Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas
Abstract Introduction: Gait, balance, and cognitive impairment make travel cumbersome for People with Parkinson’s disease (PwPD). About 75% of PwPD cared for at the University of Arkansas for Medical Sciences’ Movement Disorders Clinic reside in medically underserved areas (MUAs). Validated remote...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Cambridge University Press
2022-01-01
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| Series: | Journal of Clinical and Translational Science |
| Subjects: | |
| Online Access: | https://www.cambridge.org/core/product/identifier/S2059866122004599/type/journal_article |
| _version_ | 1811156502515286016 |
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| author | Tuhin Virmani Mitesh Lotia Aliyah Glover Lakshmi Pillai Aaron S. Kemp Anu Iyer Phillip Farmer Shorabuddin Syed Linda J. Larson-Prior Fred W. Prior |
| author_facet | Tuhin Virmani Mitesh Lotia Aliyah Glover Lakshmi Pillai Aaron S. Kemp Anu Iyer Phillip Farmer Shorabuddin Syed Linda J. Larson-Prior Fred W. Prior |
| author_sort | Tuhin Virmani |
| collection | DOAJ |
| description |
Abstract
Introduction:
Gait, balance, and cognitive impairment make travel cumbersome for People with Parkinson’s disease (PwPD). About 75% of PwPD cared for at the University of Arkansas for Medical Sciences’ Movement Disorders Clinic reside in medically underserved areas (MUAs). Validated remote evaluations could help improve their access to care. Our goal was to explore the feasibility of telemedicine research visits for the evaluation of multi-modal function in PwPD in a rural state.
Methods:
In-home telemedicine research visits were performed in PwPD. Motor and non-motor disease features were evaluated and quantified by trained personnel, digital survey instruments for self-assessments, digital voice recordings, and scanned and digitized Archimedes spiral drawings. Participant’s MUA residence was determined after evaluations were completed.
Results:
Twenty of the fifty PwPD enrolled resided in MUAs. The groups were well matched for disease duration, modified motor UPDRS, and Montreal Cognitive assessment scores but MUA participants were younger. Ninety-two percent were satisfied with their visit, and 61% were more likely to participate in future telemedicine research. MUA participants traveled longer distances, with higher travel costs, lower income, and education level. While 50% of MUA participants reported self-reliance for in-person visits, 85% reported self-reliance for the telemedicine visit. We rated audio-video quality highly in approximately 60% of visits in both groups. There was good correlation with prior in-person research assessments in a subset of participants.
Conclusions:
In-home research visits for PwPD in MUAs are feasible and could help improve access to care and research participation in these traditionally underrepresented populations.
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| first_indexed | 2024-04-10T04:52:48Z |
| format | Article |
| id | doaj.art-8be2c2bd39d04b3bb091700353a3a6f7 |
| institution | Directory Open Access Journal |
| issn | 2059-8661 |
| language | English |
| last_indexed | 2024-04-10T04:52:48Z |
| publishDate | 2022-01-01 |
| publisher | Cambridge University Press |
| record_format | Article |
| series | Journal of Clinical and Translational Science |
| spelling | doaj.art-8be2c2bd39d04b3bb091700353a3a6f72023-03-09T12:31:04ZengCambridge University PressJournal of Clinical and Translational Science2059-86612022-01-01610.1017/cts.2022.459Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areasTuhin Virmani0https://orcid.org/0000-0002-1826-2020Mitesh Lotia1Aliyah Glover2Lakshmi Pillai3Aaron S. Kemp4Anu Iyer5Phillip Farmer6Shorabuddin Syed7Linda J. Larson-Prior8Fred W. Prior9https://orcid.org/0000-0002-6314-5683Department of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USALittle Rock Central High School, Little Rock, AR, USADepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Neurology, University of Arkansas for Medical Sciences, Little Rock, AR, USA Department of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USADepartment of Biomedical Informatics, University of Arkansas for Medical Sciences, Little Rock, AR, USA Abstract Introduction: Gait, balance, and cognitive impairment make travel cumbersome for People with Parkinson’s disease (PwPD). About 75% of PwPD cared for at the University of Arkansas for Medical Sciences’ Movement Disorders Clinic reside in medically underserved areas (MUAs). Validated remote evaluations could help improve their access to care. Our goal was to explore the feasibility of telemedicine research visits for the evaluation of multi-modal function in PwPD in a rural state. Methods: In-home telemedicine research visits were performed in PwPD. Motor and non-motor disease features were evaluated and quantified by trained personnel, digital survey instruments for self-assessments, digital voice recordings, and scanned and digitized Archimedes spiral drawings. Participant’s MUA residence was determined after evaluations were completed. Results: Twenty of the fifty PwPD enrolled resided in MUAs. The groups were well matched for disease duration, modified motor UPDRS, and Montreal Cognitive assessment scores but MUA participants were younger. Ninety-two percent were satisfied with their visit, and 61% were more likely to participate in future telemedicine research. MUA participants traveled longer distances, with higher travel costs, lower income, and education level. While 50% of MUA participants reported self-reliance for in-person visits, 85% reported self-reliance for the telemedicine visit. We rated audio-video quality highly in approximately 60% of visits in both groups. There was good correlation with prior in-person research assessments in a subset of participants. Conclusions: In-home research visits for PwPD in MUAs are feasible and could help improve access to care and research participation in these traditionally underrepresented populations. https://www.cambridge.org/core/product/identifier/S2059866122004599/type/journal_articleTelemedicinehealth equityrural healthambulatory monitoringParkinson’s diseasemedically underserved area |
| spellingShingle | Tuhin Virmani Mitesh Lotia Aliyah Glover Lakshmi Pillai Aaron S. Kemp Anu Iyer Phillip Farmer Shorabuddin Syed Linda J. Larson-Prior Fred W. Prior Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas Journal of Clinical and Translational Science Telemedicine health equity rural health ambulatory monitoring Parkinson’s disease medically underserved area |
| title | Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas |
| title_full | Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas |
| title_fullStr | Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas |
| title_full_unstemmed | Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas |
| title_short | Feasibility of telemedicine research visits in people with Parkinson’s disease residing in medically underserved areas |
| title_sort | feasibility of telemedicine research visits in people with parkinson s disease residing in medically underserved areas |
| topic | Telemedicine health equity rural health ambulatory monitoring Parkinson’s disease medically underserved area |
| url | https://www.cambridge.org/core/product/identifier/S2059866122004599/type/journal_article |
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