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Clinical Application of Technology: Why Are they Needed, How to Implement, and What Challenges

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Gerontechnology. A Clinical Perspective

Part of the book series: Practical Issues in Geriatrics ((PIG))

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Abstract

The implementation of technology, particularly in the geriatric field, holds great promise: it can facilitate and provide access to the healthcare system for many patients, provide new information to healthcare professionals while enabling them to work more efficiently, and provide economic relief to the healthcare system in times of an aging world population. In order to incorporate technology into the daily routine of geriatric patients, there needs to be a collaboration between healthcare professionals, patients and their care givers to ensure simplicity and effectiveness. In addition, defined standards for validation processes and approval by regulatory bodies are necessary. Finally, ethical aspects and patients’ rights and wishes must be respected in order to empower patients’ engagement in their own health and to make optimal therapy decisions based on technology.

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References

  1. Nymberg VM, et al. ‘Having to learn this so late in our lives…’ Swedish elderly patients’ beliefs, experiences, attitudes and expectations of e-health in primary health care. Scand J Prim Health Care. 2019;37:41–52.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Yusif S, Soar J, Hafeez-Baig A. Older people, assistive technologies, and the barriers to adoption: a systematic review. Int J Med Inform. 2016;94:112–6.

    Article  PubMed  Google Scholar 

  3. Chen K, Chan A. Use or non-use of Gerontechnology—a qualitative study. Int J Environ Res Public Health. 2013;10:4645–66.

    Article  PubMed  PubMed Central  Google Scholar 

  4. Dorsey ER, et al. Randomized controlled clinical trial of ‘virtual house calls’ for Parkinson disease. JAMA Neurol. 2013;70:565–70.

    Article  PubMed  PubMed Central  Google Scholar 

  5. Topol, E. The Topol review–preparing the healthcare workforce to deliver the digital future. (2019).

    Google Scholar 

  6. Dorsey ER, Glidden AM, Holloway MR, Birbeck GL, Schwamm LH. Teleneurology and mobile technologies: the future of neurological care. Nat Rev Neurol. 2018;14:285–97.

    Article  PubMed  Google Scholar 

  7. Levine SR, Gorman M. ‘Telestroke’: the application of telemedicine for stroke. Stroke. 1999;30:464–9.

    Article  CAS  PubMed  Google Scholar 

  8. Schulz R, et al. Advancing the aging and technology agenda in gerontology. Gerontologist. 2015;55:724–34.

    Article  PubMed  Google Scholar 

  9. Pilotto A, Boi R, Petermans J. Technology in geriatrics. Age Ageing. 2018;47:771–4.

    Article  PubMed  Google Scholar 

  10. Pilotto A, et al. Information and communication technology systems to improve quality of life and safety of Alzheimer’s disease patients: a multicenter international survey. J Alzheimers Dis. 2011;23:131–41.

    Article  PubMed  Google Scholar 

  11. Van Uem JMT, et al. A viewpoint on wearable technology-enabled measurement of wellbeing and health-related quality of life in Parkinson’s disease. J Parkinsons Dis. 2016;6:279–87.

    Article  PubMed  PubMed Central  Google Scholar 

  12. Davis S, Roudsari A, Raworth R, Courtney KL, Mackay L. Shared decision-making using personal health record technology: a scoping review at the crossroads. J Am Med Inform Assoc. 2017;24:857–66.

    Article  PubMed  PubMed Central  Google Scholar 

  13. Bolinder J, Antuna R, Geelhoed-Duijvestijn P, Kröger J, Weitgasser R. Novel glucose-sensing technology and hypoglycaemia in type 1 diabetes: a multicentre, non-masked, randomised controlled trial. Lancet. 2016;388:2254–63.

    Article  PubMed  Google Scholar 

  14. Park LG, et al. Mobile health intervention promoting physical activity in adults post cardiac rehabilitation: pilot randomized controlled trial. JMIR Form Res. 2021;5:e20468.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Maetzler W, Klucken J, Horne M. A clinical view on the development of technology-based tools in managing Parkinson’s disease. Mov Disord. 2016;31:1263.

    Article  PubMed  Google Scholar 

  16. Maetzler W, et al. Modernizing daily function assessment in Parkinson’s disease using capacity, perception, and performance measures. Mov Disord. 2021;36:76–82.

    Article  PubMed  Google Scholar 

  17. Warmerdam E, et al. Long-term unsupervised mobility assessment in movement disorders. Lancet Neurol. 2020;19:462–70.

    Article  PubMed  Google Scholar 

  18. Bloem BR, et al. ParkinsonNet: a low-cost health care innovation with a systems approach from The Netherlands. Health Aff. 2017;36:1987–96.

    Article  Google Scholar 

  19. De Fauw J, et al. Clinically applicable deep learning for diagnosis and referral in retinal disease. Nat Med. 2018;24:1342–50.

    Article  PubMed  Google Scholar 

  20. Deuschl G, et al. The burden of neurological diseases in Europe: an analysis for the global burden of disease study 2017. Lancet Public Heal. 2020;5:e551–67.

    Article  Google Scholar 

  21. Papapetropoulos S, Mitsi G, Espay AJ. Digital health revolution: is it time for affordable remote monitoring for Parkinson’s disease? Front Neurol. 2015;6

    Google Scholar 

  22. Graham LE, et al. Telemedicine—the way ahead for medicine in the developing world. Trop Dr. 2003;33:36–8.

    CAS  Google Scholar 

  23. Fozard JL, Wahl HW. Age and cohort effects in gerontechnology: a reconsideration. Geron. 2012;11:10–21.

    Google Scholar 

  24. Chen K, Chan AHS. Gerontechnology acceptance by elderly Hong Kong Chinese: a senior technology acceptance model (STAM). Ergonomics. 2014;57:635–52.

