Comparison of Office-Based Versus Home Web-Based Clinical Assessments for Parkinson's Disease
Identifieur interne : 001160 ( Main/Exploration ); précédent : 001159; suivant : 001161Comparison of Office-Based Versus Home Web-Based Clinical Assessments for Parkinson's Disease
Auteurs : Esther Cubo [Espagne] ; Jose M. Trejo Gabriel-Galan [Espagne] ; Joaquin Seco Martinez [Espagne] ; Carlos Rioja Alcubilla [Espagne] ; CHENGWU YANG [États-Unis] ; Olga Fernandez Arconada [Espagne] ; Natividad Mariscal Perez [Espagne]Source :
- Movement disorders [ 0885-3185 ] ; 2012.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Télémédecine, Ordinateur.
English descriptors
- KwdEn :
Abstract
Background: The feasibility and validity of Web-based assessments in Parkinson's disease is unknown. The objectives of this study were to develop and to compare home Web-based assessments with office-based assessments. Methods: We tested feasibility and validity using a longitudinal, randomized crossover design. Patients were assessed at baseline and after 6 and 12 weeks using both assessments including the Unified Parkinson's Disease Rating Scale, the Unified Dyskinesia Rating scale, timed tests, and quality-of life and Non-Motor Symptoms questionnaires. Results: Forty-two patients were included (22 men, 20 women; mean age, 64.7 ± 9.0 years). Only 2 patients (5%) dropped out. The mean intraclass correlation coefficient between Web- and office-based assessments ranged from 0.67 (first visit) to 0.75 (last visit) and 0.81 and 0.82 for doctor- and patient-administered scales, respectively. No differences in responsiveness (P = 0.63), and data precision (P = 0.11) were found, but Web-based assessments had fewer missing values (P = 0.01). Conclusions: Web-based assessments offer a feasible format for assessing PD-related impairment from home.
Affiliations:
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Trejo Gabriel-Galan</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Neurology Department, Complejo Asistencial Universitario Burgos</s1><s2>Burgos</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Burgos</wicri:noRegion></affiliation></author><author><name sortKey="Martinez, Joaquin Seco" sort="Martinez, Joaquin Seco" uniqKey="Martinez J" first="Joaquin Seco" last="Martinez">Joaquin Seco Martinez</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Centro Regional de Servicios Avanzados, S.A</s1><s2>Burgos</s2><s3>ESP</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Burgos</wicri:noRegion></affiliation></author><author><name sortKey="Alcubilla, Carlos Rioja" sort="Alcubilla, Carlos Rioja" uniqKey="Alcubilla C" first="Carlos Rioja" last="Alcubilla">Carlos Rioja Alcubilla</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Centro Regional de Servicios Avanzados, S.A</s1><s2>Burgos</s2><s3>ESP</s3><sZ>3 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Burgos</wicri:noRegion></affiliation></author><author><name sortKey="Chengwu Yang" sort="Chengwu Yang" uniqKey="Chengwu Yang" last="Chengwu Yang">CHENGWU YANG</name><affiliation wicri:level="4"><inist:fA14 i1="03"><s1>College of Medicine, Pennsylvania State University</s1><s2>Hershey, Pennsylvania</s2><s3>USA</s3><sZ>5 aut.</sZ></inist:fA14><country>États-Unis</country><placeName><region type="state">Pennsylvanie</region><settlement type="city">University Park (Pennsylvanie)</settlement></placeName><orgName type="university">Université d'État de Pennsylvanie</orgName></affiliation></author><author><name sortKey="Fernandez Arconada, Olga" sort="Fernandez Arconada, Olga" uniqKey="Fernandez Arconada O" first="Olga" last="Fernandez Arconada">Olga Fernandez Arconada</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Neurology Department, Complejo Asistencial Universitario Burgos</s1><s2>Burgos</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Burgos</wicri:noRegion></affiliation></author><author><name sortKey="Mariscal Perez, Natividad" sort="Mariscal Perez, Natividad" uniqKey="Mariscal Perez N" first="Natividad" last="Mariscal Perez">Natividad Mariscal Perez</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Neurology Department, Complejo Asistencial Universitario Burgos</s1><s2>Burgos</s2><s3>ESP</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ></inist:fA14><country>Espagne</country><wicri:noRegion>Burgos</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Comparative study</term><term>Computer</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Telemedicine</term><term>Validation</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Etude comparative</term><term>Télémédecine</term><term>Validation</term><term>Ordinateur</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Télémédecine</term><term>Ordinateur</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Background: The feasibility and validity of Web-based assessments in Parkinson's disease is unknown. The objectives of this study were to develop and to compare home Web-based assessments with office-based assessments. Methods: We tested feasibility and validity using a longitudinal, randomized crossover design. Patients were assessed at baseline and after 6 and 12 weeks using both assessments including the Unified Parkinson's Disease Rating Scale, the Unified Dyskinesia Rating scale, timed tests, and quality-of life and Non-Motor Symptoms questionnaires. Results: Forty-two patients were included (22 men, 20 women; mean age, 64.7 ± 9.0 years). Only 2 patients (5%) dropped out. The mean intraclass correlation coefficient between Web- and office-based assessments ranged from 0.67 (first visit) to 0.75 (last visit) and 0.81 and 0.82 for doctor- and patient-administered scales, respectively. No differences in responsiveness (P = 0.63), and data precision (P = 0.11) were found, but Web-based assessments had fewer missing values (P = 0.01). Conclusions: Web-based assessments offer a feasible format for assessing PD-related impairment from home.</div></front></TEI><affiliations><list><country><li>Espagne</li><li>États-Unis</li></country><region><li>Pennsylvanie</li></region><settlement><li>University Park (Pennsylvanie)</li></settlement><orgName><li>Université d'État de Pennsylvanie</li></orgName></list><tree><country name="Espagne"><noRegion><name sortKey="Cubo, Esther" sort="Cubo, Esther" uniqKey="Cubo E" first="Esther" last="Cubo">Esther Cubo</name></noRegion><name sortKey="Alcubilla, Carlos Rioja" sort="Alcubilla, Carlos Rioja" uniqKey="Alcubilla C" first="Carlos Rioja" last="Alcubilla">Carlos Rioja Alcubilla</name><name sortKey="Fernandez Arconada, Olga" sort="Fernandez Arconada, Olga" uniqKey="Fernandez Arconada O" first="Olga" last="Fernandez Arconada">Olga Fernandez Arconada</name><name sortKey="Mariscal Perez, Natividad" sort="Mariscal Perez, Natividad" uniqKey="Mariscal Perez N" first="Natividad" last="Mariscal Perez">Natividad Mariscal Perez</name><name sortKey="Martinez, Joaquin Seco" sort="Martinez, Joaquin Seco" uniqKey="Martinez J" first="Joaquin Seco" last="Martinez">Joaquin Seco Martinez</name><name sortKey="Trejo Gabriel Galan, Jose M" sort="Trejo Gabriel Galan, Jose M" uniqKey="Trejo Gabriel Galan J" first="Jose M." last="Trejo Gabriel-Galan">Jose M. Trejo Gabriel-Galan</name></country><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Chengwu Yang" sort="Chengwu Yang" uniqKey="Chengwu Yang" last="Chengwu Yang">CHENGWU YANG</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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