A systematic review evaluating the implementation of technologies to assess, monitor and treat neurodevelopmental disorders: A map of the current evidence

Valentine, Althea; Brown, Beverley J; Groom, Madeleine J.; Young, Emma; Hollis, Chris; Hall, Charlotte L

doi:10.1016/j.cpr.2020.101870

Cited by 57 publications

(40 citation statements)

References 66 publications

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“…). Clinical efficacy was defined by whether study results showed that a test or a treatment improved any symptoms [11]. A data-extraction form was developed that included the following data from each study: article title, country, year, author, type of study, sample size, followup time, main characteristics of the participants, description of the intervention, main outcomes, and conclusions.…”

Section: Selection Of Studiesmentioning

confidence: 99%

“…Furthermore, VR shares with the brain the mechanism of generating "embodied simulations" [8]. In fact, VR could be considered as an "embodied technology" [8] that provides the sensation of presence and immersion [10], allowing interaction, enhanced by the incorporation of virtual agents [11]. According to the hypothesis of predictive coding, it is understood that VR generates simulations of one's own body in the world, through the developed scenario.…”

Section: Introductionmentioning

confidence: 99%

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Effectiveness of Virtual Reality-Based Interventions for Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis

et al. 2021

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This review aims to evaluate the effectiveness of virtual reality-based interventions (VR-based interventions) on cognitive deficits in children with attention deficit hyperactivity disorder (ADHD). A systematic review and meta-analysis were performed according to the PRISMA statement and the Cochrane Handbook guidelines for conducting meta-analyses. The Grading of Recommendations, Assessment, Development and Evaluation (GRADE) was used to assess the quality of the evidence. Clinical trials published up to 29 October 2020, were included. The meta-analysis included four studies, with a population of 125 participants with ADHD. The magnitude of the effect was large for omissions (SMD = −1.38; p = 0.009), correct hits (SMD = −1.50; p = 0.004), and perceptual sensitivity (SMD = −1.07; p = 0.01); and moderate for commissions (SMD = −0.62; p = 0.002) and reaction time (SMD = −0.67; p = 0.03). The use of VR-based interventions for cognitive rehabilitation in children with ADHD is limited. The results showed that VR-based interventions are more effective in improving sustained attention. Improvements were observed in attentional vigilance measures, increasing the number of correct responses and decreasing the number of errors of omission. No improvements were observed in impulsivity responses.

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Section: Selection Of Studiesmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Effectiveness of Virtual Reality-Based Interventions for Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis

et al. 2021

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“…Although the above two disorders can co-exist [13] the needs of the patients throughout an assessment process are not the same. A rather recent systematic review evaluating the implementation of technologies to assess, monitor and treat neurodevelopmental disorders concluded that it is unclear whether there is sufficient evidence to support their use in clinical settings [14].…”

Section: Introductionmentioning

confidence: 99%

Remote assessment in adults with Autism or ADHD: A service user satisfaction survey

et al. 2021

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Advances in digital health have enabled clinicians to move away from a reliance on face to face consultation methods towards making use of modern video and web-based conferencing technology. In the context of the COVID-19 pandemic, remote telecommunication methods have become much more common place in mental health settings. The current study sought to investigate whether remote telecommunication methods are preferable to face to face consultations for adults referred to an Autism and ADHD Service during the COVID-19 pandemic. Also, whether there are any differences in preferred consultation methods between adults who were referred for an assessment of Autism as opposed to ADHD. 117 service users who undertook assessment by the ADHD and Autism Service at South West Yorkshire NHS Partnership Foundation Trust from April to September 2020 completed an adapted version of the Telehealth Usability Questionnaire (TUQ). Results demonstrated that service users found remote telecommunication to be useful, effective, reliable and satisfactory. Despite this, almost half of service users stated a general preference for face to face consultations. There was no difference in the choice of methods of contact between Autism and ADHD pathways. Remote telecommunication methods were found to be an acceptable medium of contact for adults who undertook an assessment of Autism and ADHD at an NHS Service during the COVID-19 pandemic.

