![conference banner](/images/conference-banner.jpeg)
Abstract
Alzheimer’s disease (AD) is a progressive, multifactorial, chronic, neurodegenerative disease with high prevalence and limited therapeutic options, making it a global health crisis. Being the most common cause of dementia, AD erodes the cognitive, functional, and social abilities of the individual and causes escalating medical and psychosocial needs. As yet, this disorder has no cure and current treatment options are palliative in nature. There is an urgent need for novel therapy to address this pressing challenge. Digital therapeutics (Dtx) is one such novel therapy that is gaining popularity globally. Dtx provides evidence based therapeutic interventions driven by internet and software, employing tools such as mobile devices, computers, videogames, apps, sensors, virtual reality aiding in the prevention, management, and treatment of ailments like neurological abnormalities and chronic diseases. Dtx acts as a supportive tool for the optimization of patient care, individualized treatment and improved health outcomes. Dtx uses visual, sound and other non-invasive approaches for instanceconsistent therapy, reminiscence therapy, computerised cognitive training, semantic and phonological assistance devices, wearables and computer-assisted rehabilitation environment to find applications in Alzheimer's disease for improving memory, cognition, functional abilities and managing motor symptom. A few of the Dtx-based tools employed in AD include "Memory Matters", "AlzSense", "Alzheimer Assistant", "smart robotic dog", "Immersive virtual reality (iVR)" and the most current gamma stimulation. The purpose of this review article is to summarize the current trends in digital health in AD and explore the benefits, challenges, and impediments of using Dtx as an adjunctive therapy for the management of AD.
Keywords: Alzheimer’s disease, dementia, reminiscence therapy, mobile apps, internet of things, digital health.
[http://dx.doi.org/10.1002/alz.12638] [PMID: 35289055]
[http://dx.doi.org/10.1038/nrneurol.2011.2] [PMID: 21304480]
[http://dx.doi.org/10.1186/1471-2318-14-6] [PMID: 24456381]
[http://dx.doi.org/10.1111/psyg.12141] [PMID: 27148797]
[http://dx.doi.org/10.1371/journal.pone.0132168] [PMID: 26154626]
[http://dx.doi.org/10.1212/WNL.51.1_Suppl_1.S53] [PMID: 9674763]
[http://dx.doi.org/10.1177/089826439500700202] [PMID: 10172777]
[http://dx.doi.org/10.1037/0882-7974.10.4.540] [PMID: 8749581]
[PMID: 11072482]
[http://dx.doi.org/10.1093/brain/awt171] [PMID: 23824488]
[http://dx.doi.org/10.5152/npa.2017.11304] [PMID: 28566965]
[http://dx.doi.org/10.1046/j.1563-258x.2002.01127.x] [PMID: 11925775]
[http://dx.doi.org/10.1016/j.ejmcr.2022.100044]
