Pilot Randomized Controlled Trial of Telemedicine for Individuals With Parkinson Disease in a Rural Population
Tele-PD
1 other identifier
observational
14
1 country
1
Brief Summary
To eliminate barriers (such as travel and cost) to specialized Parkinson disease (PD) care, two movement disorder specialists at the University of Rochester will be providing telemedicine visits for patients with PD who reside in the Presbyterian Home for Central New York in New Hartford, NY, or for individuals who participate in the local support group that meets at the nursing home. Participants will attend 3 telemedicine visits at the Presbyterian Home over the course of 6 months. We hypothesize that this telemedicine model will in time improve access to care and hence the quality of life and quality of care of individuals with PD.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for all trials
Started Apr 2008
Shorter than P25 for all trials
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
April 1, 2008
CompletedFirst Submitted
Initial submission to the registry
April 25, 2008
CompletedFirst Posted
Study publicly available on registry
April 29, 2008
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2008
CompletedStudy Completion
Last participant's last visit for all outcomes
November 1, 2008
CompletedApril 13, 2009
April 1, 2009
7 months
April 25, 2008
April 10, 2009
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
The feasibility of telemedicine, based on participant ability to complete 75% or more of the trial visits.
6 months
Secondary Outcomes (5)
Parkinson's Disease Questionnaire-39 (PDQ-39)
6 months
EuroQol (EQ-5D)
6 months
Geriatric Depression Scale Short Form (GDS-15)
6 months
Modified Group Health Association of America's Consumer Satisfaction Survey (GHAA)
6 months
Qualitative assessment, including a telemedicine focus group and 1:1 interviews with study participants
6 months
Study Arms (2)
1
Telemedicine care
2
Standard of care
Eligibility Criteria
Study participants will be recruited from the Presbyterian Home Parkinson disease nursing home, assisted living, independent living, and adult day care populations, as well as the local PD support group that meets monthly at the Presbyterian Home.
You may qualify if:
- Willing and able to provide informed consent
- Age 30 years old or older
- Clinical diagnosis of idiopathic Parkinson's disease as determined by having two of the four cardinal features of PD (rest tremor, bradykinesia, cogwheel rigidity, and gait instability) and no better alternative explanation for the etiology of the symptoms
- Able to converse in English
- Willing and able to complete study requirements
You may not qualify if:
- Any neurological, medical, or psychiatric condition that would preclude the patient having the ability to provide informed consent or to participate in the telemedicine visit.
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- University of Rochesterlead
- Presbyterian Homes & Servicescollaborator
Study Sites (1)
Presbyterian Home for Central New York, Inc.
New Hartford, New York, 13413, United States
Related Publications (4)
Hubble JP, Pahwa R, Michalek DK, Thomas C, Koller WC. Interactive video conferencing: a means of providing interim care to Parkinson's disease patients. Mov Disord. 1993 Jul;8(3):380-2. doi: 10.1002/mds.870080326.
PMID: 8341308BACKGROUNDCheng EM, Swarztrauber K, Siderowf AD, Eisa MS, Lee M, Vassar S, Jacob E, Vickrey BG. Association of specialist involvement and quality of care for Parkinson's disease. Mov Disord. 2007 Mar 15;22(4):515-22. doi: 10.1002/mds.21311.
PMID: 17260340BACKGROUNDMcConnochie KM, Wood NE, Kitzman HJ, Herendeen NE, Roy J, Roghmann KJ. Telemedicine reduces absence resulting from illness in urban child care: evaluation of an innovation. Pediatrics. 2005 May;115(5):1273-82. doi: 10.1542/peds.2004-0335.
PMID: 15867035BACKGROUNDSamii A, Ryan-Dykes P, Tsukuda RA, Zink C, Franks R, Nichol WP. Telemedicine for delivery of health care in Parkinson's disease. J Telemed Telecare. 2006;12(1):16-8. doi: 10.1258/135763306775321371.
PMID: 16438773BACKGROUND
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
E. Ray Dorsey, MD, MBA
University of Rochester
- PRINCIPAL INVESTIGATOR
Kevin Biglan, MD, MPH
University of Rochester
Study Design
- Study Type
- observational
- Observational Model
- COHORT
- Time Perspective
- PROSPECTIVE
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
April 25, 2008
First Posted
April 29, 2008
Study Start
April 1, 2008
Primary Completion
November 1, 2008
Study Completion
November 1, 2008
Last Updated
April 13, 2009
Record last verified: 2009-04