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Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial.
Cubo, Esther; Garcia-Bustillo, Alvaro; Arnaiz-Gonzalez, Alvar; Ramirez-Sanz, Jose Miguel; Garrido-Labrador, Jose Luis; Valiñas, Florita; Allende, Marta; Gonzalez-Bernal, Jeronimo Javier; Gonzalez-Santos, Josefa; Diez-Pastor, José Francisco; Jahouh, Maha; Arribas, Jana; Trejo, Jose.
  • Cubo E; Hospital Universitario Burgos, Burgos, Spain.
  • Garcia-Bustillo A; Facultad Ciencias de la Salud, University of Burgos, Burgos, Spain.
  • Arnaiz-Gonzalez A; Hospital Universitario Burgos, Burgos, Spain.
  • Ramirez-Sanz JM; Facultad Ciencias de la Salud, University of Burgos, Burgos, Spain.
  • Garrido-Labrador JL; Facultad Ingeniera Informática, Universidad de Burgos, Burgos, Spain.
  • Valiñas F; Facultad Ingeniera Informática, Universidad de Burgos, Burgos, Spain.
  • Allende M; Facultad Ingeniera Informática, Universidad de Burgos, Burgos, Spain.
  • Gonzalez-Bernal JJ; Hospital Universitario Burgos, Burgos, Spain.
  • Gonzalez-Santos J; Hospital Universitario Burgos, Burgos, Spain.
  • Diez-Pastor JF; Facultad Ciencias de la Salud, University of Burgos, Burgos, Spain.
  • Jahouh M; Facultad Ciencias de la Salud, University of Burgos, Burgos, Spain.
  • Arribas J; Facultad Ingeniera Informática, Universidad de Burgos, Burgos, Spain.
  • Trejo J; Facultad Ciencias de la Salud, University of Burgos, Burgos, Spain.
PLoS One ; 16(12): e0260889, 2021.
Article in English | MEDLINE | ID: covidwho-1592578
ABSTRACT

BACKGROUND:

Approximately 40-70% of people with Parkinson's disease (PD) fall each year, causing decreased activity levels and quality of life. Current fall-prevention strategies include the use of pharmacological and non-pharmacological therapies. To increase the accessibility of this vulnerable population, we developed a multidisciplinary telemedicine program using an Information and Communication Technology (ICT) platform. We hypothesized that the risk for falling in PD would decrease among participants receiving a multidisciplinary telemedicine intervention program added to standard office-based neurological care.

OBJECTIVE:

To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.

METHODS:

Ongoing, longitudinal, randomized, single-blinded, case-control, clinical trial. We will include 76 non-demented patients with idiopathic PD with a high risk of falling and limited access to multidisciplinary care. The intervention group (n = 38) will receive multidisciplinary remote care in addition to standard medical care, and the control group (n = 38) standard medical care only. Nutrition, sarcopenia and frailty status, motor, non-motor symptoms, health-related quality of life, caregiver burden, falls, balance and gait disturbances, direct and non-medical costs will be assessed using validated rating scales.

RESULTS:

This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.

CONCLUSION:

In this challenging initiative, we will determine whether a multidisciplinary telemedicine intervention program can reduce falls, as an alternative intervention option for PD patients with restricted access to multidisciplinary care. TRIAL REGISTRATION ClinicalTrials.gov Identifier NCT04694443.
Subject(s)

Full text: Available Collection: International databases Database: MEDLINE Main subject: Parkinson Disease / Patient Care Team / Accidental Falls / Telemedicine / Exercise Therapy / Gait Type of study: Controlled clinical trial / Clinical Practice Guide / Observational study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260889

Full text: Available Collection: International databases Database: MEDLINE Main subject: Parkinson Disease / Patient Care Team / Accidental Falls / Telemedicine / Exercise Therapy / Gait Type of study: Controlled clinical trial / Clinical Practice Guide / Observational study / Randomized controlled trials / Risk factors Limits: Adolescent / Adult / Aged / Female / Humans / Male / Middle aged / Young adult Language: English Journal: PLoS One Journal subject: Science / Medicine Year: 2021 Document Type: Article Affiliation country: Journal.pone.0260889