Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology

Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology

Guillaume Sacco,1–3 Véronique Joumier,1,4 Nelly Darmon,1 Arnaud Dechamps,1,5 Alexandre Derreumaux,1,3 Ji-Hyun Lee,2 Julie Piano,2 Nathalie Bordone,2 Alexandra Konig,1,6 Bernard Teboul,3 Renaud David,1,2 Olivier Guerin,1,3 François Bremond,1,4 Philippe Robert1,21EA CoB...

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Autores principales: Sacco G, Joumier V, Darmon N, Dechamps A, Derreumaux A, Lee JH, Piano J, Bordone N, Konig A, Teboul B, David R, Guerin O, Bremond F, Robert P
Formato: article
Lenguaje:EN
Publicado: Dove Medical Press 2012
Materias:
Alzheimer's disease
functional impairment
ICT
IADL
MCI
Geriatrics
RC952-954.6
Acceso en línea:https://doaj.org/article/be7b8ce12a9742ccba5480d81266a692
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spelling oai:doaj.org-article:be7b8ce12a9742ccba5480d81266a6922021-12-02T07:07:29ZDetection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology1178-1998https://doaj.org/article/be7b8ce12a9742ccba5480d81266a6922012-12-01T00:00:00Zhttps://www.dovepress.com/detection-of-activities-of-daily-living-impairment-in-alzheimer39s-dis-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Guillaume Sacco,1–3 Véronique Joumier,1,4 Nelly Darmon,1 Arnaud Dechamps,1,5 Alexandre Derreumaux,1,3 Ji-Hyun Lee,2 Julie Piano,2 Nathalie Bordone,2 Alexandra Konig,1,6 Bernard Teboul,3 Renaud David,1,2 Olivier Guerin,1,3 François Bremond,1,4 Philippe Robert1,21EA CoBTeK, Université de Nice Sophia-Antipolis, 2Centre Mémoire de Ressource et de Recherche, CHU de Nice, 3Plateforme Patient du Centre d'Innovation et d'Usage en Santé, CHU de Nice, 4Equipe Stars, Institut National de Recherche en Informatique et en Automatique (INRIA), Sophia-Antipolis, France; 5University of Pancasila, Department of Psychology, Jakarta, Indonesia; 6University of Maastricht, Faculty of Psychology and Neuropsychology, Department of Psychiatry and Neuropsychology, Maastricht, The NetherlandsBackground: One of the key clinical features of Alzheimer's disease (AD) is impairment in daily functioning. Patients with mild cognitive impairment (MCI) also commonly have mild problems performing complex tasks. Information and communication technology (ICT), particularly techniques involving imaging and video processing, is of interest in order to improve assessment. The overall aim of this study is to demonstrate that it is possible using a video monitoring system to obtain a quantifiable assessment of instrumental activities of daily living (IADLs) in AD and in MCI.Methods: The aim of the study is to propose a daily activity scenario (DAS) score that detects functional impairment using ICTs in AD and MCI compared with normal control group (NC). Sixty-four participants over 65 years old were included: 16 AD matched with 10 NC for protocol 1 (P1) and 19 MCI matched with 19 NC for protocol 2 (P2). Each participant was asked to undertake a set of daily tasks in the setting of a “smart home” equipped with two video cameras and everyday objects for use in activities of daily living (8 IADLs for P1 and 11 for P2, plus 4 temporal execution constraints). The DAS score was then computed from quantitative and qualitative parameters collected from video recordings.Results: In P1, the DAS score differentiated AD (DASAD,P1 = 0.47, 95% confidence interval [CI] 0.38–0.56) from NC (DASNC,P1 = 0.71, 95% CI 0.68–0.74). In P2, the DAS score differentiated MCI (DASMCI,P2 = 0.11, 95% CI 0.05–0.16) and NC (DASNC,P2 = 0.36, 95% CI 0.26–0.45).Conclusion: In conclusion, this study outlines the interest of a novel tool coming from the ICT world for the assessment of functional impairment in AD and MCI. The derived DAS scores provide a pragmatic, ecological, objective measurement which may improve the prediction of future dementia, be used as an outcome measurement in clinical trials and lead to earlier therapeutic intervention.Keywords: functional impairment, ICT, IADL, MCISacco GJoumier VDarmon NDechamps ADerreumaux ALee JHPiano JBordone NKonig ATeboul BDavid RGuerin OBremond FRobert PDove Medical PressarticleAlzheimer's diseasefunctional impairmentICTIADLMCIGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 7, Pp 539-549 (2012)
