Remote delivery of psychological interventions for Parkinson's disease

Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility l...

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Bibliographic Details
Published in:International psychogeriatrics 2018-12, Vol.30 (12), p.1783-1795
Main Authors: Swalwell, Caitlin, Pachana, Nancy A., Dissanayaka, Nadeeka N.
Format: Article
Language:English
Subjects:
Acceptance and commitment therapy
Anxiety
Behavior modification
Cognitive behavioral therapy
Comorbidity
Cost control
depression
Dopamine
Intervention
Mental depression
Mindfulness
Parkinson's disease
Patient satisfaction
Psychotherapy
Quality of life
Studies
telehealth
Telemedicine
Video conferencing
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Summary:Over two-thirds of Parkinson's disease (PD) patients experience comorbid neuropsychiatric symptoms, which adversely impact their quality of life and often require intervention. There is a preference for non-pharmacological, psychological approaches in addressing these symptoms. Given mobility limitations, travel burden, and cost, accessibility to psychological treatment can be problematic in this population. There has been a recent shift toward delivering care via telehealth in PD. Accordingly, this review aimed to examine remotely delivered psychological interventions for PD patients. Most of the telehealth studies for PD involved Cognitive Behavioral Therapy (CBT) based anxiety and depression telephone interventions with relatively short (one month) follow-up periods. Although a preliminary work indicates efficacy, future studies should demonstrate the non-inferiority of these telehealth programs compared to face-to-face delivery, and examine the long-term outcomes of remotely delivered therapy. Video-conferencing (VC) appears to be a promising modality to overcome noted limitations of telephone delivery, and has demonstrated efficacy for PD speech programs. Further research should be conducted evaluating telehealth VC modalities for delivery of psychotherapy including CBT, as well as mindfulness-based therapy and acceptance and commitment therapy for remote treatment of depression and anxiety in PD.
ISSN:1041-6102
1741-203X
DOI:10.1017/S1041610218000340