Recommendations for ICT use in Alzheimer's disease assessment: Monaco CTAD expert meeting

Abstract

Alzheimer disease (AD) and other related dementia represent a major challenge for health care systems within the aging population. It is therefore important to develop better instruments for assessing disease severity and disease progression to optimize patient's care and support to care providers, and also provide better tools for clinical research. In this area, Information and Communication Technologies (ICT) are of particular interest. Such techniques enable accurate and standardized assessments of patients' performance and actions in real time and real life situations. The aim of this article is to provide basic recommendation concerning the development and the use of ICT for Alzheimer's disease and related disorders. During he ICT and Mental Health workshop (CTAD meeting held in Monaco on the 30th October 2012) an expert panel was set up to prepare the first recommendations for the use of ICT in dementia research. The expert panel included geriatrician, epidemiologist, neurologist, psychiatrist, psychologist, ICT engineers, representatives from the industry and patient association. The recommendations are divided into three sections corresponding to 1/ the clinical targets of interest for the use of ICT, 2/ the conditions, the type of sensors and the outputs (scores) that could be used and obtained, 3/ finally the last section concerns specifically the use of ICT within clinical trials.

A Business Model for Digital Healthcare Environments: An Organic Approach and a Use Case for Handling Cognitive Impairment

“…Key resources are the essential assets necessary to create and offer the value proposition. From the perspective of the patient suffering from CI, human resources that will be crucial in the establishment of the BM are health professional and caregivers (or the social worker if the patient has not relatives that support her) (Robert et al 2013). The human resource that is vital in the establishment of the BM is the specialist of digital services through which assisting people with CI (Kapadia et al 2015).…”

“…The human resource that is vital in the establishment of the BM is the specialist of digital services through which assisting people with CI (Kapadia et al 2015). From the standpoint of physical assets required to provide the service, technologies play a key role both for the patient and for the overall system (Kerssens et al 2015;Robert et al 2013;Bharucha et al 2009). Other key resources are patents, licenses and copyrights.…”

“…Following Ógáin and Mountain (2015), these activities can be supported through the contributions of governmental actors in terms of: (c) national/regional awareness campaigns; (d) financial incentives to healthcare organizations; (e) financial incentives to healthcare specialist for the diagnosis of MCI and dementia; (f) financial incentives to healthcare specialists and healthcare organizations for the adoption of digital solutions to treat MCI and dementia. Following Robert et al (2013), the key activities in the BM related to the technology adopted are the following: (1) production of the equipment and sensors; (2) selection of the most appropriate technology/sensor; (3) installation of technologies in patients' home; (4) calibration of the sensors.…”

Designing Therapeutic Support for the People with Alzheimer’s disease. A designerly way of Investigation

“…Technological progress also allows the unification of multiplier sensors in one device (e.g. actigraphy, body temperature, audio recording) (Robert et al, 2013). Actigraphy has great potential, as there is no requirement for the carer to be present during recording.…”

Effects of Action Observation Therapy in Patients Recovering From Total Hip Arthroplasty Arthroplasty: A Prospective Clinical Trial

“…According to this idea, a growing number of AOT-based interventions have been adopted for the rehabilitation of patients with stroke [4][5][6][7] or Parkinson disease 8 and for use in impaired elderly people. 9 Robert et al 10 highlighted that new information and communication technologies (ICT)-such as video and audio analysis techniques, computerized testing, and actigraphy-may represent promising new tools to improve functional and cognitive assessments of patients.…”