telemedicine

Update: The placebo effect works even when people know they are taking a placebo

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Wel­come to a new edi­tion of Sharp­Brains’ e‑newsletter, fea­tur­ing 14 research find­ings, resources and tips for brain health … and start­ing with this fas­ci­nat­ing study:

#1. Wow. The place­bo effect works even when peo­ple know they are tak­ing a placebo

#2. Beat­ing Alzheimer’s Dis­ease will require a com­bined physical/ men­tal approach: From the ten fac­tors found to increase AD risk in the most com­pre­hen­sive evi­dence review to date,

#3. “The health­i­est peo­ple are the ones who grow with age and expe­ri­ence; even in times of trou­ble like these.” — Dhar­ma Singh Khal­sa, MD, Pres­i­dent of the Alzheimer’s Research and Pre­ven­tion Foun­da­tion. On Stress, Yoga Med­i­ta­tion, and The Evo­lu­tion Revolution

#4. “Accep­tance that Alzheimer’s dis­ease is a lifestyle dis­ease, lit­tle dif­fer­ent from oth­er age-relat­ed dis­eases, that is the sum of a life­time is the most impor­tant break­through of the decade.” — George Per­ry, PhD, Edi­tor-in-Chief of the Jour­nal of Alzheimer’s Dis­ease. High­er body mass index (BMI) linked to low­er blood sup­ply to the brain in large neu­roimag­ing study

#5. “Atten­tion is a scarce resource. Think about your atten­tion­al focus as the beam of a light. If the light is on an object it can­not be on oth­er objects at the same time with the same inten­si­ty … Although we typ­i­cal­ly have the feel­ing that mul­ti­task­ing saves us time, it is often not the case.” Sim­ple, quick brain teas­er to test the lim­its of multitasking

#6. If it appears to rotate, RT ? Fun opti­cal illu­sion to tease your mind

#7. Every cloud has a sil­ver lin­ing: How and when will the telemed­i­cine surge reach men­tal healthcare?

#8. Not a minute too soon: Mag­el­lan Health is test­ing biofeed­back videogame Might­i­er to help chil­dren bet­ter self-reg­u­late stress

#9. “In a time when emo­tions like stress, anx­i­ety, bore­dom, and anger are hard to avoid, a new study sug­gests that a par­tic­u­lar med­i­ta­tion prac­tice can help us face them.” Study: Med­i­ta­tion prac­tice, both for­mal and infor­mal, helps devel­op equa­nim­i­ty over time

#10. Ever since dis­cov­er­ing Bar­bara Arrow­smith-Young’s life tra­jec­to­ry via Nor­main Doidge’s fan­tas­tic book The Brain That Changes Itself, we have been impressed by her cre­ativ­i­ty, sta­mi­na and courage. Com­ing soon: Vir­tu­al World Tour at the fron­tier of applied neu­ro­plas­tic­i­ty, edu­ca­tion and learn­ing difficulties

#11. “Neur­al sig­nals will be used to devel­op algo­rithms that will help researchers deter­mine the opti­mal brain state under which indi­vid­u­als can receive infor­ma­tion. From there, the team will deter­mine the most effec­tive means of enhanc­ing the sub­jects’ abil­i­ty to intake and process infor­ma­tion. This could range from non-inva­sive neuromodulation—or brain stimulation—techniques to the use of aug­ment­ed real­i­ty to alter per­ceived envi­ron­men­tal con­di­tions.” Air Force announces research plat­form to har­ness closed-loop neu­rotech­nol­o­gy and accel­er­ate learn­ing “on the fly”

#12. Good to hear that “ensur­ing the pri­va­cy and secu­ri­ty of study par­tic­i­pants’ data is a high pri­or­i­ty for both UCLA and Apple. UCLA will process and main­tain study data in a secure envi­ron­ment … UCLA and Apple will ana­lyze the data only after they are cod­ed and stripped of names and oth­er con­tact infor­ma­tion.” UCLA launch­es major men­tal health study col­lect­ing & ana­lyz­ing data from Apple wear­ables to bet­ter under­stand depres­sion and anxiety

