Remote delivery of psychological interventions for Parkinson's disease

Swalwell, Caitlin; Pachana, Nancy A.; Dissanayaka, N.

doi:10.1017/s1041610218000340

Cited by 78 publications

(17 citation statements)

References 60 publications

(87 reference statements)

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“…The current study also extends recent research exploring the delivery of ACT using phone and web-based conferencing technology. ACT protocols have been administered in this form for various groups including people with Parkinson's [24], public speaking anxiety [25], and those engaged in smoking cessation work [26]. The results of the current study further support the suitability of the ACT approach to be delivered in a remote and manualised form.…”

Section: Discussionsupporting

confidence: 61%

Acceptance and Commitment Therapy for Adults with ADHD during COVID-19: An Open Trial

Fullen¹,

Galab²,

Abbott³

et al. 2020

OJPsych

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This exploratory study reports the outcomes of a remotely delivered manualised form of Acceptance and Commitment Therapy (ACT) to adults with Attention Deficit Hyperactivity Disorder (ADHD) during the COVID-19 imposed "lockdown". Adults completing this intervention (N = 12) reported statistically and clinically significant improvements on outcomes relating to self-reported mood F(1.356, 14.917) = 21.64, p < 0.001, η 2 = 0.66), anxiety F(2, 22) = 22.93, p < 0.001, η 2 = 0.68), psychosocial adjustment (χ 2 (4) = 26.51, p < 0.001) and treatment acceptability was good. Preliminary findings suggest this cost effective and remotely delivered psychotherapeutic approach might be one appropriate method for supporting the well-being and adjustment of adults with ADHD during future COVID-19 or other pandemic related lockdowns. Further research is urgently required to establish efficacy using larger sample sizes and the implementation of wait list and treatment comparison groups. Future research might also explore the use of this manualised approach in other clinical subgroups and the general population.

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Section: Discussionsupporting

confidence: 61%

Acceptance and Commitment Therapy for Adults with ADHD during COVID-19: An Open Trial

Fullen¹,

Galab²,

Abbott³

et al. 2020

OJPsych

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“…Telepsychiatry has been shown to increase older adults’ access and satisfaction with health care services [11–13]. However, there is limited evidence regarding the use of telemedicine for the management of PD psychiatric comorbidities [14]. A small pilot study evaluated internet-administered cognitive behavioral therapy (CBT) for the treatment of depression and anxiety in nine PD patients and found a significant reduction in their depressive symptoms [15].…”

Section: Introductionmentioning

confidence: 99%

Telepsychiatry for patients with movement disorders: a feasibility and patient satisfaction study

et al. 2019

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Background Telemedicine is a convenient health service delivery modality for patients with movement disorders, including Parkinson’s disease (PD), but is currently underutilized in the management of associated psychiatric symptoms. This study explored the feasibility of and patient satisfaction with telepsychiatry services at an academic movement disorders center. Methods All patients seen by telepsychiatry between January and December 2017 at the UCSF Movement Disorders and Neuromodulation Center were invited to participate. Participation was voluntary. Patients received an initial survey after the first telepsychiatry visit and satisfaction surveys after each visit. Survey responses were collected online via Research Electronic Data Capture (REDCap). Frequencies were calculated for categorical variables, and means and standard deviations were generated for continuous variables. Results Thirty-three patients (79% with PD; 72% Medicare recipients; 64% men; mean age, 61.1 ± 10.5 years; mean distance to clinic, 79.9 ± 81.3 miles) completed a total of 119 telepsychiatry and 62 in-person visits. Twenty-two initial surveys and 50 satisfaction surveys (from 21 patients) were collected. Patients were very satisfied with the care (95%), convenience (100%), comfort (95%), and overall visit (95%). Technical quality was somewhat lower rated, with 76% patients reporting they were very satisfied, while 19% were satisfied. All patients would recommend telemedicine to friends or family members. Conclusions Telepsychiatry is a feasible option for patients with movement disorders, leading to high patient satisfaction and improved access to care. Technical aspects still need optimization. Whenever available, telepsychiatry can be considered in addition to in-person visits. Future studies with larger samples should explore its impact on patient care outcomes and caregiver burden.

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“…Beneficiary results are usually visible and maintained at the follow‐up clinical assessment. As with depression, some research suggests that CBT anxiety treatment in Parkinson's disease patients can be provided not just individual or in person, but also in remote delivery modus or in a group setting (Feeney, Egan, & Gasson, 2011; Swalwell, Pachana, & Dissanayaka, 2018). Recommendations for anxiety treatments are visible in Table 2.…”

Section: Cbt For Anxiety Disordersmentioning

confidence: 99%

Clinical practice guidelines based on evidence for cognitive‐behavioural therapy in Parkinson's disease comorbidities: A literature review

Zečević

2020

Clin Psychology and Psychoth

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The purpose of this review is to provide psychologists and other health care professional enough knowledge about available cognitive‐behavioural interventions for comorbidities in Parkinson's disease that include depression, anxiety, impulsive disorder, pain, and sleep disturbances. This review has clear clinical practical suggestions how to adapt psychological interventions and techniques to the motor and/or cognitive impairments of patients with Parkinson's disease, based on earlier available research results. Every available research that could be found with the help of search engines from Medline, Springer, PsychINFO, and Google Scholar, which used cognitive‐behavioural therapy to treat Parkinson's comorbidities, was cited and explained. Cognitive‐behavioural interventions and techniques are presented based on available research results for Parkinson's comorbidities. It is recommended to use treatment plans and interventions that are earlier suggested as efficient in patients with Parkinson's disease. Strongest available research based recommendations are available for depression and anxiety. There are only few available research studies that used cognitive and/or behavioural interventions for pain, impulsive disorder, or sleeping disturbances, except insomnia in Parkinson's disease. Cognitive‐behavioural therapy is safe to use and should be adapted to the specific needs of patients and with the scientific approved treatment interventions and techniques. Psychologists should be careful on how they adapt their treatment plan for patients.

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Remote delivery of psychological interventions for Parkinson's disease

Cited by 78 publications

References 60 publications

Acceptance and Commitment Therapy for Adults with ADHD during COVID-19: An Open Trial

Acceptance and Commitment Therapy for Adults with ADHD during COVID-19: An Open Trial

Telepsychiatry for patients with movement disorders: a feasibility and patient satisfaction study

Clinical practice guidelines based on evidence for cognitive‐behavioural therapy in Parkinson's disease comorbidities: A literature review

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