[http://dx.doi.org/10.1016/0165-6147(91)90609-V] [PMID: 1763432]
[http://dx.doi.org/10.1016/j.biopha.2022.112746] [PMID: 35231697]
[http://dx.doi.org/10.3233/JAD-2010-1221] [PMID: 20061647]
[http://dx.doi.org/10.1016/j.neuint.2010.12.003] [PMID: 21167244]
[http://dx.doi.org/10.1016/j.npep.2015.06.008] [PMID: 26149638]
[http://dx.doi.org/10.3389/fnins.2018.00025] [PMID: 29440986]
[http://dx.doi.org/10.1073/pnas.83.13.4913] [PMID: 3088567]
[http://dx.doi.org/10.1016/S0891-5849(02)00794-3] [PMID: 12031889]
[http://dx.doi.org/10.1093/hmg/ddq160] [PMID: 20413653]
[http://dx.doi.org/10.1001/jamaneurol.2013.5847] [PMID: 24493463]
[http://dx.doi.org/10.1007/s00401-015-1387-2] [PMID: 25600324]
[http://dx.doi.org/10.1126/science.1072994] [PMID: 12130773]
[http://dx.doi.org/10.1021/cb400080f] [PMID: 23506614]
[http://dx.doi.org/10.1056/NEJMra0909142] [PMID: 20107219]
[http://dx.doi.org/10.1038/374647a0] [PMID: 7715705]
[http://dx.doi.org/10.2353/ajpath.2007.060378] [PMID: 17255335]
[http://dx.doi.org/10.1006/bbrc.1996.1197] [PMID: 8753786]
[http://dx.doi.org/10.1017/S1092852900014164] [PMID: 16273023]
[PMID: 34191703]
[http://dx.doi.org/10.3390/molecules27061816] [PMID: 35335180]
[http://dx.doi.org/10.1016/j.prmcm.2021.100030]
[http://dx.doi.org/10.1016/j.bcp.2013.12.012] [PMID: 24380887]
[http://dx.doi.org/10.1007/s11011-020-00622-2] [PMID: 32986168]
[http://dx.doi.org/10.1056/NEJMoa013128] [PMID: 12672860]
[http://dx.doi.org/10.7759/cureus.17591] [PMID: 34646644]
[PMID: 28706327]
[http://dx.doi.org/10.1016/j.biopha.2021.111623] [PMID: 33915504]
[http://dx.doi.org/10.4103/picr.PICR_89_19] [PMID: 32670828]
[http://dx.doi.org/10.12793/tcp.2019.27.1.6] [PMID: 32055575]
[http://dx.doi.org/10.1016/j.brat.2016.08.012] [PMID: 28110672]
[http://dx.doi.org/10.1080/10810730.2012.650613] [PMID: 22548601]
[http://dx.doi.org/10.1089/dia.2008.0283] [PMID: 18473689]
[http://dx.doi.org/10.2196/32759] [PMID: 35080499]
[http://dx.doi.org/10.1002/cpt.1036] [PMID: 29377057]
[http://dx.doi.org/10.1038/nbt.3495] [PMID: 26963544]
[http://dx.doi.org/10.30773/pi.2019.01.20] [PMID: 30808114]
[http://dx.doi.org/10.4103/jfmpc.jfmpc_105_20] [PMID: 32754475]
[http://dx.doi.org/10.3389/fdigh.2015.00006]
[http://dx.doi.org/10.2217/fon.13.42] [PMID: 23647287]
[http://dx.doi.org/10.1080/14740338.2018.1508447] [PMID: 30073875]
[http://dx.doi.org/10.4258/hir.2022.28.3.188] [PMID: 35982593]
[http://dx.doi.org/10.2196/12490] [PMID: 30912758]
[http://dx.doi.org/10.1016/j.cmpb.2021.106319] [PMID: 34364181]
[http://dx.doi.org/10.3389/fnhum.2018.00171] [PMID: 29780310]
[http://dx.doi.org/10.1016/j.bbr.2014.12.033] [PMID: 25541035]
[http://dx.doi.org/10.1183/13993003.03103-2020] [PMID: 33334936]
