Translating sophisticated remote cognitive assessments for the Oxford Brain Health Centre clinical population

随着人口老龄化，痴呆症患者的数量继续增加，精神科服务的负担也随之增加。早期诊断，特别是轻度认知障碍(MCI)，提供了一个重要的机会，以实施降低风险，以延缓痴呆的发生或进展。这可能是在不可逆转的损害之前进行靶向疾病修改治疗的关键。尽管在测量认知功能变化方面的研究取得了进展，但记忆诊所使用的评估进展有限。由于对这些服务的需求很高，大多数精神科患者在确诊和出院到初级保健之前只见过他们的顾问一次/两次。因此，对高度敏感的认知评估的需求越来越大，这种评估可以在诊断预约之前远程自我管理，这一需求因当前的大流行而加剧，为临床医生提供更多信息以帮助诊断。

As our population ages, the number of people living with dementia continues to rise and subsequently so does the burden on Psychiatry services. Early diagnosis, particularly of mild cognitive impairment (MCI), provides an essential an opportunity to implement risk reduction to delay onset or progression of dementia. This may be key to target disease modifying treatments before irreversible impairment. Despite research advancements into measures of change in cognitive function, there has been limited progression in the assessments employed by memory clinics. Due to the high demand on these services, most patients in psychiatry only meet with their consultant once/twice before diagnosis and discharge to primary care. Consequently, there is a growing demand for highly sensitive, cognitive assessment that can be self-administered remotely prior to diagnostic appointments, a need that has been exacerbated by the current pandemic, to provide clinicians with increased information to aid diagnosis.