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Current Neurology and Neuroscience Reports

Erschienen in:

02.03.2021 | COVID-19 | Demyelinating Disorders (J. Bernard and M. Cameron, Section Editors) Zur Zeit gratis

Telehealth in Multiple Sclerosis Clinical Care and Research

verfasst von: Xinran Maria Xiang, Jacqueline Bernard

Erschienen in: Current Neurology and Neuroscience Reports | Ausgabe 4/2021

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Abstract

Purpose of Review

The COVID-19 pandemic has provided us with a unique opportunity to experiment with telehealth and evaluate its benefits and limitations. This review discusses the impact of telehealth on multiple sclerosis (MS) care and research in adults and children.

Recent Findings

Telehealth visits for MS patients have been shown to reduce missed workdays and costs for patients. Brief telephone-based counseling may be associated with better adherence to disease-modifying therapy, although results of multiple home-based tele-rehabilitation for people with MS have been equivocal. Overall, patients and providers have reported high levels of satisfactions with telehealth. Several remote disability measures and numerous other technological tools have emerged for use in remote MS research and care. Major challenges of telehealth include limitations to performing a complete neurologic exam and disparities in access to telehealth amongst vulnerable populations with limited access to virtual platforms.

Summary

Following the rapid expansion of telehealth during the pandemic, it is highly likely that we will continue to embrace the benefits of this valuable tool. Future directions for improving telehealth should include more evidence-based research on the diagnostic accuracy in neuroimmunology and reducing disparities in the access to telehealth.

Mechanic OJ, Persaud Y, Kimball AB. Telehealth systems. Treasure Island (FL): StatPearls; 2020.

Kang PB, Bale JF Jr, Mintz M, Joshi SM, Gilbert DL, Radabaugh C, et al. The child neurology clinical workforce in 2015: report of the AAP/CNS Joint Taskforce. Neurology. 2016;87(13):1384–92.CrossRef

Chirra M, Marsili L, Wattley L, Sokol LL, Keeling E, Maule S, et al. Telemedicine in neurological disorders: opportunities and challenges. Telemed J E Health. 2019;25(7):541–50.CrossRef

Chua R, Craig J, Esmonde T, Wootton R, Patterson V. Telemedicine for new neurological outpatients: putting a randomized controlled trial in the context of everyday practice. J Telemed Telecare. 2002;8(5):270–3.CrossRef

Neurology AAo. Telemedicine and COVID-19 implementation guide: American Academy of Neurology; 2020 [updated April 10 2020. Available from: https://www.aan.com/siteassets/home-page/tools-and-resources/practicing-neurologist--administrators/telemedicine-and-remote-care/20-telemedicine-and-covid19-v103.pdf.

Association TM. Telemedicine vendor options 2020 [updated 2020. Available from: https://www.texmed.org/uploadedFiles/Current/2016_Practice_Help/Health_Information_Technology/Telemedicine/Telemedicine%20Vendor%20Options.pdf.

Lo MD, Gospe SM Jr. Telemedicine and child neurology. J Child Neurol. 2019;34(1):22–6.PubMed

Annette Grefe DH, Charuta Joshi, Sucheta Joshi, Mark Mintz, Mickey Segal, and Asim Shahid. Pediatric neurological examination via telemedicine Child Neurology Society 2020 [updated May 2020. Available from: https://www.childneurologysociety.org/docs/default-source/2020-cns-/pediatric-neuro-exam-via-telemedicine---may-2020-final.pdf?sfvrsn=8e2165b8_2.

Hatcher-Martin JM, Adams JL, Anderson ER, Bove R, Burrus TM, Chehrenama M, et al. Telemedicine in neurology: telemedicine work group of the American Academy of Neurology update. Neurology. 2020;94(1):30–8.CrossRef

10.

Turner AP, Sloan AP, Kivlahan DR, Haselkorn JK. Telephone counseling and home telehealth monitoring to improve medication adherence: results of a pilot trial among individuals with multiple sclerosis. Rehabil Psychol. 2014;59(2):136–46.CrossRef

11.

Turner AP, Wallin MT, Sloan A, Maloni H, Kane R, Martz L, et al. Clinical management of multiple sclerosis through home telehealth monitoring: results of a pilot project. Int J MS Care. 2013;15(1):8–14.CrossRef

12.

•• Yeroushalmi S, Maloni H, Costello K, Wallin MT. Telemedicine and multiple sclerosis: a comprehensive literature review. J Telemed Telecare. 2020;26(7-8):400–13 The authors provided a comprehensive and systematic review of the medical literature from 2000 to 2018 that included 28 studies to investigate the types of telemedicine being utilized and overall outcomes for people with MS.CrossRef

13.