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“…This systematic review was part of a larger review [17], which assessed all technology that has been used for NDDs. The protocol for our main review was registered with PROSPERO (CRD42018091156).…”

Section: Methodsmentioning

confidence: 99%

“…As this study was part of a wider search of all technologies, additional terms that related to various technologies, such as mobile apps, video games, virtual reality, and robotics, were also included. However, the results of the search for these terms are presented in another study [17]. A copy of the Medline search strategy is included in Multimedia Appendix 1.…”

Section: Search Strategymentioning

confidence: 99%

Implementation of Telehealth Services to Assess, Monitor, and Treat Neurodevelopmental Disorders: Systematic Review (Preprint)

Valentine¹,

Hall²,

Young³

et al. 2020

Preprint

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BACKGROUND Telehealth has rapidly developed over the past 20 years, so it is essential we identify effective telehealth technologies for implementation in clinical practice. In response to COVID-19 there is increasing momentum behind the development and delivery of telehealth. Therefore, to assess the anticipated exponential growth in telehealth it is important we accurately capture how telehealth was used in specific fields of mental health prior to COVID-19. OBJECTIVE The aim of this review was to highlight how, prior to COVID-19, telehealth had been used (i.e. assessment, treatment, monitoring) with clinical samples in the neurodevelopmental (NDD) field, including for patients with NDD, their families, and healthcare professionals (HCPs). In order to identify which technologies may show greatest clinical and cost-effectiveness for implementation into health services post COVID-19 the review evaluates the technologies for effectiveness, cost efficiencies, and readiness for clinical adoption. The quality of the evidence and gaps in the literature are also considered to guide future work. METHODS A systematic search of the literature was undertaken (April 2018 - updated until December 2019) using the following databases: Medline, Web of Science, Scopus, CINAHL Plus, Embase, and PsycInfo. Data extracted included the type of technology, how the technology was used (assessment, treatment, monitoring), participant characteristics, reported outcomes and the authors’ views on clinical effectiveness, user impact, feasibility and acceptability, service delivery efficiencies and economic impact, and readiness for clinic adoption. A quality review of the research is also reported. RESULTS A total of 42 studies met the inclusion criteria. These included participants and/or their families with autism spectrum disorders (ASD; n=22), attention deficit hyperactivity disorders (ADHD; n=8), ADHD and/or ASD (n=3), communication disorders (n=7), and tic disorders (n=2). The majority of studies were with children/young people and/or their caregivers. The focus of most studies was treatment (n=33), rather than assessment (n=4) or monitoring (n=5). In terms of clinical effectiveness, telehealth services were usually equivalent to controls (e.g. face-to-face services or services without therapist input), costs were generally not reported but when they were telehealth was seen as being cost-effective. The quality of the studies varied, with many having small sample sizes and inadequate control groups. CONCLUSIONS The use of telehealth has the potential to increase the availability of treatment, decrease waiting times for diagnosis, and aid in the monitoring of NDD, post COVID-19. Further research, with more robust and adequately powered study designs as well as consideration of cost-effectiveness and efficiency savings, is needed. The review highlights the extent of the use of telehealth technologies prior to COVID-19 and the movement to invest in remote access to treatments.

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A systematic review evaluating the implementation of technologies to assess, monitor and treat neurodevelopmental disorders: A map of the current evidence

Cited by 57 publications

References 66 publications

Effectiveness of Virtual Reality-Based Interventions for Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis

Effectiveness of Virtual Reality-Based Interventions for Children and Adolescents with ADHD: A Systematic Review and Meta-Analysis

Remote assessment in adults with Autism or ADHD: A service user satisfaction survey

Implementation of Telehealth Services to Assess, Monitor, and Treat Neurodevelopmental Disorders: Systematic Review (Preprint)

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