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Digital participation of brain tumour patients in the assessment and treatment of communication disorders.

作者信息

Weiss Lucas Carolin, Kochs Sophia, Jost Johanna, Loução Ricardo, Kocher Martin, Goldbrunner Roland, Wiewrodt Dorothee, Jonas Kristina

机构信息

Centre for Neurosurgery, Department of General Neurosurgery, Faculty of Medicine, University and University Hospital of Cologne, Cologne, Germany.

Department of Neurosurgery, University Hospital Münster, Münster, Germany.

出版信息

Front Psychol. 2024 Jan 8;14:1287747. doi: 10.3389/fpsyg.2023.1287747. eCollection 2023.


DOI:10.3389/fpsyg.2023.1287747
PMID:38259531
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10800882/
Abstract

INTRODUCTION: Communication deficits have a severe impact on our social interactions and health-related quality of life. Subtle communication deficits are frequently overlooked or neglected in brain tumour patients, due to insufficient diagnostics. Digital tools may represent a valuable adjunct to the conventional assessment or therapy setting but might not be readily suitable for every patient. METHODS: This article summarises results of three surveys on the readiness for telemedicine among (a) patients diagnosed with high-grade glioma, (b) matched controls, and (c) speech and language therapists. The respective surveys assessed the motivation for participation in telemedical assessments and supposed influencing factors, and the use potential of digital assessment and therapy technologies in daily routine, with a spotlight on brain tumour patients and the future prospects of respective telemedical interventions. Respondents included 56 high-grade glioma patients (age median: 59 years; 48% males), 73 propensity-score matched neurologically healthy controls who were instructed to imagine themselves with a severe disease, and 23 speech and language therapists (61% <35 years; all females). RESULTS AND DISCUSSION: The vast majority of the interviewed high-grade glioma (HGG) patients was open to digitisation, felt well-equipped and sufficiently skilled. The factorial analysis showed that digital offers would be of particular interest for patients in reduced general health condition ( = 0.03) and those who live far from specialised treatment services ( = 0.03). The particular motivation of these subgroups seemed to outweigh the effects of age, equipment and internet skills, which were only significant in the control cohort. The therapists' survey demonstrated a broad consensus on the need for improving the therapy access of brain tumour patients (64%) and strengthening their respective digital participation (78%), although digitisation seems to have yet hardly entered the therapists' daily practise. In summary, the combined results of the surveys call for a joint effort to enhance the prerequisites for digital participation of patients with neurogenic communication disorders, particularly in the context of heavily burdened HGG patients with limited mobility.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b64f/10800882/bb05762a4192/fpsyg-14-1287747-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b64f/10800882/bb05762a4192/fpsyg-14-1287747-g0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b64f/10800882/bb05762a4192/fpsyg-14-1287747-g0001.jpg

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[1]
The relationship between social participation and cognitive function early after surgery of glioma patients.

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本文引用的文献

[1]
Rapid Implementation of Teletherapy for Voice Disorders: Challenges and Opportunities for Speech-Language Pathologists.

J Voice. 2023-8-1

[2]
Telehealth Assessments and Interventions for Individuals With Poststroke Aphasia: A Scoping Review.

Am J Speech Lang Pathol. 2023-5-4

[3]
The impact of brain lesions on health-related quality of life in patients with WHO CNS grade 3 or 4 glioma: a lesion-function and resting-state fMRI analysis.

J Neurooncol. 2023-2

[4]
Correlation between brain functional connectivity and neurocognitive function in patients with left frontal glioma.

Sci Rep. 2022-11-8

[5]
Influences on cognitive outcomes in adult patients with gliomas: A systematic review.

Front Oncol. 2022-8-5

[6]
Cognitive telerehabilitation in neurological patients: systematic review and meta-analysis.

Neurol Sci. 2022-2

[7]
Assessment Practice of Patient-Centered Outcomes in Surgical Neuro-Oncology: Survey-Based Recommendations for Clinical Routine.

Front Oncol. 2021-8-11

[8]
Telerehabilitation for people with aphasia: A systematic review and meta-analysis.

J Commun Disord. 2021

[9]
Predicting Communicative Participation in Adults Across Communication Disorders.

Am J Speech Lang Pathol. 2021-6-18

[10]
A Virtual, Randomized, Control Trial of a Digital Therapeutic for Speech, Language, and Cognitive Intervention in Post-stroke Persons With Aphasia.

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