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Video-Supported Remote Cognitive Assessment in General Practice-A Pilot Mixed-Method Study on Usability,
Alexa Holfelder1,2, Esther Brill1, Rachid Guerchouche3,4
1University Hospital of Old Age Psychiatry and Psychotherapy, University of Bern, 3012 Bern, Switzerland.
Healthcare (Basel, Switzerland)
|June 12, 2026
Summary
Remote Cognitive Assessment (RCA) shows promise for primary care, with high patient and GP acceptance. However, neuropsychologists noted concerns about diagnostic effectiveness, limiting current recommendations for routine use.
Area of Science:
- Digital Health
- Cognitive Neurology
- Primary Care Medicine
Background:
- Limited access to specialists and diagnostic resources hinders cognitive impairment diagnosis in primary care.
- A digitally supported Remote Cognitive Assessment (RCA) model was developed to address these challenges.
Purpose of the Study:
- To examine the feasibility, usability, and clinical integration of a Remote Cognitive Assessment (RCA) model.
- To assess patient, neuropsychologist, and general practitioner (GP) perspectives on the RCA model.
Main Methods:
- A mixed-method pilot study involving 10 patients (mean age 77.03), 3 neuropsychologists, and 4 GPs.
- Remote assessments conducted via secure videoconference, with local staff support in GP offices.
- Data collected through patient surveys, neuropsychologist completion logs, and GP qualitative interviews.
Main Results:
- Patients reported high satisfaction with audio-visual quality and willingness to recommend RCA.
- Neuropsychologists rated technical functionality positively but expressed concerns regarding clinical utility and diagnostic effectiveness.
- GPs noted benefits of local facilitation and improved specialist access, alongside challenges with space and infrastructure.
Conclusions:
- The RCA model demonstrated good patient and GP acceptance and technical feasibility.
- Significant reservations from neuropsychologists regarding usability and effectiveness indicate a mismatch with patient satisfaction.
- RCA shows potential for hybrid cognitive care, especially in rural areas, but requires further development to enhance diagnostic confidence and clinician workflow for scalable integration.
