Background: Innovative digital solutions are shaping a new concept of dementia care, opening additional venues for prevention, diagnosis, monitoring and treatment. Hereby, we report the development of a tablet-based teleneuropsychology platform (Tenèpsia®), from concept to certification as Medical Device (MD) Class IIA, as per new MD regulation 745/2017. Methods: The platform was designed for the remote cognitive evaluation and created thanks to the effort of a collaborative working group including experts from three Italian scientific societies and Biogen Italia S.r.l. (hereafter "Biogen"), and developers from Xenia Reply and Inside AI. The development strategy was guided by converting traditional paper-and-pencil tests into digital versions while maintaining comparable neuropsychological features and optimizing patient accessibility and user experience. The experts focused on the choice and adaptation of traditional neuropsychology measures for a 45-min teleneuropsychology assessment. Results: The developers created a web and a mobile interface, respectively, for the professional (neuropsychologist) and non-professional (patient and caregiver) use. Recording of voice, drawing and typing information was enabled. Instant dashboards provide a quick overview of the patient's condition. Simulation activities were performed to obtain MD certification, valid across Europe. Conclusion: Neuropsychology services will benefit from the implementation in clinics of harmonized digital tools with adequate scientific and technological standards. The use of digital cognitive testing for the diagnosis of mild cognitive impairment is expected to enhance patient and clinician outcomes through simplified, digital objective data collection, sparing of time and resources, with a positive impact on healthcare costs and access to treatments, reducing inequalities and delays in diagnosis and cure.

A digital teleneuropsychology platform for the diagnosis of mild cognitive impairment: from concept to certification as a medical device / Panzavolta, Andrea; Cerami, Chiara; Caffarra, Paolo; De Vita, Dalila; Dodich, Alessandra; L’Abbate, Federica; Laganà, Valentina; Lavorgna, Luigi; Marra, Camillo; Papagno, Costanza; Pellegrini, Francesca Ferrari; Stracciari, Andrea; Trojano, Luigi; Iaquinta, Tiziana; Ravizza, Alice; Sternini, Federico; Pandolfi, Roberta; Sanzone, Sveva; Calore, Monica; Cappa, Stefano F.. - In: NEUROLOGICAL SCIENCES. - ISSN 1590-1874. - 45:7(2024), pp. 3125-3135. [10.1007/s10072-024-07403-0]

A digital teleneuropsychology platform for the diagnosis of mild cognitive impairment: from concept to certification as a medical device

Dodich, Alessandra;Papagno, Costanza;Cappa, Stefano F.
2024-01-01

Abstract

Background: Innovative digital solutions are shaping a new concept of dementia care, opening additional venues for prevention, diagnosis, monitoring and treatment. Hereby, we report the development of a tablet-based teleneuropsychology platform (Tenèpsia®), from concept to certification as Medical Device (MD) Class IIA, as per new MD regulation 745/2017. Methods: The platform was designed for the remote cognitive evaluation and created thanks to the effort of a collaborative working group including experts from three Italian scientific societies and Biogen Italia S.r.l. (hereafter "Biogen"), and developers from Xenia Reply and Inside AI. The development strategy was guided by converting traditional paper-and-pencil tests into digital versions while maintaining comparable neuropsychological features and optimizing patient accessibility and user experience. The experts focused on the choice and adaptation of traditional neuropsychology measures for a 45-min teleneuropsychology assessment. Results: The developers created a web and a mobile interface, respectively, for the professional (neuropsychologist) and non-professional (patient and caregiver) use. Recording of voice, drawing and typing information was enabled. Instant dashboards provide a quick overview of the patient's condition. Simulation activities were performed to obtain MD certification, valid across Europe. Conclusion: Neuropsychology services will benefit from the implementation in clinics of harmonized digital tools with adequate scientific and technological standards. The use of digital cognitive testing for the diagnosis of mild cognitive impairment is expected to enhance patient and clinician outcomes through simplified, digital objective data collection, sparing of time and resources, with a positive impact on healthcare costs and access to treatments, reducing inequalities and delays in diagnosis and cure.
2024
7
Panzavolta, Andrea; Cerami, Chiara; Caffarra, Paolo; De Vita, Dalila; Dodich, Alessandra; L’Abbate, Federica; Laganà, Valentina; Lavorgna, Luigi; Marr...espandi
A digital teleneuropsychology platform for the diagnosis of mild cognitive impairment: from concept to certification as a medical device / Panzavolta, Andrea; Cerami, Chiara; Caffarra, Paolo; De Vita, Dalila; Dodich, Alessandra; L’Abbate, Federica; Laganà, Valentina; Lavorgna, Luigi; Marra, Camillo; Papagno, Costanza; Pellegrini, Francesca Ferrari; Stracciari, Andrea; Trojano, Luigi; Iaquinta, Tiziana; Ravizza, Alice; Sternini, Federico; Pandolfi, Roberta; Sanzone, Sveva; Calore, Monica; Cappa, Stefano F.. - In: NEUROLOGICAL SCIENCES. - ISSN 1590-1874. - 45:7(2024), pp. 3125-3135. [10.1007/s10072-024-07403-0]
File in questo prodotto:
File Dimensione Formato  
s10072-024-07403-0 (3).pdf

Solo gestori archivio

Tipologia: Versione editoriale (Publisher’s layout)
Licenza: Tutti i diritti riservati (All rights reserved)
Dimensione 1.01 MB
Formato Adobe PDF
1.01 MB Adobe PDF   Visualizza/Apri

I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione

Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11572/404230
Citazioni
  • ???jsp.display-item.citation.pmc??? 1
  • Scopus 1
  • ???jsp.display-item.citation.isi??? 2
social impact