[http://dx.doi.org/10.1007/s11882-019-0840-z] [PMID: 30712150]
[PMID: 23009698]
[http://dx.doi.org/10.1080/13696998.2020.1776298] [PMID: 32468884]
[http://dx.doi.org/10.3390/ijerph18062929] [PMID: 33809308]
[http://dx.doi.org/10.2196/jmir.1151] [PMID: 19632969]
[http://dx.doi.org/10.3389/fneur.2018.00099] [PMID: 29551988]
[http://dx.doi.org/10.1093/her/cyn012] [PMID: 18682382]
[http://dx.doi.org/10.1177/1533317514545866] [PMID: 25107931]
[http://dx.doi.org/10.1001/jamapsychiatry.2017.0262] [PMID: 28384700]
[http://dx.doi.org/10.21037/jhmhp-20-103] [PMID: 34308256]
[http://dx.doi.org/10.5665/sleep.1872] [PMID: 22654196]
[http://dx.doi.org/10.1038/532020a] [PMID: 27078548]
[http://dx.doi.org/10.2196/14842] [PMID: 32134720]
[http://dx.doi.org/10.1111/epi.16317] [PMID: 31423591]
[http://dx.doi.org/10.2196/22489] [PMID: 34047709]
[http://dx.doi.org/10.1016/j.seizure.2020.03.020] [PMID: 32417687]
[http://dx.doi.org/10.1038/s41569-021-00522-7] [PMID: 33664502]
[http://dx.doi.org/10.3389/fneur.2021.690404] [PMID: 34326807]
[http://dx.doi.org/10.3389/fneur.2021.724904] [PMID: 34489858]
[http://dx.doi.org/10.3389/fnagi.2022.845825] [PMID: 35677205]
[http://dx.doi.org/10.2196/mhealth.4269] [PMID: 26323749]
[http://dx.doi.org/10.3389/fpsyt.2018.00388] [PMID: 30210370]
[http://dx.doi.org/10.1080/02687030903474255] [PMID: 21170283]
[http://dx.doi.org/10.1109/EMBC.2018.8513049]
[http://dx.doi.org/10.1111/inm.12692] [PMID: 31984570]
[http://dx.doi.org/10.1097/jnr.0000000000000233] [PMID: 29016468]
[http://dx.doi.org/10.3233/THC-2011-0628] [PMID: 21849735]
[http://dx.doi.org/10.1186/s12984-019-0492-1] [PMID: 30696453]
[http://dx.doi.org/10.2196/17167] [PMID: 32159519]
[PMID: 31686090]
[http://dx.doi.org/10.1016/S0140-6736(16)31355-1] [PMID: 27560260]
[http://dx.doi.org/10.5853/jos.2019.01963] [PMID: 31587534]
[http://dx.doi.org/10.1016/S2215-0366(19)30132-4] [PMID: 31324560]
[http://dx.doi.org/10.1007/s10865-018-9966-z] [PMID: 30825090]
[http://dx.doi.org/10.1186/1471-244X-12-189] [PMID: 23126676]
[http://dx.doi.org/10.1016/j.jamda.2015.07.010] [PMID: 26341034]
[http://dx.doi.org/10.1177/147323000903700401] [PMID: 19761679]
[http://dx.doi.org/10.3344/kjp.2021.34.3.247] [PMID: 34193631]
[http://dx.doi.org/10.2196/20049] [PMID: 32540841]
[http://dx.doi.org/10.1016/j.genhosppsych.2020.06.009] [PMID: 32688094]
[http://dx.doi.org/10.2196/18848]
[http://dx.doi.org/10.1093/geronb/gbz152] [PMID: 31781769]
[http://dx.doi.org/10.1016/j.jagp.2019.07.010] [PMID: 31402088]
[http://dx.doi.org/10.1080/08870446.2014.979823] [PMID: 25350585]
[http://dx.doi.org/10.1136/bcr-2021-242550] [PMID: 34140328]
[http://dx.doi.org/10.1177/175045891702700601] [PMID: 29239200]
[http://dx.doi.org/10.1111/cts.12910] [PMID: 33048475]
