Momentum telemedicine service descriptions
Guttmann NeuroPersonalTrainer (ES)
Objectives, expected outcomes, main beneficiaries
The service’s objective is the continuous cognitive rehabilitation of a patient in their home through telerehabilitation systems. This rehabilitation reduces negative cognitive consequences, diminishes the level of patients’ disability, and makes their social and work reintegration easier. It also enables the personalisation of therapeutic plans, which is one of the most delicate and limiting aspects of cognitive rehabilitation. This platform reduces provider burden while, at the same time, optimises the intervention. It also promotes the professional-user relationship: this encourages the user to perform at his/her maximum capabilities and provides a means for monitoring the results.
Targeted population, number of patients
The target population is categorised as patients undergoing specific treatment. The Guttmann NeuroPersonalTrainer is a telemedicine platform that allows intensive cognitive rehabilitation. The conditions of the patients include cognitive impairment (Acquired Brain Injuries), dementia (through ageing), mental disorders, and intellectual disability.
Between 50 to 100 people receive the service each month. The estimated size of the targeted population nationally lies between 100,000 and 500,000.
Type of telemedicine service
The service is categorised as a rehabilitation service. The relationship between key actors in the service is patient to secondary care.
Set-up that was being replaced
The service replaces conventional paper-pencil tasks and face-to-face interventions for mental rehabilitation. There are no other alternatives to the telemedicine service described.
Outcomes and results expected after introduction
The service is expected to reduce the cost of the treatment (personnel, dedicated time) without reducing efficacy. It actually does so. In 60% of the interventions done with the platform there was a satisfactory clinical response.
There are currently 21 operating platforms: in hospitals, sociosanitari, integrated care centres, and sheltered/nursing homes.
The platform is based on open source web technologies. The main architecture of the platform is based on a client-server communication using HTTP and XML-RPC.
The service is operational, and is part of mainstream healthcare service.