#13. Flex­i­bil­i­ty is good except when it isn’t: Study finds how sci­en­tists can reach dif­fer­ent con­clu­sions ana­lyz­ing the same brain scans

#14. “I have so much to accom­plish today that I must med­i­tate for two hours instead of one” — Gand­hi, as quot­ed in Sev­en evi­dence-based rea­sons to start med­i­tat­ing yesterday

Wish­ing you a safe and healthy September,

Alvaro Fer­nan­dez on behalf of the Sharp­Brains Team

Debate: How and when will the telemedicine surge reach mental healthcare?

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Covid-19 Pan­dem­ic Dri­ves Patients—and Deal Makers—to Telemed­i­cine (The Wall Street Journal):

The coro­n­avirus pan­dem­ic has put the once-niche cat­e­go­ry of telemed­i­cine in the spot­light and is now dri­ving a flur­ry of deal activ­i­ty involv­ing vir­tu­al health-care providers … Patients have embraced vir­tu­al care as a way to stay in touch with doc­tors for urgent care or chron­ic care man­age­ment with­out risk­ing expo­sure to the coro­n­avirus by vis­it­ing med­ical offices. Telemed­i­cine vis­its are typ­i­cal­ly con­duct­ed between a doc­tor and patient using video­con­fer­enc­ing or a phone call and are used to address minor ail­ments like colds as well as man­age­ment of chron­ic con­di­tions like dia­betes. [Read more…] about Debate: How and when will the telemed­i­cine surge reach men­tal healthcare?

Dr. Michael Merzenich: To harness Neuroplasticity for cognitive enhancement, we need to think “Fitness” more than “Games”

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KavliPrize-Neuro(Edi­tor’s Note: In order to help read­ers famil­iar­ize them­selves with the work and think­ing of Dr. Michael Merzenich, one of the win­ners of the 2016 Kavli Prize in Neu­ro­science for ground­break­ing work on neu­ro­plas­tic­i­ty, we are con­dens­ing and repub­lish­ing the com­pre­hen­sive con­ver­sa­tion that Dr. Merzenich and Alvaro Fer­nan­dez had in 2009, in prepa­ra­tion for the inau­gur­al Sharp­Brains Vir­tu­al Sum­mit.)

Dr. Michael Merzenich, Emer­i­tus Pro­fes­sor at UCSF, is a lead­ing pio­neer in brain plas­tic­i­ty research. In the late 1980s, Dr. Merzenich was on the team that invent­ed the cochlear implant. In 1996, he was the found­ing CEO of Sci­en­tif­ic Learn­ing Cor­po­ra­tion, and in 2004 became co-founder and [Read more…] about Dr. Michael Merzenich: To har­ness Neu­ro­plas­tic­i­ty for cog­ni­tive enhance­ment, we need to think “Fit­ness” more than “Games”

Survey: Growing demand for digital psychotherapies to help veterans deal with substance abuse, depression, problem solving and insomnia

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e-mental-healthVet­er­ans go for dig­i­tal psy­chother­a­py (Health­care IT News):

“Com­put­er­ized psy­chother­a­pies, or CPTs, hold great inter­est for vet­er­ans receiv­ing out­pa­tient treat­ment, accord­ing to a study pub­lished in Telemed­i­cine and e‑Health. The study, rely­ing on infor­ma­tion pro­vid­ed by 151 vet­er­ans receiv­ing treat­ment in a Vet­er­ans Health Admin­is­tra­tion sub­stance use dis­or­der out­pa­tient clin­ic, showed vet­er­ans were [Read more…] about Sur­vey: Grow­ing demand for dig­i­tal psy­chother­a­pies to help vet­er­ans deal with sub­stance abuse, depres­sion, prob­lem solv­ing and insomnia

Emerging digital technologies to maintain autonomy and health

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Quick heads-up: Inter­est­ing upcom­ing event (Oct. 25–26th) in Nice, France, orga­nized by the French Amer­i­can Biotech­nol­o­gy Sym­po­sium, focused on “Con­tri­bu­tion of dig­i­tal tech­nolo­gies to main­tain the auton­o­my of aging peo­ple,” and dis­cussing inno­va­tion around telemed­i­cine, med­ical devices in home care, bio­engi­neer­ing, neu­rostim­u­la­tion, neur­al implants.

