Evaluating Parkinson's disease patients at home: Utility of self‐videotaping for objective motor, dyskinesia, and ON–OFF assessments
Identifieur interne : 002858 ( Main/Exploration ); précédent : 002857; suivant : 002859Evaluating Parkinson's disease patients at home: Utility of self‐videotaping for objective motor, dyskinesia, and ON–OFF assessments
Auteurs : Christopher G. Goetz [États-Unis] ; Sue Leurgans [États-Unis] ; Vanessa K. Hinson [États-Unis] ; Lucia M. Blasucci [États-Unis] ; Jennifer Zimmerman [États-Unis] ; Wenqing Fan [États-Unis] ; Tiffany Nguyen [États-Unis] ; Ann Hsu [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-07-30.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Aged, Aged, 80 and over, Antiparkinson Agents (administration & dosage), Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), At home, Clinical trial, Drug Monitoring (methods), Dyskinesia, Dyskinesia, Drug-Induced (diagnosis), Dyskinesia, Drug-Induced (etiology), Dyskinesia, Drug-Induced (physiopathology), Feasibility Studies, Female, Human, Humans, Male, Middle Aged, Nervous system diseases, ON/OFF, Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Parkinson disease, Parkinson's disease, Psychomotor Performance (drug effects), Randomized Controlled Trials as Topic (statistics & numerical data), Self Care (methods), Single-Blind Method, Videotape Recording, randomized clinical trials, rating tools.
- MESH :
- chemical , administration & dosage : Antiparkinson Agents.
- chemical , adverse effects : Antiparkinson Agents.
- chemical , therapeutic use : Antiparkinson Agents.
- diagnosis : Dyskinesia, Drug-Induced.
- drug effects : Psychomotor Performance.
- drug therapy : Parkinson Disease.
- etiology : Dyskinesia, Drug-Induced.
- methods : Drug Monitoring, Self Care.
- physiopathology : Dyskinesia, Drug-Induced, Parkinson Disease.
- psychology : Parkinson Disease.
- statistics & numerical data : Randomized Controlled Trials as Topic.
- Aged, Aged, 80 and over, Feasibility Studies, Female, Humans, Male, Middle Aged, Single-Blind Method, Videotape Recording.
Abstract
The objective is to test feasibility and utility of home‐based videos for assessing Parkinson's disease (PD) patients. As part of a clinical trial, patients opted between coming to the study sites or learning to videotape assessments at home. Those opting for at‐home filming completed training on videotape techniques. Ten‐minute films were taken at 30‐minute intervals over 8.5 hours, 2 and 4 weeks after study entry using a protocol covering most items of the UDPRS motor examination and all Rush Dyskinesia Rating Scale items. After each filming, patients marked their ON/OFF status, based on prior training. We determined the number of patients who elected self‐taping and the quality of video segments obtained. To assess ON/OFF patient accuracy, we compared the rater's and patient's assessment of ON/OFF at each time point. Of 12 participants, 10 elected self‐videotaping and only 1 time point was missed (99.5% taping compliance). All self‐recorded video segments were clear with all protocol elements included. With the exception of one missed ON/OFF rating, patient‐based self‐ratings occurred on time. Rating ON/OFF, UPDRS, and RDRS assessments for 8.5 hours required 170 minutes by the blinded rater. In spite of patient training, mean ON/OFF concordance between rater and patients was only 64%. At home video‐based self‐recordings are feasible and allow accurate rater‐based ON/OFF assessments. In this group of patients with no or mild fluctuations, in spite of pretrial training, patients were inaccurate in separating ON vs. OFF status. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.22127
Affiliations:
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Goetz</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Neurological Sciences, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Leurgans, Sue" sort="Leurgans, Sue" uniqKey="Leurgans S" first="Sue" last="Leurgans">Sue Leurgans</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Neurological Sciences, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Hinson, Vanessa K" sort="Hinson, Vanessa K" uniqKey="Hinson V" first="Vanessa K." last="Hinson">Vanessa K. Hinson</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Neurosciences, Medical University of South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Blasucci, Lucia M" sort="Blasucci, Lucia M" uniqKey="Blasucci L" first="Lucia M." last="Blasucci">Lucia M. Blasucci</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Neurological Sciences, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Zimmerman, Jennifer" sort="Zimmerman, Jennifer" uniqKey="Zimmerman J" first="Jennifer" last="Zimmerman">Jennifer Zimmerman</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Caroline du Sud</region></placeName><wicri:cityArea>Department of Neurosciences, Medical University of South Carolina, Charleston</wicri:cityArea></affiliation></author><author><name sortKey="Fan, Wenqing" sort="Fan, Wenqing" uniqKey="Fan W" first="Wenqing" last="Fan">Wenqing Fan</name><affiliation wicri:level="2"><country xml:lang="fr">États-Unis</country><placeName><region type="state">Illinois</region></placeName><wicri:cityArea>Department of Neurological Sciences, Rush University Medical Center, Chicago</wicri:cityArea></affiliation></author><author><name sortKey="Nguyen, Tiffany" sort="Nguyen, Tiffany" uniqKey="Nguyen T" first="Tiffany" last="Nguyen">Tiffany Nguyen</name><affiliation wicri:level="2"><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>IMPAX Laboratories, Inc., Hayward</wicri:cityArea></affiliation></author><author><name sortKey="Hsu, Ann" sort="Hsu, Ann" uniqKey="Hsu