This paper presents 16 consensus-based appropriate use recommendations for digital technology in cognitive telerehabilitation for people with Parkinson's disease, developed via SWOT analysis, workshops, and expert survey to address usability, safety, efficacy, and implementation.

Although it provides little mechanistic or therapeutic discovery content, these practical guidelines can enhance implementation, patient access, and the design of remote cognitive intervention trials in PD, aiding clinical delivery and translational research readiness.

PURPOSE: Digital technology offers promising applications for cognitive telerehabilitation in Parkinson's disease (PD), but its optimal use requires structured guidelines. This project aimed to develop appropriate use recommendations (AURs) for digital technology in cognitive telerehabilitation for people living with PD. METHODS: A multi-phase approach involving strengths, weaknesses, opportunities and threats (SWOT) analysis and expert consensus was utilised. RESULTS: The SWOT analysis, interactive workshops and survey outcomes informed the list of AURs for cognitive telerehabilitation. Consensus was reached on 16 AURs addressing usability, safety, efficacy and implementation. Strengths included enhanced engagement, flexibility and real-time feedback, with recommendations to tailor interventions to patient needs. Weaknesses centred on safety, technology adaptation and the need for tailored support. Opportunities included fostering social interactions, managing PD-related behavioural symptoms and leveraging advanced assessment methods. Threats included a lack of co-design with end-users and limited robust evidence of efficacy. CONCLUSION: The finalised AURs provide structured guidance on optimising digital technology for cognitive telerehabilitation in PD, balancing clinical efficacy with implementation challenges. These recommendations will support clinicians and researchers in delivering safe, effective and patient-centred digital interventions.