Telemed J E Health. 2012 Sep 6. [Epub ahead of print]
Shprecher D, Noyes K, Biglan K, Wang D, Dorsey ER, Kurlan R, Adams MJ.
Source
1 Department of Neurology, University of Utah , Salt Lake City, Utah.
Abstract
Abstract
Background: Motor impairment and travel time have been shown to be
important barriers to recruitment for Parkinson's disease (PD) clinical
trials. This study determined whether use of Internet-based video
communication for study visits would improve likelihood of
participating in PD clinical trials. Subjects and Methods: University
of Utah PD clinic patients were invited to complete a survey asking if
they would be willing to participate in a hypothetical research study
under four different scenarios. McNemar's test was used to test the
hypothesis that remote assessments would improve willingness to
participate. Results: Willingness to participate was 101/113 (87%) in
the standard scenario. Willingness to participate was highest (93%;
p=0.046) with most visits occurring via telemedicine at a local clinic,
followed by some visits occurring via telemedicine at a local clinic
(91%; p=0.157). Willingness to participate was lower with some (80%;
p=0.008) or most (82%; p=0.071) visits occurring by home
telemonitoring. Conclusions: Use of telemedicine may be an acceptable
means to improve participation in clinical trials. This would need to
be confirmed with the use of a larger-scale inquiry involving rural
populations. Future research should assess subject or caregiver comfort
and trainability with respect to computer-based technology in the home
and systems barriers for wider implementation of telemedicine in
neurology.
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