1
|
Andargoli AE, Ulapane N, Nguyen TA, Shuakat N, Zelcer J, Wickramasinghe N. Intelligent decision support systems for dementia care: A scoping review. Artif Intell Med 2024; 150:102815. [PMID: 38553156 DOI: 10.1016/j.artmed.2024.102815] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2022] [Revised: 12/11/2023] [Accepted: 02/12/2024] [Indexed: 04/02/2024]
Abstract
In the context of dementia care, Artificial Intelligence (AI) powered clinical decision support systems have the potential to enhance diagnosis and management. However, the scope and challenges of applying these technologies remain unclear. This scoping review aims to investigate the current state of AI applications in the development of intelligent decision support systems for dementia care. We conducted a comprehensive scoping review of empirical studies that utilised AI-powered clinical decision support systems in dementia care. The results indicate that AI applications in dementia care primarily focus on diagnosis, with limited attention to other aspects outlined in the World Health Organization (WHO) Global Action Plan on the Public Health Response to Dementia 2017-2025 (GAPD). A trifecta of challenges, encompassing data availability, cost considerations, and AI algorithm performance, emerges as noteworthy barriers in adoption of AI applications in dementia care. To address these challenges and enhance AI reliability, we propose a novel approach: a digital twin-based patient journey model. Future research should address identified gaps in GAPD action areas, navigate data-related obstacles, and explore the implementation of digital twins. Additionally, it is imperative to emphasize that addressing trust and combating the stigma associated with AI in healthcare should be a central focus of future research directions.
Collapse
Affiliation(s)
| | | | - Tuan Anh Nguyen
- Swinburne University of Technology, Melbourne, Australia; National Ageing Research Institute, Australia
| | | | | | | |
Collapse
|
2
|
Best S, Al Mahmud A, Tyagi S, Wheeler JCW, Forkan ARM, Lewis A, Shuakat N, Kaul R, Ward A, Wickramasinghe N, Jayaraman PP, Trainer AH. Development of a person-centred digital platform for the long-term support of people living with an adult-onset genetic disease predisposition: a mixed-methods study protocol. BMJ Open 2023; 13:e071492. [PMID: 37518079 PMCID: PMC10387643 DOI: 10.1136/bmjopen-2022-071492] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 08/01/2023] Open
Abstract
INTRODUCTION Individuals at an inherited high-risk of developing adult-onset disease, such as breast cancer, are rare in the population. These individuals require lifelong clinical, psychological and reproductive assistance. After a positive germline test result, clinical genetic services provide support and care coordination. However, ongoing systematic clinical follow-up programmes are uncommon. Digital health solutions offer efficient and sustainable ways to deliver affordable and equitable care. This paper outlines the codesign and development of a digital health platform to facilitate long-term clinical and psychological care, and foster self-efficacy in individuals with a genetic disease predisposition. METHODS AND ANALYSIS We adopt a mixed-methods approach for data gathering and analysis. Data collection is in two phases. In phase 1, 300 individuals with a high-risk genetic predisposition to adult disease will undertake an online survey to assess their use of digital health applications (apps). In phase 2, we will conduct focus groups with 40 individuals with a genetic predisposition to cardiac or cancer syndromes, and 30 clinicians from diverse specialities involved in their care. These focus groups will inform the platform's content, functionality and user interface design, as well as identify the barriers and enablers to the adoption and retention of the platform by all endusers. The focus groups will be audiorecorded and transcribed, and thematic and content data analysis will be undertaken by adopting the Unified Theory of Acceptance and Use of Technology. Descriptive statistics will be calculated from the survey data. Phase 3 will identify the core skillsets for a novel digital health coordinator role. Outcomes from phases 1 and 2 will inform development of the digital platform, which will be user-tested and optimised in phase 4. ETHICS AND DISSEMINATION This study was approved by the Peter MacCallum Human Research Ethics Committee (HREC/88892/PMCC). Results will be disseminated in academic forums, peer-reviewed publications and used to optimise clinical care.