A" first="Ann" last="Hsu">Ann Hsu</name><affiliation wicri:level="2"><country>États-Unis</country><placeName><region type="state">Californie</region></placeName><wicri:cityArea>IMPAX Laboratories, Inc., Hayward</wicri:cityArea></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="sub">Official Journal of the Movement Disorder Society</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-07-30">2008-07-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">10</biblScope><biblScope unit="page" from="1479">1479</biblScope><biblScope unit="page" to="1482">1482</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D093275BBCD685DAAFB5DA14BA0DA760AFB23B8B</idno><idno type="DOI">10.1002/mds.22127</idno><idno type="ArticleID">MDS22127</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Antiparkinson Agents (administration & dosage)</term><term>Antiparkinson Agents (adverse effects)</term><term>Antiparkinson Agents (therapeutic use)</term><term>At home</term><term>Clinical trial</term><term>Drug Monitoring (methods)</term><term>Dyskinesia</term><term>Dyskinesia, Drug-Induced (diagnosis)</term><term>Dyskinesia, Drug-Induced (etiology)</term><term>Dyskinesia, Drug-Induced (physiopathology)</term><term>Feasibility Studies</term><term>Female</term><term>Human</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Nervous system diseases</term><term>ON/OFF</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Psychomotor Performance (drug effects)</term><term>Randomized Controlled Trials as Topic (statistics & numerical data)</term><term>Self Care (methods)</term><term>Single-Blind Method</term><term>Videotape Recording</term><term>randomized clinical trials</term><term>rating tools</term></keywords><keywords scheme="MESH" type="chemical" qualifier="administration & dosage" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" type="chemical" qualifier="adverse effects" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Dyskinesia, Drug-Induced</term></keywords><keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Psychomotor Performance</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Drug Monitoring</term><term>Self Care</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Dyskinesia, Drug-Induced</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="statistics & numerical data" xml:lang="en"><term>Randomized Controlled Trials as Topic</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Aged, 80 and over</term><term>Feasibility Studies</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Single-Blind Method</term><term>Videotape Recording</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>A domicile</term><term>Dyskinésie</term><term>Essai clinique</term><term>Homme</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">The objective is to test feasibility and utility of home‐based videos for assessing Parkinson's disease (PD) patients. As part of a clinical trial, patients opted between coming to the study sites or learning to videotape assessments at home. Those opting for at‐home filming completed training on videotape techniques. Ten‐minute films were taken at 30‐minute intervals over 8.5 hours, 2 and 4 weeks after study entry using a protocol covering most items of the UDPRS motor examination and all Rush Dyskinesia Rating Scale items. After each filming, patients marked their ON/OFF status, based on prior training. We determined the number of patients who elected self‐taping and the quality of video segments obtained. To assess ON/OFF patient accuracy, we compared the rater's and patient's assessment of ON/OFF at each time point. Of 12 participants, 10 elected self‐videotaping and only 1 time point was missed (99.5% taping compliance). All self‐recorded video segments were clear with all protocol elements included. With the exception of one missed ON/OFF rating, patient‐based self‐ratings occurred on time. Rating ON/OFF, UPDRS, and RDRS assessments for 8.5 hours required 170 minutes by the blinded rater. In spite of patient training, mean ON/OFF concordance between rater and patients was only 64%. At home video‐based self‐recordings are feasible and allow accurate rater‐based ON/OFF assessments. In this group of patients with no or mild fluctuations, in spite of pretrial training, patients were inaccurate in separating ON vs. OFF status. © 2008 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>États-Unis</li></country><region><li>Californie</li><li>Caroline du Sud</li><li>Illinois</li></region></list><tree><country name="États-Unis"><region name="Illinois"><name sortKey="Goetz, Christopher G" sort="Goetz, Christopher G" uniqKey="Goetz C" first="Christopher G." last="Goetz">Christopher G. Goetz</name></region><name sortKey="Blasucci, Lucia M" sort="Blasucci, Lucia M" uniqKey="Blasucci L" first="Lucia M." last="Blasucci">Lucia M. Blasucci</name><name sortKey="Fan, Wenqing" sort="Fan, Wenqing" uniqKey="Fan W" first="Wenqing" last="Fan">Wenqing Fan</name><name sortKey="Hinson, Vanessa K" sort="Hinson, Vanessa K" uniqKey="Hinson V" first="Vanessa K." last="Hinson">Vanessa K. Hinson</name><name sortKey="Hsu, Ann" sort="Hsu, Ann" uniqKey="Hsu A" first="Ann" last="Hsu">Ann Hsu</name><name sortKey="Leurgans, Sue" sort="Leurgans, Sue" uniqKey="Leurgans S" first="Sue" last="Leurgans">Sue Leurgans</name><name sortKey="Nguyen, Tiffany" sort="Nguyen, Tiffany" uniqKey="Nguyen T" first="Tiffany" last="Nguyen">Tiffany Nguyen</name><name sortKey="Zimmerman, Jennifer" sort="Zimmerman, Jennifer" uniqKey="Zimmerman J" first="Jennifer" last="Zimmerman">Jennifer Zimmerman</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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