[http://dx.doi.org/10.2217/pme-2020-0071]
[http://dx.doi.org/10.1186/s13098-022-00818-9] [PMID: 35365189]
[http://dx.doi.org/10.1007/s43441-021-00288-7] [PMID: 33914297]
[http://dx.doi.org/10.1038/s41746-020-00370-8] [PMID: 33311567]
[http://dx.doi.org/10.1007/s11883-020-00889-x] [PMID: 33009975]
[http://dx.doi.org/10.1016/j.cger.2019.07.004] [PMID: 31543180]
[http://dx.doi.org/10.3233/JPD-202407] [PMID: 33646177]
[http://dx.doi.org/10.1177/0098858816658275] [PMID: 29086648]
[http://dx.doi.org/10.1016/j.socscimed.2015.04.004] [PMID: 25864149]
[http://dx.doi.org/10.1192/bjp.bp.113.142612] [PMID: 25833865]
[http://dx.doi.org/10.1111/papt.12222] [PMID: 30924316]
[http://dx.doi.org/10.1002/cpt.1100] [PMID: 29696625]
[PMID: 27762198]
[http://dx.doi.org/10.12968/hmed.2018.79.12.672] [PMID: 30526097]
[http://dx.doi.org/10.1093/geront/gnx167] [PMID: 29361069]
[http://dx.doi.org/10.1001/jama.2010.1253] [PMID: 20810376]
[http://dx.doi.org/10.1186/s12877-021-02511-4] [PMID: 34670502]
[http://dx.doi.org/10.1111/j.1532-5415.2010.02971.x] [PMID: 20662955]
[http://dx.doi.org/10.1001/jama.290.15.2015] [PMID: 14559955]
[http://dx.doi.org/10.3390/diagnostics11081473] [PMID: 34441407]
[http://dx.doi.org/10.3390/life12020275] [PMID: 35207561]
[http://dx.doi.org/10.14336/AD.2020.0312] [PMID: 33269107]
[http://dx.doi.org/10.1002/cpt.212] [PMID: 26272508]
[http://dx.doi.org/10.2196/23868] [PMID: 33079070]
[http://dx.doi.org/10.1038/s41746-021-00506-4] [PMID: 34493819]
[http://dx.doi.org/10.4108/icst.mobihealth.2014.257523]
[PMID: 27332475]
[http://dx.doi.org/10.1109/ColumbianCC.2015.7333433]
[http://dx.doi.org/10.1177/1525740114544026]
[http://dx.doi.org/10.1049/htl.2016.0057] [PMID: 28008366]
[http://dx.doi.org/10.1177/0733464815617287] [PMID: 26675353]
[http://dx.doi.org/10.1007/s12652-018-0827-y]
[http://dx.doi.org/10.2196/medinform.5587] [PMID: 29716885]
[http://dx.doi.org/10.2196/jmir.8095] [PMID: 29042342]
[http://dx.doi.org/10.1016/j.procs.2020.01.053]
[http://dx.doi.org/10.1093/pm/pnx028] [PMID: 28340247]
[http://dx.doi.org/10.3389/fnagi.2018.00117] [PMID: 29946251]
[http://dx.doi.org/10.1007/s12243-010-0165-3]
[http://dx.doi.org/10.1177/2055668317710593] [PMID: 31186930]
[http://dx.doi.org/10.1186/s12877-018-0879-z] [PMID: 30119653]
[PMID: 30061093]
[http://dx.doi.org/10.1017/S0144686X0400248X]
[http://dx.doi.org/10.1145/2668883.2668889]
[http://dx.doi.org/10.1016/j.dadm.2015.06.005] [PMID: 27239514]
[http://dx.doi.org/10.1145/3180308.3180332]
[http://dx.doi.org/10.1145/3173574.3173949]
[http://dx.doi.org/10.1155/2019/7151475] [PMID: 31032361]
[http://dx.doi.org/10.1002/14651858.CD012277.pub2] [PMID: 30864187]
[http://dx.doi.org/10.1007/s11065-022-09537-4] [PMID: 35157209]
