Telehealth for Parkinson disease patients during the COVID-19 pandemic: the TeleParkinson study.

Autor:	Lima DP; Universidade Federal do Ceará, Hospital Universitário Walter Cantidio, Departamento de Clínica Médica, Divisão de Geriatria, Fortaleza CE, Brazil.; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil., Gomes VC; Universidade Federal da Paraíba, Departamento de Educação Física, João Pessoa PB, Brazil., Viana Júnior AB; Universidade Federal do Ceará, Hospital Universitário Walter Cantidio, Centro de Pesquisa Clínica, Fortaleza CE, Brazil., Assis FMC; Universidade Federal do Ceará, Instituto de Educação Física e Esportes, Fortaleza CE, Brazil., Oliveira PHA; Universidade Federal do Ceará, Departamento de Fisioterapia, Fortaleza CE, Brazil., Cunha LCV; Universidade Federal do Ceará, Faculdade de Medicina, Fortaleza CE, Brazil., Braga IC; Universidade Federal do Ceará, Faculdade de Medicina, Fortaleza CE, Brazil., Marques MLS; Universidade Federal do Ceará, Departamento de Biologia, Fortaleza CE, Brazil., Assunção JS; Universidade Federal do Ceará, Departamento de Fisioterapia, Fortaleza CE, Brazil., Damasceno ALL; Universidade Federal do Ceará, Faculdade de Medicina, Fortaleza CE, Brazil., Barbosa ALG; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil., Moreira AH; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil., Rocha MEQA; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil., Porto MEMP; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil., Chaves ÉCB; Centro Universitário Estácio do Ceará, Departamento de Educação Física, Fortaleza CE, Brazil., Oliveira LM; Centro Universitário Estácio do Ceará, Departamento de Educação Física, Fortaleza CE, Brazil., Roriz Filho JS; Universidade Federal do Ceará, Hospital Universitário Walter Cantidio, Departamento de Clínica Médica, Divisão de Geriatria, Fortaleza CE, Brazil., Sobreira Neto MA; Universidade Unichristus, Faculdade de Medicina, Fortaleza CE, Brazil.; Universidade Federal do Ceará, Hospital Universitário Walter Cantidio, Departamento de Clínica Médica, Divisão de Neurologia, Fortaleza CE, Brazil., Braga Neto P; Universidade de Fortaleza, Centro de Ciências da Saúde, Fortaleza CE, Brazil.; Universidade Federal do Ceará, Hospital Universitário Walter Cantidio, Departamento de Clínica Médica, Divisão de Neurologia, Fortaleza CE, Brazil.
Jazyk:	angličtina
Zdroj:	Arquivos de neuro-psiquiatria [Arq Neuropsiquiatr] 2022 Oct; Vol. 80 (10), pp. 1026-1035. Date of Electronic Publication: 2022 Dec 19.
DOI:	10.1055/s-0042-1758751
Abstrakt:	Background: Telemedicine allows Parkinson disease (PD) patients to overcome physical barriers to access health care services and increases accessibility for people with mobility impairments. Objective: To investigate the feasibility indicators of a telehealth intervention for PD patients, including patient recruitment, attendance, technical issues, satisfaction, and benefits on levels of physical activity and sleep. Methods: We conducted a single-center, single-arm study of telehealth video consultations using WhatsApp (Meta Platforms, Inc., Menlo Park, CA, USA). Also, we collected the feasibility indicators as the primary endpoints. All the patients in the study were previously evaluated in person by the same team. Results: Patient recruitment, attendance, and technical issues rates were 61.3%, 90.5%, and 13.3%, respectively, with good scores of patient acceptance and satisfaction with the study intervention. The telehealth intervention improved physical activity, including the number of walks for at least 10 continuous minutes ( p  = 0.009) and the number of moderate-intensity activities lasting at least 10 continuous minutes ( p  = 0.001). The Pittsburgh sleep quality index (PSQI) scores also improved for one of its components: perceived sleep duration ( p  < 0.001) and for total Pittsburgh score ( p  < 0,001). The average travel time saving was 289.6 minutes, and money-saving was R$106.67 (around USD 18; almost 10% of the current minimum wage in Brazil). Conclusions: Direct-to-patient telehealth video consultations proved to be feasible and effective and had a positive impact on physical activity levels and sleep in PD patients. Competing Interests: The authors have no conflict of interests to declare. (Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).)
Databáze:	MEDLINE
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