    Article  PubMed  Google Scholar 

  25. Xie B. Effects of an eHealth literacy intervention for older adults. J Med Internet Res. 2011;13:e90.

    Article  PubMed  PubMed Central  Google Scholar 

  26. Peek STM, et al. Factors influencing acceptance of technology for aging in place: a systematic review. Int J Med Inform. 2014;83:235–48.

    Article  PubMed  Google Scholar 

  27. Frennert SA, Forsberg A, Östlund B. Elderly People’s perceptions of a Telehealthcare system: relative advantage, compatibility, complexity and observability. J Technol Hum Serv. 2013;31:218–37.

    Article  Google Scholar 

  28. Bjering H, Curry J, Maeder A. Gerontechnology: the importance of user participation in ICT development for older adults. Stud Health Technol Inform. 2014;204:7–12.

    PubMed  Google Scholar 

  29. Luijkx K, Peek S, Wouters E. “Grandma, you should do it—its cool” older adults and the role of family members in their acceptance of technology. Int J Environ Res Public Health. 2015;12:15470–85.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Manta C, Patrick-Lake B, Goldsack JC. Digital measures that Matter to patients: a framework to guide the selection and development of digital measures of health. Digit Biomarkers. 2020;4:69–77.

    Article  Google Scholar 

  31. Del Din S, Kirk C, Yarnall AJ, Rochester L, Hausdorff JM. Body-worn sensors for remote monitoring of Parkinson’s disease motor symptoms: vision, state of the art, and challenges ahead. J Parkinsons Dis. 2021;11:S35–47.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Viceconti M, et al. Toward a regulatory qualification of real-world mobility performance biomarkers in parkinson’s patients using digital mobility outcomes. Sensors (Switzerland). 2020;20:1–13.

    Article  Google Scholar 

  33. Fröhlich H, et al. From hype to reality: data science enabling personalized medicine. BMC Med. 2018;16:150.

    Article  PubMed  PubMed Central  Google Scholar 

  34. Bateman DR, et al. Categorizing health outcomes and efficacy of mHealth apps for persons with cognitive impairment: a systematic review. J Med Internet Res. 2017;19:e301.

    Article  PubMed  PubMed Central  Google Scholar 

  35. Maetzler W, Pilotto A. Digital assessment at home—mPower against Parkinson disease. Nat Rev Neurol. 2021;17:661. https://doi.org/10.1038/s41582-021-00567-9.

    Article  PubMed  Google Scholar 

  36. Espay AJ, et al. Technology in Parkinson’s disease: challenges and opportunities. Mov Disord. 2016;31:1272–82.

    Article  PubMed  PubMed Central  Google Scholar 

  37. Stephenson D, Badawy R, Mathur S, Tome M, Rochester L. Digital progression biomarkers as novel endpoints in clinical trials: a multistakeholder perspective. J Parkinsons Dis. 2021;11:S103–9.

    Article  PubMed  PubMed Central  Google Scholar 

  38. Espay AJ, et al. A roadmap for implementation of patient-centered digital outcome measures in Parkinson’s disease obtained using mobile health technologies. Mov Disord. 2019;34:657–63.

    Article  PubMed  PubMed Central  Google Scholar 

  39. Mandl KD, Kohane IS. Time for a patient-driven health information economy? N Engl J Med. 2016;374:205–8.

    Article  PubMed  Google Scholar 

  40. Hansen C, Sanchez-Ferro A, Maetzler W. How mobile health technology and electronic health records will change care of patients with Parkinson’s disease. J Parkinsons Dis. 2018;8:S41–5.

    Article  PubMed  PubMed Central  Google Scholar 

  41. Sundgren S, Stolt M, Suhonen R. Ethical issues related to the use of gerontechnology in older people care: a scoping review. Nurs Ethics. 2020;27:88–103.

    Article  PubMed  Google Scholar 

  42. Landau R, Auslander GK, Werner S, Shoval N, Heinik J. Families and professional caregivers views of using advanced technology to track people with dementia. Qual Health Res. 2010;20:409–19.

    Article  PubMed  Google Scholar 

  43. Du Toit R, et al. A global public health perspective: facilitating access to assistive technology. Optom Vis Sci. 2018;95:883–8.

    Article  PubMed  Google Scholar 

  44. Matter RA, Eide AH. Access to assistive technology in two southern African countries. BMC Health Serv Res. 2018;18:792.

    Article  PubMed  PubMed Central  Google Scholar 

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Authors and Affiliations

  1. Department of Neurology, University Hospital Schleswig-Holstein, Kiel, Germany

    Jennifer Kudelka & Walter Maetzler

Authors
  1. Jennifer Kudelka
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  2. Walter Maetzler
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Corresponding author

Correspondence to Jennifer Kudelka .

Editor information

Editors and Affiliations

  1. Department of Geriatric Care, Orthogeriatrics and Rehabilitation, Galliera Hospital, Genova, Italy

    Alberto Pilotto

  2. Neurology, Kiel University and University Hospital Schleswig-Holstein, Kiel, Germany

    Walter Maetzler

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Kudelka, J., Maetzler, W. (2023). Clinical Application of Technology: Why Are they Needed, How to Implement, and What Challenges. In: Pilotto, A., Maetzler, W. (eds) Gerontechnology. A Clinical Perspective. Practical Issues in Geriatrics. Springer, Cham. https://doi.org/10.1007/978-3-031-32246-4_2

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  • DOI: https://doi.org/10.1007/978-3-031-32246-4_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-031-32245-7

  • Online ISBN: 978-3-031-32246-4

  • eBook Packages: MedicineMedicine (R0)

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