[http://dx.doi.org/10.1002/14651858.CD011961.pub2] [PMID: 32101639]
[PMID: 34748207]
[http://dx.doi.org/10.3109/0963828820151025992]
[http://dx.doi.org/10.1016/S0010-440X(03)00006-3] [PMID: 12764709]
[http://dx.doi.org/10.1111/j.1749-6632.1996.tb34427.x] [PMID: 8624093]
[http://dx.doi.org/10.1177/1533317514539724] [PMID: 24951634]
[http://dx.doi.org/10.1016/j.jamda.2014.09.010] [PMID: 25444575]
[http://dx.doi.org/10.1016/j.jamda.2017.09.019] [PMID: 29153754]
[http://dx.doi.org/10.1111/1460-6984.12391] [PMID: 29749112]
[http://dx.doi.org/10.1016/j.trci.2018.04.003] [PMID: 29955666]
[http://dx.doi.org/10.1016/j.trci.2018.08.003] [PMID: 30258977]
[http://dx.doi.org/10.1186/s12877-020-01563-2] [PMID: 32375661]
[http://dx.doi.org/10.1038/s41393-020-00569-2] [PMID: 33077900]
[http://dx.doi.org/10.1016/j.jamda.2019.06.026]
[http://dx.doi.org/10.1371/journal.pone.0187779] [PMID: 29211727]
[http://dx.doi.org/10.1016/j.rehab.2019.04.004] [PMID: 31078706]
[http://dx.doi.org/10.1186/s12984-021-00917-0] [PMID: 34819097]
[http://dx.doi.org/10.1089/g4h.2019.0016] [PMID: 31800322]
[http://dx.doi.org/10.1093/ageing/afac175] [PMID: 35930726]
[http://dx.doi.org/10.3389/fneur.2021.683385] [PMID: 34434157]
[http://dx.doi.org/10.3389/fneur.2022.903673] [PMID: 35989930]
[http://dx.doi.org/10.1002/14651858.CD009848.pub2] [PMID: 25432016]
[http://dx.doi.org/10.1186/s13195-021-00806-7] [PMID: 33785077]
[http://dx.doi.org/10.1080/17483107.2020.1785566] [PMID: 32697614]
[http://dx.doi.org/10.1186/s13195-018-0454-z] [PMID: 30611286]
[http://dx.doi.org/10.2196/16841] [PMID: 32602841]
[http://dx.doi.org/10.3233/JAD-170667] [PMID: 29689716]
[http://dx.doi.org/10.1542/peds.2008-2357] [PMID: 19596728]
[http://dx.doi.org/10.3389/fnagi.2018.00013] [PMID: 29456501]
[http://dx.doi.org/10.3233/JAD-160268] [PMID: 27372645]
[http://dx.doi.org/10.1177/1046878114531102]
[PMID: 25852542]
[http://dx.doi.org/10.1016/j.msard.2022.103823] [PMID: 35523062]
[http://dx.doi.org/10.1016/j.msard.2020.101966] [PMID: 32045868]
[http://dx.doi.org/10.1016/j.acn.2006.04.004] [PMID: 16769198]
[http://dx.doi.org/10.1080/09084280903297891]
[http://dx.doi.org/10.2196/20049]
[http://dx.doi.org/10.4018/978-1-4666-5888-2.ch095]
[http://dx.doi.org/10.1109/38.250914] [PMID: 7757252]
[http://dx.doi.org/10.1162/1054746011470226]
[http://dx.doi.org/10.1097/00001199-200210000-00002]
[http://dx.doi.org/10.1162/1054746053967094]
[http://dx.doi.org/10.1016/j.jagp.2014.04.009] [PMID: 24998488]
[http://dx.doi.org/10.1007/s10055-014-0252-2]
[http://dx.doi.org/10.1016/j.apnu.2014.09.003] [PMID: 25634868]
[http://dx.doi.org/10.1371/journal.pone.0092804] [PMID: 24671006]
[http://dx.doi.org/10.1017/S1352465813000830] [PMID: 24103196]