institution DOAJ
collection DOAJ
language EN
topic Alzheimer's disease
functional impairment
ICT
IADL
MCI
Geriatrics
RC952-954.6
spellingShingle Alzheimer's disease
functional impairment
ICT
IADL
MCI
Geriatrics
RC952-954.6
Sacco G
Joumier V
Darmon N
Dechamps A
Derreumaux A
Lee JH
Piano J
Bordone N
Konig A
Teboul B
David R
Guerin O
Bremond F
Robert P
Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
description Guillaume Sacco,1–3 Véronique Joumier,1,4 Nelly Darmon,1 Arnaud Dechamps,1,5 Alexandre Derreumaux,1,3 Ji-Hyun Lee,2 Julie Piano,2 Nathalie Bordone,2 Alexandra Konig,1,6 Bernard Teboul,3 Renaud David,1,2 Olivier Guerin,1,3 François Bremond,1,4 Philippe Robert1,21EA CoBTeK, Université de Nice Sophia-Antipolis, 2Centre Mémoire de Ressource et de Recherche, CHU de Nice, 3Plateforme Patient du Centre d'Innovation et d'Usage en Santé, CHU de Nice, 4Equipe Stars, Institut National de Recherche en Informatique et en Automatique (INRIA), Sophia-Antipolis, France; 5University of Pancasila, Department of Psychology, Jakarta, Indonesia; 6University of Maastricht, Faculty of Psychology and Neuropsychology, Department of Psychiatry and Neuropsychology, Maastricht, The NetherlandsBackground: One of the key clinical features of Alzheimer's disease (AD) is impairment in daily functioning. Patients with mild cognitive impairment (MCI) also commonly have mild problems performing complex tasks. Information and communication technology (ICT), particularly techniques involving imaging and video processing, is of interest in order to improve assessment. The overall aim of this study is to demonstrate that it is possible using a video monitoring system to obtain a quantifiable assessment of instrumental activities of daily living (IADLs) in AD and in MCI.Methods: The aim of the study is to propose a daily activity scenario (DAS) score that detects functional impairment using ICTs in AD and MCI compared with normal control group (NC). Sixty-four participants over 65 years old were included: 16 AD matched with 10 NC for protocol 1 (P1) and 19 MCI matched with 19 NC for protocol 2 (P2). Each participant was asked to undertake a set of daily tasks in the setting of a “smart home” equipped with two video cameras and everyday objects for use in activities of daily living (8 IADLs for P1 and 11 for P2, plus 4 temporal execution constraints). The DAS score was then computed from quantitative and qualitative parameters collected from video recordings.Results: In P1, the DAS score differentiated AD (DASAD,P1 = 0.47, 95% confidence interval [CI] 0.38–0.56) from NC (DASNC,P1 = 0.71, 95% CI 0.68–0.74). In P2, the DAS score differentiated MCI (DASMCI,P2 = 0.11, 95% CI 0.05–0.16) and NC (DASNC,P2 = 0.36, 95% CI 0.26–0.45).Conclusion: In conclusion, this study outlines the interest of a novel tool coming from the ICT world for the assessment of functional impairment in AD and MCI. The derived DAS scores provide a pragmatic, ecological, objective measurement which may improve the prediction of future dementia, be used as an outcome measurement in clinical trials and lead to earlier therapeutic intervention.Keywords: functional impairment, ICT, IADL, MCI
format article
author Sacco G
Joumier V
Darmon N
Dechamps A
Derreumaux A
Lee JH
Piano J
Bordone N
Konig A
Teboul B
David R
Guerin O
Bremond F
Robert P
author_facet Sacco G
Joumier V
Darmon N
Dechamps A
Derreumaux A
Lee JH
Piano J
Bordone N
Konig A
Teboul B
David R
Guerin O
Bremond F
Robert P
author_sort Sacco G
title Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
title_short Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
title_full Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
title_fullStr Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
title_full_unstemmed Detection of activities of daily living impairment in Alzheimer's disease and mild cognitive impairment using information and communication technology
title_sort detection of activities of daily living impairment in alzheimer's disease and mild cognitive impairment using information and communication technology
publisher Dove Medical Press
publishDate 2012
url https://doaj.org/article/be7b8ce12a9742ccba5480d81266a692
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