The orga­niz­ers want to engage French and Amer­i­can aca­d­e­m­ic researchers, stu­dents, sci­en­tists involved in R&D projects, entre­pre­neurs and rep­re­sen­ta­tives of the ICT and phar­ma­ceu­ti­cal industries.

To Learn More, vis­it FABS 2012.

Relat­ed articles:

Michael Merzenich on Brain Training, Assessments, and Personal Brain Trainers

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Dr. Michael Merzenich Dr. Michael Merzenich, Emer­i­tus Pro­fes­sor at UCSF, is a lead­ing pio­neer in brain plas­tic­i­ty research. In the late 1980s, Dr. Merzenich was on the team that invent­ed the cochlear implant. In 1996, he was the found­ing CEO of Sci­en­tif­ic Learn­ing Cor­po­ra­tion (Nas­daq: SCIL), and in 2004 became co-founder and Chief Sci­en­tif­ic Offi­cer of Posit Sci­ence. He was elect­ed to the Nation­al Acad­e­my of Sci­ences in 1999 and to the Insti­tute of Med­i­cine this year. He retired as Fran­cis A. Sooy Pro­fes­sor and Co-Direc­tor of the Keck Cen­ter for Inte­gra­tive Neu­ro­science at the Uni­ver­si­ty of Cal­i­for­nia at San Fran­cis­co in 2007. You may have learned about his work in one of PBS TV spe­cials, mul­ti­ple media appear­ances, or neu­ro­plas­tic­i­ty-relat­ed books.

(Alvaro Fer­nan­dez) Dear Michael, thank you very much for agree­ing to par­tic­i­pate in the inau­gur­al Sharp­Brains Vir­tu­al Sum­mit in Jan­u­ary, and for your time today. In order to con­tex­tu­al­ize the Sum­mit’s main themes, I would like to focus this inter­view on the like­ly big-pic­ture impli­ca­tions dur­ing the next 5 years of your work and that of oth­er neu­ro­plas­tic­i­ty research and indus­try pioneers.

Thank you for invit­ing me. I believe the Sharp­Brains Sum­mit will be very use­ful and stim­u­lat­ing, you are gath­er­ing an impres­sive group togeth­er. I am look­ing for­ward to January.

Neu­ro­plas­tic­i­ty-based Tools: The New Health & Well­ness Frontier

There are many dif­fer­ent tech­nol­o­gy-free approach­es to harnessing/ enabling/ dri­ving neu­ro­plas­tic­i­ty. What is the val­ue that tech­nol­o­gy brings to the cog­ni­tive health table?

It’s all about effi­cien­cy, scal­a­bil­i­ty, per­son­al­iza­tion, and assured effec­tive­ness. Tech­nol­o­gy sup­ports the imple­men­ta­tion of near-opti­mal­ly-effi­cient brain-train­ing strate­gies. Through the Inter­net, it enables the low-cost dis­tri­b­u­tion of these new tools, any­where out in the world. Tech­nol­o­gy also enables the per­son­al­iza­tion of brain health train­ing, by pro­vid­ing sim­ple ways to mea­sure and address indi­vid­ual needs in each per­son­’s brain-health train­ing expe­ri­ence. It enables assess­ments of your abil­i­ties that can affirm that your own brain health issues have been effec­tive­ly addressed.

Of course sub­stan­tial gains could also be achieved by orga­niz­ing your every­day activ­i­ties that grow your neu­ro­log­i­cal abil­i­ties and sus­tain your brain health. Still, if the ordi­nary cit­i­zen is to have any real chance of main­tain­ing their brain fit­ness, they’re going to have to spend con­sid­er­able time at the brain gym!

