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Remote delivery of psychological interventions for Parkinson's disease

Published online by Cambridge University Press:  11 May 2018

Caitlin Swalwell ,
Nancy A. Pachana  and
Nadeeka N. Dissanayaka
Caitlin Swalwell
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia
Nancy A. Pachana
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia
Nadeeka N. Dissanayaka*
Affiliation:
School of Psychology, The University of Queensland, Brisbane, Australia UQ Centre for Clinical Research, Faculty of Medicine, The University of Queensland, Brisbane, Australia Department of Neurology, Royal Brisbane & Woman's Hospital, Brisbane, Australia
*
Correspondence should be addressed to: Nadeeka N. Dissanayaka, UQ Centre for Clinical Research, Royal Brisbane & Woman's Hospital, 71/918 Herston, Brisbane, QLD 4029, Australia. Phone: +61-7-33465577; Fax: +61-7-33465599. Email: [email protected].
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Abstract

Objective:

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.

Results:

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.

Conclusion:

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.

Keywords

Parkinson's diseasetelehealthdepressionanxietycognitive behavioral therapy
Type
Review Article
Information
International Psychogeriatrics , Volume 30 , Issue 12: Issue Theme: Positive Psychiatry , December 2018 , pp. 1783 - 1795
Copyright
Copyright © International Psychogeriatric Association 2018 

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