Collapse
Affiliation(s)
- Stephanie Best
- Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia
- Department of Health Services Research, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - Abdullah Al Mahmud
- Centre for Design Innovation, Department of Architectural and Industrial Design, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Shivani Tyagi
- Department of Communication Design, School of Design and Architecture, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Jack C W Wheeler
- Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | | | - Alexandra Lewis
- Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - Nadeem Shuakat
- Department of Computing Technologies, Swinburne University of Technology, Hawthorn, Victoria, Australia
- Department of Health Sciences and Biostatistics, School of Health Sciences, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Rohit Kaul
- Department of Computing Technologies, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Aisha Ward
- Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| | - Nilmini Wickramasinghe
- Department of Health Sciences and Biostatistics, School of Health Sciences, Swinburne University of Technology, Hawthorn, Victoria, Australia
- Iverson Health Innovation Research Institute, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Prem Prakash Jayaraman
- Department of Computing Technologies, Swinburne University of Technology, Hawthorn, Victoria, Australia
| | - Alison H Trainer
- Sir Peter MacCallum Department of Oncology, The University of Melbourne, Melbourne, Victoria, Australia
- Parkville Familial Cancer Centre, Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia
| |
Collapse
|
3
|
Wickramasinghe N, Ulapane N, Nguyen TA, Andargoli A, Ossai C, Shuakat N, Zelcer J. Towards Discovering Digital Twins of Dementia Patients: Matching the Phases of Cognitive Decline. Alzheimers Dement 2022; 18 Suppl 2:e066336. [DOI: 10.1002/alz.066336] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/24/2022]
Affiliation(s)
- Nilmini Wickramasinghe
- Swinburne University of Technology Hawthorn VIC Australia
- Epworth HealthCare Richmond VIC Australia
| | - Nalika Ulapane
- Swinburne University of Technology Hawthorn VIC Australia
| | - Tuan Anh Nguyen
- Swinburne University of Technology Hawthorn VIC Australia
- National Ageing Research Institution Melbourne VIC Australia
| | - Amir Andargoli
- Swinburne University of Technology Hawthorn VIC Australia
| | - Chinedu Ossai
- Swinburne University of Technology Hawthorn VIC Australia
| | - Nadeem Shuakat
- Swinburne University of Technology Hawthorn VIC Australia
| | - John Zelcer
- Swinburne University of Technology Hawthorn VIC Australia
| |
Collapse
|
4
|
Wickramasinghe N, Ulapane N, Andargoli A, Ossai C, Shuakat N, Nguyen T, Zelcer J. Digital twins to enable better precision and personalized dementia care. JAMIA Open 2022; 5:ooac072. [PMID: 35992534 PMCID: PMC9387506 DOI: 10.1093/jamiaopen/ooac072] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/02/2022] [Indexed: 11/12/2022] Open
Abstract
Abstract
In this perspective paper, we want to highlight the potential benefits of incorporating digital twins to support better dementia care. In particular, we assert that, by doing so, it is possible to ensure greater precision regarding dementia care while simultaneously enhancing personalization. Digital twins have been used successfully in manufacturing to enable better prediction and tailoring of solutions to meet required needs, and thereby have enabled more effective and efficient deployment of resources. We develop a model for digital twin in the healthcare domain as a clinical decision support tool by extrapolating its current uses from the manufacturing domain. We illustrate the power of the developed model in the context of dementia. Given the rapid rise of chronic conditions and the pressures on healthcare delivery to provide high quality, cost-effective care anywhere and anytime, we assert that such an approach is consistent with a value-based healthcare philosophy and thus important as the numbers of people with dementia continues to grow exponentially and this pressing healthcare issue is yet to be optimally addressed. Further research and development in this rapidly evolving domain is a strategic priority for ensuring the delivery of superior dementia care.
Collapse
Affiliation(s)
- Nilmini Wickramasinghe
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
- Epworth HealthCare, Peter MacCallum Cancer Centre and Murdoch Children’s Research Institute , Australia
| | - Nalika Ulapane
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| | - Amir Andargoli
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| | - Chinedu Ossai
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| | - Nadeem Shuakat
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| | - Tuan Nguyen
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| | - John Zelcer
- Swinburne University of Technology, School of Health Sciences, Department of Health and Bio Statistics , Hawthorn, Australia
| |
Collapse
|