One espe­cial­ly impor­tant con­tri­bu­tion of tech­nol­o­gy is the scal­a­bil­i­ty that it pro­vides for deliv­er­ing brain fit­ness help out into the world. Think about how effi­cient the drug deliv­ery sys­tem is today. Doc­tors pre­scribe drugs, insur­ance cov­ers them, and there is a drug store in every neigh­bor­hood in almost every city in the world so that every patient has access to them. Once neu­ro­plas­tic­i­ty-based tools and out­comes and stan­dard­ized, we can envi­sion a sim­i­lar sce­nario. And we don’t need all those drug stores, because we have the Internet!

Hav­ing said this, there are obvi­ous obsta­cles. One main one, in my mind, is the lack of under­stand­ing of what these new tools can do. Cog­ni­tive train­ing pro­grams, for exam­ple, seem counter-intu­itive to con­sumers and many pro­fes­sion­als “ why would one try to improve speed-of-pro­cess­ing if all one cares about is mem­o­ry? A sec­ond obvi­ous prob­lem is to get indi­vid­u­als to buy into the effort required to real­ly change their brains for the bet­ter. That buy-in has been achieved for many indi­vid­u­als as it applies to their phys­i­cal health, but we haven’t got­ten that far yet in edu­cat­ing the aver­age old­er per­son that brain fit­ness train­ing is an equal­ly effort­ful business!

Tools for Safer Dri­ving: Teens and Adults

Safe dri­ving seems to be one area where the ben­e­fits are more intu­itive, which may explain the sig­nif­i­cant traction.

Yes, we see great poten­tial and inter­est among insur­ers for improv­ing dri­ving safe­ty, both for seniors and teens. Appro­pri­ate cog­ni­tive train­ing can low­er at-fault acci­dent rates. You can mea­sure clear ben­e­fits in rel­a­tive­ly short time frames, so it won’t take long for insur­ers to see an eco­nom­ic ratio­nale to not only offer pro­grams at low cost or for free but to incen­tivize dri­vers to com­plete them. All­state, AAA, State Farm and oth­er insur­ers are begin­ning to real­ize this poten­tial. It is impor­tant to note that typ­i­cal acci­dents among teens and seniors are dif­fer­ent, so that train­ing method­olo­gies will need to be dif­fer­ent for dif­fer­ent high-risk populations.

Yet, most dri­ving safe­ty ini­tia­tives today still focus on edu­cat­ing dri­vers, rather that train­ing them neu­ro­log­i­cal­ly. We mea­sure vision, for exam­ple, but com­plete­ly ignore atten­tion­al con­trol abil­i­ties, or a dri­ver’s use­ful field of view. I expect this to change sig­nif­i­cant­ly over the next few years.

Long-term care and health insur­ance com­pa­nies will ulti­mate­ly see sim­i­lar ben­e­fits, and we believe that they will fol­low a sim­i­lar course of action to reduce gen­er­al med­ical and neu­rode­gen­er­a­tive dis­ease- (Mild Cog­ni­tive Impair­ment and Alzheimer’s- and Parkin­sons-) relat­ed costs. In fact, many senior liv­ing com­mu­ni­ties are among the pio­neers in this field.

Boomers & Beyond: Main­tain­ing Cog­ni­tive Vitality

Main­stream media is cov­er­ing this emerg­ing cat­e­go­ry with thou­sands of sto­ries. But most cov­er­age seems still focused on does it work? more than “how do we define It”, what does work mean? or work for whom, and for what? Can you sum­ma­rize what recent research suggests?

We have seen clear pat­terns in the appli­ca­tion of our train­ing pro­grams, some pub­lished (like IMPACT), some unpub­lished, some with healthy adults, and some with peo­ple with mild cog­ni­tive impair­ment or ear­ly Alzheimers Dis­ease (AD). What we see in every case: [Read more…] about Michael Merzenich on Brain Train­ing, Assess­ments, and Per­son­al Brain Trainers