[http://dx.doi.org/10.1002/da.20734] [PMID: 20734361]
[http://dx.doi.org/10.1007/978-3-319-07464-1_30]
[http://dx.doi.org/10.1007/s00127-007-0173-4]
[http://dx.doi.org/10.1089/cpb.2005.8.220] [PMID: 15971972]
[http://dx.doi.org/10.1016/j.janxdis.2014.05.010] [PMID: 25093964]
[http://dx.doi.org/10.1016/S0169-2607(03)00066-X] [PMID: 14980398]
[http://dx.doi.org/10.3389/fnhum.2014.00112] [PMID: 24624073]
[http://dx.doi.org/10.1016/j.ijpsycho.2014.11.003] [PMID: 25448267]
[PMID: 10175344]
[http://dx.doi.org/10.1016/j.neuropsychologia.2010.12.031] [PMID: 21185847]
[http://dx.doi.org/10.1016/j.arr.2014.04.004] [PMID: 24943907]
[PMID: 22408614]
[http://dx.doi.org/10.1007/978-3-642-17824-5_9]
[http://dx.doi.org/10.1016/S0003-6870(02)00020-0] [PMID: 12164509]
[http://dx.doi.org/10.1016/j.bbr.2004.10.016] [PMID: 15817181]
[http://dx.doi.org/10.1038/nature12486]
[http://dx.doi.org/10.1109/IECBES.2012.6498023]
[http://dx.doi.org/10.1515/REVNEURO.2006.17.1-2.239] [PMID: 16703955]
[http://dx.doi.org/10.1177/1545968309353328] [PMID: 19934445]
[http://dx.doi.org/10.1523/JNEUROSCI.4556-11.2012] [PMID: 22323707]
[http://dx.doi.org/10.1007/s10339-015-0646-4]
[http://dx.doi.org/10.1073/pnas.1121588109] [PMID: 22308496]
[http://dx.doi.org/10.1073/pnas.0611314104] [PMID: 17360474]
[http://dx.doi.org/10.1212/01.wnl.0000326262.67613.fe] [PMID: 18794491]
[PMID: 25834437]
[http://dx.doi.org/10.3233/JAD-2011-110014] [PMID: 21841262]
[PMID: 26029101]
[http://dx.doi.org/10.1007/s11235-018-0430-8]
[http://dx.doi.org/10.1155/2020/8822598]
[http://dx.doi.org/10.1016/j.dadm.2015.09.006] [PMID: 26878035]
[http://dx.doi.org/10.1016/j.procs.2016.08.178]
[http://dx.doi.org/10.31142/ijtsrd23656]
[http://dx.doi.org/10.1145/2744206]
[http://dx.doi.org/10.1109/ACCESS.2020.2969482]
[http://dx.doi.org/10.3390/s21124249] [PMID: 34205793]
[http://dx.doi.org/10.2196/mhealth.3136]
[http://dx.doi.org/10.1016/j.trci.2019.09.002] [PMID: 31720365]
[http://dx.doi.org/10.1109/CAIS.2018.8442010]
[http://dx.doi.org/10.33436/v30i4y202001]
[http://dx.doi.org/10.1109/SeGAH.2018.8401351]
[http://dx.doi.org/10.1159/000500445] [PMID: 31266031]
[http://dx.doi.org/10.1002/pra2.2016.14505301082]
[http://dx.doi.org/10.1016/j.ridd.2014.07.047] [PMID: 25124700]
[http://dx.doi.org/10.1017/S0144686X21001446]
[http://dx.doi.org/10.1177/0891988718819864] [PMID: 30612511]
[http://dx.doi.org/10.1007/s12652-019-01534-5]
[http://dx.doi.org/10.1109/TENCON.2017.8228294]
[http://dx.doi.org/10.1109/MIC.2018.112102418]
[http://dx.doi.org/10.1016/j.trci.2018.02.005] [PMID: 29955655]
[http://dx.doi.org/10.1016/j.irbm.2016.02.007]
[http://dx.doi.org/10.1080/23311908.2021.1968991]
[http://dx.doi.org/10.1002/alz.054218]
[http://dx.doi.org/10.1002/trc2.12178] [PMID: 34027028]