D'Hooghe M, Van Gassen G, Kos D, Bouquiaux O, Cambron M, Decoo D, et al. Improving fatigue in multiple sclerosis by smartphone-supported energy management: the MS TeleCoach feasibility study. Mult Scler Relat Disord. 2018;22:90–6.CrossRef

14.

Dlugonski D, Motl RW, Mohr DC, Sandroff BM. Internet-delivered behavioral intervention to increase physical activity in persons with multiple sclerosis: sustainability and secondary outcomes. Psychol Health Med. 2012;17(6):636–51.CrossRef

15.

Finlayson M, Preissner K, Cho C, Plow M. Randomized trial of a teleconference-delivered fatigue management program for people with multiple sclerosis. Mult Scler. 2011;17(9):1130–40.CrossRef

16.

Moss-Morris R, McCrone P, Yardley L, van Kessel K, Wills G, Dennison L. A pilot randomised controlled trial of an Internet-based cognitive behavioural therapy self-management programme (MS Invigor8) for multiple sclerosis fatigue. Behav Res Ther. 2012;50(6):415–21.CrossRef

17.

Turner AP, Hartoonian N, Sloan AP, Benich M, Kivlahan DR, Hughes C, et al. Improving fatigue and depression in individuals with multiple sclerosis using telephone-administered physical activity counseling. J Consult Clin Psychol. 2016;84(4):297–309.CrossRef

18.

Paul L, Coulter EH, Miller L, McFadyen A, Dorfman J, Mattison PG. Web-based physiotherapy for people moderately affected with multiple sclerosis; quantitative and qualitative data from a randomized, controlled pilot study. Clin Rehabil. 2014;28(9):924–35.CrossRef

19.

Tallner A, Streber R, Hentschke C, Morgott M, Geidl W, Maurer M, et al. Internet-supported physical exercise training for persons with multiple sclerosis-a randomised, controlled study. Int J Mol Sci. 2016;17(10):1667.CrossRef

20.

Harper K, McLeod M, Brown SK, Wilson G, Turchan M, Gittings EM, et al. Teleneurology service provided via tablet technology: 3-year outcomes and physician satisfaction. Rural Remote Health. 2019;19(1):4743.PubMed

21.

Marchell R, Locatis C, Burgess G, Maisiak R, Liu WL, Ackerman M. Patient and provider satisfaction with teledermatology. Telemed J E Health. 2017;23(8):684–90.CrossRef

22.

Robb JF, Hyland MH, Goodman AD. Comparison of telemedicine versus in-person visits for persons with multiple sclerosis: a randomized crossover study of feasibility, cost, and satisfaction. Mult Scler Relat Disord. 2019;36:101258.CrossRef

23.

Seritan AL, Heiry M, Iosif AM, Dodge M, Ostrem JL. Telepsychiatry for patients with movement disorders: a feasibility and patient satisfaction study. J Clin Mov Disord. 2019;6:1.CrossRef

24.

Rametta SC, Fridinger SE, Gonzalez AK, Xian J, Galer PD, Kaufman M, et al. Analyzing 2,589 child neurology telehealth encounters necessitated by the COVID-19 pandemic. Neurology. 2020;95(9):e1257–e66.CrossRef

25.

Simone M, Viterbo RG, Margari L, Iaffaldano P. Computer-assisted rehabilitation of attention in pediatric multiple sclerosis and ADHD patients: a pilot trial. BMC Neurol. 2018;18(1):82.CrossRef

26.

• Bove R, Bevan C, Crabtree E, Zhao C, Gomez R, Garcha P, et al. Toward a low-cost, in-home, telemedicine-enabled assessment of disability in multiple sclerosis. Mult Scler. 2019;25(11):1526–34 The authors showed that a telemedicine-based MS disability examination is feasible in mild to moderate MS without an aide at the patient’s location.CrossRef

27.

• Block VJ, Bove R, Zhao C, Garcha P, Graves J, Romeo AR, et al. Association of continuous assessment of step count by remote monitoring with disability progression among adults with multiple sclerosis. JAMA Netw Open. 2019;2(3):e190570 The authors showed that a decreasing average daily step count was associated with standard ambulatory measure worsening provided support for using the average daily step count as an outcome measure in MS.CrossRef

28.

Kane RL, Bever CT, Ehrmantraut M, Forte A, Culpepper WJ, Wallin MT. Teleneurology in patients with multiple sclerosis: EDSS ratings derived remotely and from hands-on examination. J Telemed Telecare. 2008;14(4):190–4.CrossRef

29.

