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Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19

Social isolation is likely to be recommended for older adults due to COVID-19, with ongoing reduced clinical contact suggested for this population. This has increased the need for remote memory clinics, we therefore review the literature, current practices and guidelines on organizing such remote me...

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Autores principales: Owens, Andrew P., Ballard, Clive, Beigi, Mazda, Kalafatis, Chris, Brooker, Helen, Lavelle, Grace, Brønnick, Kolbjørn K., Sauer, Justin, Boddington, Steve, Velayudhan, Latha, Aarsland, Dag
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530252/
https://www.ncbi.nlm.nih.gov/pubmed/33061927
http://dx.doi.org/10.3389/fpsyt.2020.579934
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author Owens, Andrew P.
Ballard, Clive
Beigi, Mazda
Kalafatis, Chris
Brooker, Helen
Lavelle, Grace
Brønnick, Kolbjørn K.
Sauer, Justin
Boddington, Steve
Velayudhan, Latha
Aarsland, Dag
author_facet Owens, Andrew P.
Ballard, Clive
Beigi, Mazda
Kalafatis, Chris
Brooker, Helen
Lavelle, Grace
Brønnick, Kolbjørn K.
Sauer, Justin
Boddington, Steve
Velayudhan, Latha
Aarsland, Dag
author_sort Owens, Andrew P.
collection PubMed
description Social isolation is likely to be recommended for older adults due to COVID-19, with ongoing reduced clinical contact suggested for this population. This has increased the need for remote memory clinics, we therefore review the literature, current practices and guidelines on organizing such remote memory clinics, focusing on assessment of cognition, function and other relevant measurements, proposing a novel pathway based on three levels of complexity: simple telephone or video-based interviews and testing using available tests (Level 1), digitized and validated methods based on standard pen-and-paper tests and scales (Level 2), and finally fully digitized cognitive batteries and remote measurement technologies (RMTs, Level 3). Pros and cons of these strategies are discussed. Remotely collected data negates the need for frail patients or carers to commute to clinic and offers valuable insights into progression over time, as well as treatment responses to therapeutic interventions, providing a more realistic and contextualized environment for data-collection. Notwithstanding several challenges related to internet access, computer skills, limited evidence base and regulatory and data protection issues, digital biomarkers collected remotely have significant potential for diagnosis and symptom management in older adults and we propose a framework and pathway for how technologies can be implemented to support remote memory clinics. These platforms are also well-placed for administration of digital cognitive training and other interventions. The individual, societal and public/private costs of COVID-19 are high and will continue to rise for some time but the challenges the pandemic has placed on memory services also provides an opportunity to embrace novel approaches. Remote memory clinics’ financial, logistical, clinical and practical benefits have been highlighted by COVID-19, supporting their use to not only be maintained when social distancing legislation is lifted but to be devoted extra resources and attention to fully potentiate this valuable arm of clinical assessment and care.
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spelling pubmed-75302522020-10-13 Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19 Owens, Andrew P. Ballard, Clive Beigi, Mazda Kalafatis, Chris Brooker, Helen Lavelle, Grace Brønnick, Kolbjørn K. Sauer, Justin Boddington, Steve Velayudhan, Latha Aarsland, Dag Front Psychiatry Psychiatry Social isolation is likely to be recommended for older adults due to COVID-19, with ongoing reduced clinical contact suggested for this population. This has increased the need for remote memory clinics, we therefore review the literature, current practices and guidelines on organizing such remote memory clinics, focusing on assessment of cognition, function and other relevant measurements, proposing a novel pathway based on three levels of complexity: simple telephone or video-based interviews and testing using available tests (Level 1), digitized and validated methods based on standard pen-and-paper tests and scales (Level 2), and finally fully digitized cognitive batteries and remote measurement technologies (RMTs, Level 3). Pros and cons of these strategies are discussed. Remotely collected data negates the need for frail patients or carers to commute to clinic and offers valuable insights into progression over time, as well as treatment responses to therapeutic interventions, providing a more realistic and contextualized environment for data-collection. Notwithstanding several challenges related to internet access, computer skills, limited evidence base and regulatory and data protection issues, digital biomarkers collected remotely have significant potential for diagnosis and symptom management in older adults and we propose a framework and pathway for how technologies can be implemented to support remote memory clinics. These platforms are also well-placed for administration of digital cognitive training and other interventions. The individual, societal and public/private costs of COVID-19 are high and will continue to rise for some time but the challenges the pandemic has placed on memory services also provides an opportunity to embrace novel approaches. Remote memory clinics’ financial, logistical, clinical and practical benefits have been highlighted by COVID-19, supporting their use to not only be maintained when social distancing legislation is lifted but to be devoted extra resources and attention to fully potentiate this valuable arm of clinical assessment and care. Frontiers Media S.A. 2020-09-18 /pmc/articles/PMC7530252/ /pubmed/33061927 http://dx.doi.org/10.3389/fpsyt.2020.579934 Text en Copyright © 2020 Owens, Ballard, Beigi, Kalafatis, Brooker, Lavelle, Brønnick, Sauer, Boddington, Velayudhan and Aarsland http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Owens, Andrew P.
Ballard, Clive
Beigi, Mazda
Kalafatis, Chris
Brooker, Helen
Lavelle, Grace
Brønnick, Kolbjørn K.
Sauer, Justin
Boddington, Steve
Velayudhan, Latha
Aarsland, Dag
Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title_full Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title_fullStr Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title_full_unstemmed Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title_short Implementing Remote Memory Clinics to Enhance Clinical Care During and After COVID-19
title_sort implementing remote memory clinics to enhance clinical care during and after covid-19
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7530252/
https://www.ncbi.nlm.nih.gov/pubmed/33061927
http://dx.doi.org/10.3389/fpsyt.2020.579934
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