Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial
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 populatio...
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| Veröffentlicht in: | PloS one 2021-12, Vol.16 (12), p.e0260889-e0260889 |
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| creator | 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 |
| description | 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.
To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.
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.
This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.
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.
ClinicalTrials.gov Identifier: NCT04694443. |
| doi_str_mv | 10.1371/journal.pone.0260889 |
| format | Article |
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To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.
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.
This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.
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.
ClinicalTrials.gov Identifier: NCT04694443.</description><identifier>ISSN: 1932-6203</identifier><identifier>EISSN: 1932-6203</identifier><identifier>DOI: 10.1371/journal.pone.0260889</identifier><identifier>PMID: 34932580</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Accidental Falls - prevention & control ; Adolescent ; Adult ; Aged ; Aged, 80 and over ; Artificial intelligence ; At risk populations ; Balance ; Case-Control Studies ; Clinical trials ; Computer and Information Sciences ; Cost analysis ; Cost assessments ; COVID-19 ; Disease prevention ; Evaluation ; Exercise ; Exercise Therapy - methods ; Falling ; Falls ; Falls (Accidents) ; Female ; Gait ; Health care ; Health services ; Hospitals ; Humans ; Injury prevention ; Intervention ; Longitudinal Studies ; Male ; Medical care ; Medicine and Health Sciences ; Middle Aged ; Movement disorders ; Neurodegenerative diseases ; Nutrition ; Older people ; Parkinson Disease - physiopathology ; Parkinson's disease ; Patient Care Team - statistics & numerical data ; Patients ; Pharmacology ; Physical fitness ; Population ; Prevention ; Quality management ; Quality of life ; Randomized Controlled Trials as Topic ; Research and Analysis Methods ; Sarcopenia ; Signs and symptoms ; Social Sciences ; Study Protocol ; Telemedicine ; Telemedicine - methods ; Video teleconferencing ; Young Adult</subject><ispartof>PloS one, 2021-12, Vol.16 (12), p.e0260889-e0260889</ispartof><rights>COPYRIGHT 2021 Public Library of Science</rights><rights>2021 Cubo et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>2021 Cubo et al 2021 Cubo et al</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c692t-d05c96c709224f9f9f57a84ea48cc66aa4534cdd7ddd8e28bbae8a696ee160523</citedby><cites>FETCH-LOGICAL-c692t-d05c96c709224f9f9f57a84ea48cc66aa4534cdd7ddd8e28bbae8a696ee160523</cites><orcidid>0000-0001-9591-8452 ; 0000-0003-0018-1182 ; 0000-0003-0189-8046 ; 0000-0002-2783-8036 ; 0000-0002-3441-4223 ; 0000-0003-1948-1353</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691608/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8691608/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,723,776,780,860,881,2096,2915,23845,27901,27902,53766,53768,79342,79343</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/34932580$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Cubo, Esther</creatorcontrib><creatorcontrib>Garcia-Bustillo, Alvaro</creatorcontrib><creatorcontrib>Arnaiz-Gonzalez, Alvar</creatorcontrib><creatorcontrib>Ramirez-Sanz, Jose Miguel</creatorcontrib><creatorcontrib>Garrido-Labrador, Jose Luis</creatorcontrib><creatorcontrib>Valiñas, Florita</creatorcontrib><creatorcontrib>Allende, Marta</creatorcontrib><creatorcontrib>Gonzalez-Bernal, Jeronimo Javier</creatorcontrib><creatorcontrib>Gonzalez-Santos, Josefa</creatorcontrib><creatorcontrib>Diez-Pastor, José Francisco</creatorcontrib><creatorcontrib>Jahouh, Maha</creatorcontrib><creatorcontrib>Arribas, Jana</creatorcontrib><creatorcontrib>Trejo, Jose</creatorcontrib><title>Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial</title><title>PloS one</title><addtitle>PLoS One</addtitle><description>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.
To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.
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.
This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.
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.
