[A survey study towards the opinions of clinicians, patients and care partners regarding computer tools in the memory clinic: sense or nonsense?]

Autor: van Gils AM; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration., Visser LN; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration.; Department of Neurobiology, Care Sciences and Society, Division of Clinical Geriatrics, Center for Alzheimer Research, Karolinska Institutet., Hendriksen HM; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration., Muller M; Afdeling Interne Geneeskunde, sectie ouderengeneeskunde, Amsterdam Cardiovascular Sciences Institute, Amsterdam UMC, locatie VUmc., Bouwman FH; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration., van der Flier WM; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration.; Afdeling Epidemiologie en Biostatistiek, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc., Rhodius-Meester HF; Afdeling Neurologie, Alzheimercentrum Amsterdam, Amsterdam Neuroscience, Amsterdam UMC, locatie VUmc.; Amsterdam Neuroscience, Neurodegeneration.; Afdeling Interne Geneeskunde, sectie ouderengeneeskunde, Amsterdam Cardiovascular Sciences Institute, Amsterdam UMC, locatie VUmc.; Department of Geriatric Medicine, The Memory Clinic, Oslo University Hospital.
Jazyk: Dutch; Flemish
Zdroj: Tijdschrift voor gerontologie en geriatrie [Tijdschr Gerontol Geriatr] 2023 Jan 25; Vol. 54 (1). Date of Electronic Publication: 2023 Jan 25 (Print Publication: 2023).
DOI: 10.36613/tgg.1875-6832/2023.01.03
Abstrakt: Introduction: Computer tools based on artificial intelligence could aid clinicians in memory clinics by supporting diagnostic decision-making and communicating diagnosis and prognosis. We aimed to identify preferences of end-users, and barriers and facilitators for using computer tools in memory clinics.
Methods: Between July and October 2020, we invited European clinicians (n=109, age 45±10y; 47% female) to participate in an online questionnaire. A second questionnaire was sent to patients (n=50, age 73±8y, 34% female) with subjective cognitive complaints (SCD, n=21), mild cognitive impairment (MCI, n=16) and dementia (n=13) and care partners (n=46, 65±12y, 54% female).
Results: The vast majority (75%) of all participants positively valued the use of computer tools in memory clinics. Facilitating factors included user-friendliness and increased diagnostic accuracy. Barriers included (doubts relating) reliability and validity of the tool and loss of clinical autonomy. The participants believe that tools should be used in addition to the current working method and not as a replacement.
Discussion: Our results provide an important step in the iterative process of developing computer tools for memory clinics in co-creation with end-users and could guide successful implementation.
Databáze: MEDLINE