Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial.
<h4>Background</h4>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 accessibili...
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Public Library of Science (PLoS)
2021-01-01
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| Online Access: | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0260889&type=printable |
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| author | Esther Cubo Alvaro Garcia-Bustillo Alvar Arnaiz-Gonzalez Jose Miguel Ramirez-Sanz Jose Luis Garrido-Labrador Florita Valiñas Marta Allende Jeronimo Javier Gonzalez-Bernal Josefa Gonzalez-Santos José Francisco Diez-Pastor Maha Jahouh Jana Arribas Jose Trejo |
| author_facet | Esther Cubo Alvaro Garcia-Bustillo Alvar Arnaiz-Gonzalez Jose Miguel Ramirez-Sanz Jose Luis Garrido-Labrador Florita Valiñas Marta Allende Jeronimo Javier Gonzalez-Bernal Josefa Gonzalez-Santos José Francisco Diez-Pastor Maha Jahouh Jana Arribas Jose Trejo |
| author_sort | Esther Cubo |
| collection | DOAJ |
| description | <h4>Background</h4>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.<h4>Objective</h4>To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.<h4>Methods</h4>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.<h4>Results</h4>This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.<h4>Conclusion</h4>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.<h4>Trial registration</h4>ClinicalTrials.gov Identifier: NCT04694443. |
| format | Article |
| id | doaj-art-04895e3d46dd4beb842ff7259d45b82c |
| institution | DOAJ |
| issn | 1932-6203 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Public Library of Science (PLoS) |
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| series | PLoS ONE |
| spelling | doaj-art-04895e3d46dd4beb842ff7259d45b82c2025-08-20T03:15:46ZengPublic Library of Science (PLoS)PLoS ONE1932-62032021-01-011612e026088910.1371/journal.pone.0260889Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial.Esther CuboAlvaro Garcia-BustilloAlvar Arnaiz-GonzalezJose Miguel Ramirez-SanzJose Luis Garrido-LabradorFlorita ValiñasMarta AllendeJeronimo Javier Gonzalez-BernalJosefa Gonzalez-SantosJosé Francisco Diez-PastorMaha JahouhJana ArribasJose Trejo<h4>Background</h4>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.<h4>Objective</h4>To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD.<h4>Methods</h4>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.<h4>Results</h4>This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care.<h4>Conclusion</h4>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.<h4>Trial registration</h4>ClinicalTrials.gov Identifier: NCT04694443.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0260889&type=printable |
| spellingShingle | Esther Cubo Alvaro Garcia-Bustillo Alvar Arnaiz-Gonzalez Jose Miguel Ramirez-Sanz Jose Luis Garrido-Labrador Florita Valiñas Marta Allende Jeronimo Javier Gonzalez-Bernal Josefa Gonzalez-Santos José Francisco Diez-Pastor Maha Jahouh Jana Arribas Jose Trejo Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. PLoS ONE |
| title | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. |
| title_full | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. |
| title_fullStr | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. |
| title_full_unstemmed | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. |
| title_short | Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson's disease. Protocol for a longitudinal, randomized clinical trial. |
| title_sort | adopting a multidisciplinary telemedicine intervention for fall prevention in parkinson s disease protocol for a longitudinal randomized clinical trial |
| url | https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0260889&type=printable |
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