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Protocol for a longitudinal, randomized clinical trial</title><author>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</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c692t-d05c96c709224f9f9f57a84ea48cc66aa4534cdd7ddd8e28bbae8a696ee160523</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2021</creationdate><topic>Accidental Falls - prevention & control</topic><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Artificial intelligence</topic><topic>At risk populations</topic><topic>Balance</topic><topic>Case-Control Studies</topic><topic>Clinical trials</topic><topic>Computer and Information Sciences</topic><topic>Cost analysis</topic><topic>Cost assessments</topic><topic>COVID-19</topic><topic>Disease prevention</topic><topic>Evaluation</topic><topic>Exercise</topic><topic>Exercise Therapy - 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Academic</collection><collection>ProQuest Engineering Collection</collection><collection>ProQuest Biological Science Collection</collection><collection>Agricultural Science Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Biological Science Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Advanced Technologies & Aerospace Database</collection><collection>ProQuest Advanced Technologies & Aerospace Collection</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Environmental Science Database</collection><collection>Materials Science Collection</collection><collection>Publicly Available Content Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>Genetics Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>PloS one</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Cubo, Esther</au><au>Garcia-Bustillo, Alvaro</au><au>Arnaiz-Gonzalez, Alvar</au><au>Ramirez-Sanz, Jose Miguel</au><au>Garrido-Labrador, Jose Luis</au><au>Valiñas, Florita</au><au>Allende, Marta</au><au>Gonzalez-Bernal, Jeronimo Javier</au><au>Gonzalez-Santos, Josefa</au><au>Diez-Pastor, José Francisco</au><au>Jahouh, Maha</au><au>Arribas, Jana</au><au>Trejo, Jose</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial</atitle><jtitle>PloS one</jtitle><addtitle>PLoS One</addtitle><date>2021-12-21</date><risdate>2021</risdate><volume>16</volume><issue>12</issue><spage>e0260889</spage><epage>e0260889</epage><pages>e0260889-e0260889</pages><issn>1932-6203</issn><eissn>1932-6203</eissn><abstract>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.
To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.
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.
This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.
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.
ClinicalTrials.gov Identifier: NCT04694443.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>34932580</pmid><doi>10.1371/journal.pone.0260889</doi><tpages>e0260889</tpages><orcidid>https://orcid.org/0000-0001-9591-8452</orcidid><orcidid>https://orcid.org/0000-0003-0018-1182</orcidid><orcidid>https://orcid.org/0000-0003-0189-8046</orcidid><orcidid>https://orcid.org/0000-0002-2783-8036</orcidid><orcidid>https://orcid.org/0000-0002-3441-4223</orcidid><orcidid>https://orcid.org/0000-0003-1948-1353</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1932-6203 |
| ispartof | PloS one, 2021-12, Vol.16 (12), p.e0260889-e0260889 |
| issn | 1932-6203 1932-6203 |
| language | eng |
| recordid | cdi_plos_journals_2612385616 |
| source | MEDLINE; DOAJ Directory of Open Access Journals; EZB-FREE-00999 freely available EZB journals; PubMed Central; Free Full-Text Journals in Chemistry; Public Library of Science (PLoS) |
| subjects | Accidental Falls - prevention & control Adolescent Adult Aged Aged, 80 and over Artificial intelligence At risk populations Balance Case-Control Studies Clinical trials Computer and Information Sciences Cost analysis Cost assessments COVID-19 Disease prevention Evaluation Exercise Exercise Therapy - methods Falling Falls Falls (Accidents) Female Gait Health care Health services Hospitals Humans Injury prevention Intervention Longitudinal Studies Male Medical care Medicine and Health Sciences Middle Aged Movement disorders Neurodegenerative diseases Nutrition Older people Parkinson Disease - physiopathology Parkinson's disease Patient Care Team - statistics & numerical data Patients Pharmacology Physical fitness Population Prevention Quality management Quality of life Randomized Controlled Trials as Topic Research and Analysis Methods Sarcopenia Signs and symptoms Social Sciences Study Protocol Telemedicine Telemedicine - methods Video teleconferencing Young Adult |
| title | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial |
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