Computerized cognitive testing in patients with Parkinson's disease: an Indian perspective

Area of Science:

• Gerontology
• Neuroscience
• Health Informatics

Background:

• Parkinson's disease (PD) significantly impacts elderly individuals, necessitating accessible healthcare assessments.
• Digital health technologies offer potential for efficient assessments but may pose challenges for specific populations.
• Understanding user perspectives is crucial for effective technology integration in healthcare.

Purpose of the Study:

• To explore the perspectives of elderly individuals with Parkinson's disease in India regarding computer-based assessments.
• To identify barriers and facilitators for the usability of digital health assessments in this demographic.

Main Methods:

• A qualitative content analysis approach was employed.
• Interviews were conducted with 30 elderly participants diagnosed with Parkinson's disease in India.
• Data collection focused on preferences and perspectives on technology integration in healthcare assessments.

Main Results:

• Elderly individuals with PD in India showed a preference for paper-pencil assessments over computer-based alternatives.
• Key barriers identified include limited technological familiarity, resistance to change, and lack of trust in healthcare technology.
• Parkinson's disease-related motor challenges further contributed to the discomfort with computer-based assessments.

Conclusions:

• Elderly patients with Parkinson's disease in India expressed significant discomfort with computer-based cognitive assessments.
• Addressing technological, attitudinal, and physical barriers is essential for the successful implementation of digital assessments in India.
• Future digital health strategies must consider the unique needs of elderly populations with neurodegenerative conditions.