text Add to dashboard Cite

Introduction: The novel South London and Maudsley Brain Health Clinic (SLaM BHC) leverages advances in remote consultations and biomarkers to provide a timely, cost-efficient and accurate diagnosis in mild cognitive impairment (MCI). Aim: To describe the organisation, patient cohort, and acceptability of the remote diagnostic and interventional procedures. Methods: We describe the recruitment, consultation setup, the clinical and biomarker program, and the two online group interventions for cognitive wellbeing and lifestyle change. We evaluate the acceptability of the remote consultations, lumbar puncture (LP), saliva genotyping and remote cognitive and functional assessments. Results: We present the results of the first 68 (mean age 73, 55% female, 43% ethnic minority) of 146 patients who enrolled for full remote clinical, cognitive, genetic, cerebrospinal fluid, and neuroimaging phenotyping. 86% were very satisfied/ satisfied with the remote service. 67% consented to LP and 95% of those were very satisfied, all having no significant complications. 93% found taking saliva genotyping very easy/easy and 93% found the cognitive assessments instructions clear. 98% were satisfied with the cognitive wellbeing groups and 90% of goals were achieved in the lifestyle intervention group. Conclusion: The SLaM BHC provides a highly acceptable and safe clinical model for remote assessments and lumbar punctures in a representative, ethnically diverse population. This allows early and accurate diagnosis of Alzheimer's, differentiation from other MCI causes and targets modifiable risk factors. This is crucial for future disease modification, ensuring equitable access to research, and provides precise, timely and cost-efficient diagnoses in UK mental health services.

show abstract

“…Extended periods of confinement and safety concerns, which limited hospital visits and direct contact with vulnerable older adults, compelled many clinicians and researchers to adopt remote assessment methods (e.g. : [2,3]).…”

Section: Introductionmentioning

confidence: 99%

Web-based cognitive assessment in older adults: Where do we stand?

Belleville,

LaPlume,

Purkart

2023

Current Opinion in Neurology

View full text Add to dashboard Cite

Purpose of review The use of digital tools for remote cognitive measurement of older adults is generating increasing interest due to the numerous advantages offered for accessibility and scalability. However, these tools also pose distinctive challenges, necessitating a thorough analysis of their psychometric properties, feasibility and acceptability. Recent findings In this narrative review, we present the recent literature on the use of web-based cognitive assessment to characterize cognition in older adults and to contribute to the diagnosis of age-related neurodegenerative diseases. We present and discuss three types of web-based cognitive assessments: conventional cognitive tests administered through videoconferencing; unsupervised web-based assessments conducted on a computer; and unsupervised web-based assessments performed on smartphones. Summary There have been considerable progress documenting the properties, strengths and limitations of web-based cognitive assessments. For the three types of assessments reported here, the findings support their promising potential for older adults. However, certain aspects, such as the construct validity of these tools and the development of robust norms, remain less well documented. Nonetheless, the beneficial potential of these tools, and their current validation and feasibility data, justify their application [see Supplementary Digital Content (SDC), http://links.lww.com/CONR/A69].

show abstract

Feasibility of remote Memory Clinics using the plan, do, study, act (PDSA) cycle

Cited by 6 publications

References 12 publications

Cognitive Digital Intervention for Older Patients with Parkinson’s Disease during COVID-19: A Mixed-Method Pilot Study

Cognitive Digital Intervention for Older Patients with Parkinson’s Disease during COVID-19: A Mixed-Method Pilot Study

The SLaM Brain Health Clinic: a remote biomarker enhanced memory clinic for patients with mild cognitive impairment within an NHS mental health trust

Web-based cognitive assessment in older adults: Where do we stand?

Contact Info

Product

Resources

About