Idea for challenge:
THE ALZHEIMER’S CHALLENGE
Geras Solutions has a very clear mission – to transform the lives of those impacted by dementia. We make this a reality by providing our digital solutions – Geras Clinic, Geras Support and Risk Reduction (which will use AI and Machine learning processes interpreted by specialists) to guarantee dementia support that is clinically tested and validated.
Risk Reduction: based on years of research incorporated in a digital tracking tool.
Geras Clinic: evidence-based standard test and video chat with doctors/nurses.
Geras Support: disease management support and video chat.
Björn Arvidsson Challenge Creator 1 year ago
Great! So how would you 1) find patients with risk of dementia/Alzheimer's and/OR 2) help them overcome their denial and seek medical help?
Björn Arvidsson Challenge Creator 1 year ago
And with whom would you need to collaborate - or which additional competencies would you like to collaborate with - to reach patients 1) with risk for dementia/Alzheimer, or 2) diagnosed but in denial
Marc Sommar 1 year ago
Great. Could this be used as a screening tool for patients that comes to primary care with non specific AD symtoms, as a an early screen to detect suspect AD?
Katarzyna Hess-Wiktor 1 year ago
Hi Haza! I think digital testing is the future of dementia diagnosis, and we are luckily getting more of those - AI solutions working on MRI scans, voice pattern detectors and the digitalized pen-and-paper classic solutions, like Geras, CogniSense or Minnemera, for example. There is however a certain threshhold to these screening/diagnostic apps: one has to admit that there is a problem that needs checking. How would you lower the threshhold for such tests to address those denying the problems?
Mauricio Portilla 11 months ago
This could be accompany or supported by the normal SMS we receive in Sweden about "it's time to visit your Doctor" this could be sent to a certain age group or patients from different hospitals with risk of dementia or Alzheimer. Followed then by different advertisement in which a day can be selected as a day of visit, like they do in blood donation banks and open certain centers or quick visits in different kommun for patients can easily reach you.
@Björn: A) How to find patients: By creating collaborations within the existing ecosystem for dementia diagnosis and care such as primary health care providers, geriatric clinics and memory clinics as well as by direct advertisement aimed at family members of potential patients (which are used to digital technologies) and of course also aiming to those that are potential patients that are already on board with using their mobile devices, such as my 70 year old father. We understand not all elderly are attached to their phones like younger generations, but this is also changing very rapidly. B) Our app clearly decreases the threshold for seeking medical help since it is can be administered from the comfort or your own home while also saving time. We believe that our solution intrinsically lowers the threshold for seeking medical help. C) In Sweden partnerships will be organisations like Swedish Care International, Karolinska Sjukhuset/Karolinska Insitutet, BoKlok, Svenskt Demenscentrum, Silviahemmet and so forth. Perhaps even pharma as well and eventually local kommunes.
@Marc: Absolutely. The test is created with intent to be used as an early screening tool for dementia and to increase the rate of early diagnosis. The app is currently being tested for validation and establishment of sensitivity and specificity levels for detection of dementia in a clinical trial at Karolinska University Hospital. We find that 40% of the patients that are referred to their clinic do not end up having a dementia diagnosis, so it would be wise to be able to use it as a pre-screening method where memory clinics exist to lower that misreferral rate.
@katarzyna, In your question it feels like you believe there is a threshold that is a specific problem for apps, which I don’t necessarily agree with. There is plenty of research showing that elderly are very willing to use apps if they see benefit or improvement in their lives. Anecdotal experience (especially in China, where we focus our efforts) also tells me different. However, we clearly cannot assume that all elderly are going to immediately be as comfortable with their mobile devices as say teenagers would As such, we focus on having caregivers or family members help them with this process. I hope I have understood your question. If your question is about other thresholds or if I misinterpret your question, then let me know. Also, on the surface, Geras may seem like a classic digital pen and paper tool, but I assure you we have developed way beyond this in the past year to incorporate voice recognition and other AI based tools. Despite this, MoCa and MMSE are still the base of the battery as that is the globalised and accepted gold standard.
@mauricio I completely agree. These types of tests should be easy, convenient and even fun to use! Then a biannually check up could easily be made on patients that are of lower risk, and perhaps tested quarterly for patients who are of higher risk. The main idea behind the geras tool is that patients can do these tests and meet with specialists without travel, from the comfort of their home without the stress of being in a hospital or memory clinic. I assure you that these patients do give feedback about being stressed and pressured and KIs memory clinic, so by removing that bias we can actually lower certain bias thresholds. Of course, other bias thresholds do get introduced, but there are digital ways to mitigate these as well. You hit the nail on the head with the date selection, we allow patients to choose when they wish to visit with specialists remotely.
Katarzyna Hess-Wiktor 11 months ago
Hi Haza! That's great to hear that Geras includes a variety of screening methods. And I have no doubt that well designed apps may work fantastically with the aged population. The threshhold I had in mind was: when one denies having cognitive problems, would they use such a solution? One way of dealing with this would be as in Mauricios suggestion - make it a part of a common screening campaign. For me, the problem of the Alzheimer's Challenge is rather how to reach people who are not thinking about undergoing tests at all. Making the tests easy and doable at home, with Geras, for example, is definitely a step forward. Can we take it further?