• Moccia M, Lanzillo R, Brescia Morra V, Bonavita S, Tedeschi G, Leocani L, et al. Assessing disability and relapses in multiple sclerosis on tele-neurology. Neurol Sci. 2020;41(6):1369–71 The authors reviewed available tools for MS telehealth and suggested a battery for assessing MS disability and relapses that can be delivered remotely and in multiple languages.CrossRef

30.

Block VJ, Lizee A, Crabtree-Hartman E, Bevan CJ, Graves JS, Bove R, et al. Continuous daily assessment of multiple sclerosis disability using remote step count monitoring. J Neurol. 2017;264(2):316–26.CrossRef

31.

Lavorgna L, Sparaco M, Esposito S, Motl RW, Gallo A, Bisecco A, et al. Validity and reproducibility of the Italian version of the patient determined disease steps scale in people with multiple sclerosis. Mult Scler Relat Disord. 2017;18:173–6.CrossRef

32.

Nicol GE, Piccirillo JF, Mulsant BH, Lenze EJ. Action at a distance: geriatric research during a pandemic. J Am Geriatr Soc. 2020;68(5):922–5.CrossRef

33.

Block VA, Pitsch E, Tahir P, Cree BA, Allen DD, Gelfand JM. Remote physical activity monitoring in neurological disease: a systematic review. PLoS One. 2016;11(4):e0154335.CrossRef

34.

Lavorgna L, Brigo F, Moccia M, Leocani L, Lanzillo R, Clerico M, et al. e-Health and multiple sclerosis: an update. Mult Scler. 2018;24(13):1657–64.CrossRef

35.

Motl RW, Pilutti L, Sandroff BM, Dlugonski D, Sosnoff JJ, Pula JH. Accelerometry as a measure of walking behavior in multiple sclerosis. Acta Neurol Scand. 2013;127(6):384–90.CrossRef

36.

Yousef A, Jonzzon S, Suleiman L, Arjona J, Graves JS. Biosensing in multiple sclerosis. Expert Rev Med Devices. 2017;14(11):901–12.CrossRef

37.

Rao SM, Galioto R, Sokolowski M, McGinley M, Freiburger J, Weber M, et al. Multiple sclerosis performance test: validation of self-administered neuroperformance modules. Eur J Neurol. 2020;27(5):878–86.CrossRef

38.

Rao SM, Losinski G, Mourany L, Schindler D, Mamone B, Reece C, et al. Processing speed test: validation of a self-administered, iPad((R))-based tool for screening cognitive dysfunction in a clinic setting. Mult Scler. 2017;23(14):1929–37.CrossRef

39.

Bradshaw MJ, Farrow S, Motl RW, Chitnis T. Wearable biosensors to monitor disability in multiple sclerosis. Neurol Clin Pract. 2017;7(4):354–62.CrossRef

40.

Muller KI, Alstadhaug KB, Bekkelund SI. A randomized trial of telemedicine efficacy and safety for nonacute headaches. Neurology. 2017;89(2):153–62.CrossRef

41.

Ray KN, Mehrotra A, Yabes JG, Kahn JM. Telemedicine and outpatient subspecialty visits among pediatric Medicaid beneficiaries. Acad Pediatr. 2020;20(5):642–51.CrossRef

42.

Hirko KA, Kerver JM, Ford S, Szafranski C, Beckett J, Kitchen C, et al. Telehealth in response to the COVID-19 pandemic: implications for rural health disparities. J Am Med Inform Assoc. 2020;27(11):1816–8.CrossRef

43.

Nouri S, Khong EC, Lyles CR, Karliner L. Addressing equity in telemedicine for chronic disease management during the Covid-19 pandemic. NEJM Catal Innov Care Deliv. 2020.

44.

Rodriguez JALS, Lyles CR, Samal L. Association between patient portal use and broadband access: a national evaluation. J Gen Intern Med. 2020;35:3719–20.CrossRef

45.

Lyles C. Tackling digital inequality in the tech capital of the world. San Francisco Examiner. 2019 May;7.

Titel: Telehealth in Multiple Sclerosis Clinical Care and Research
verfasst von: Xinran Maria Xiang
Jacqueline Bernard
Publikationsdatum: 02.03.2021
Verlag: Springer US
Schlagwort: COVID-19
Erschienen in: Current Neurology and Neuroscience Reports / Ausgabe 4/2021
Print ISSN: 1528-4042
Elektronische ISSN: 1534-6293
DOI: https://doi.org/10.1007/s11910-021-01103-4

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Abstract

Purpose of Review

Recent Findings

Summary

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