Remotely assessing symptoms of Parkinson's disease using videoconferencing: a feasibility study

Stillerova, Tereza, Liddle, Jacki, Gustafsson, Louise, Lamont, Robyn and Silburn, Peter (2016) Remotely assessing symptoms of Parkinson's disease using videoconferencing: a feasibility study. Neurology Research International, 4802570 . doi:10.1155/2016/4802570


Author Stillerova, Tereza
Liddle, Jacki
Gustafsson, Louise
Lamont, Robyn
Silburn, Peter
Title Remotely assessing symptoms of Parkinson's disease using videoconferencing: a feasibility study
Journal name Neurology Research International   Check publisher's open access policy
ISSN 2090-1852
2090-1860
Publication date 2016-01-01
Year available 2016
Sub-type Article (original research)
DOI 10.1155/2016/4802570
Open Access Status DOI
Volume 4802570
Total pages 8
Place of publication New York, NY United States
Publisher Hindawi
Language eng
Abstract Purpose. To evaluate the feasibility of assessing a person's symptoms of Parkinson's disease (PD) in their home using the videoconferencing technology they already possess, without a home visit. Method. Eleven participants with PD completed the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) face-to-face and then via videoconferencing within a two-week period. Participants used free software and the computers and webcams available at their home to complete the videoconference assessment with a clinical rater scoring remotely. Clinical raters and participants provided feedback on the experience. Results. Excluding rigidity and postural stability, between zero and seven items could not be completed in the assessment of each participant (median 2.0, IQR 1.0-4.0). Between face-to-face and videoconference assessments, the median difference in scores was 3.0 (IQR 1.5-9.0). Content analysis of feedback identified the clinical raters' reasons why some scoring could not be completed and the participants' hope for future clinical application. Conclusions. In using free everyday technology available in participants' homes, MDS-UPDRS ratings could be obtained without an initial home visit; however some items were unable to be scored for some participants. Use of a protocol or technological advances are likely to reduce missing items.
Formatted abstract
Purpose. To evaluate the feasibility of assessing a person’s symptoms of Parkinson’s disease (PD) in their home using the videoconferencing technology they already possess, without a home visit. Method. Eleven participants with PD completed the Movement Disorder Society Unified Parkinson’s Disease Rating Scale (MDS-UPDRS) face-to-face and then via videoconferencing within a two-week period. Participants used free software and the computers and webcams available at their home to complete the videoconference assessment with a clinical rater scoring remotely. Clinical raters and participants provided feedback on the experience. Results. Excluding rigidity and postural stability, between zero and seven items could not be completed in the assessment of each participant (median 2.0, IQR 1.0–4.0). Between face-to-face and videoconference assessments, the median difference in scores was 3.0 (IQR 1.5–9.0). Content analysis of feedback identified the clinical raters’ reasons why some scoring could not be completed and the participants’ hope for future clinical application. Conclusions. In using free everyday technology available in participants’ homes, MDS-UPDRS ratings could be obtained without an initial home visit; however some items were unable to be scored for some participants. Use of a protocol or technological advances are likely to reduce missing items.
Keyword Randomized Controlled-Trial
Rating-Scale
Telemedicine
People
Care
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Thu, 18 May 2017, 13:00:15 EST by Kirstie Asmussen on behalf of Queensland Brain Institute