Adopting a multidisciplinary telemedicine intervention for fall prevention in Parkinson’s disease. Protocol for a longitudinal, randomized clinical trial

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 and Jose Trejo

PLOS ONE, 2021, vol. 16, issue 12, 1-16

Abstract: Background: 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. Objective: To determine the feasibility and cost-effectiveness of a multidisciplinary telemedicine intervention to decrease the incidence of falls in patients with PD. Methods: 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. Results: This study will provide a cost-effectiveness assessment of multidisciplinary telemedicine intervention for fall reduction in PD, in addition to standard neurological medical care. Conclusion: 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. Trial registration: ClinicalTrials.gov Identifier: NCT04694443.

Date: 2021
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0260889

DOI: 10.1371/journal.pone.0260889

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