The objective is to clinically assess the Kinesia HomeView system for automated and remote monitoring of Parkinson's disease (PD) motor symptoms.
Currently, there is limited access to movement disorder specialist centers for a significant portion of the PD population. Treatment effectiveness is judged during office visits by improvement of patient motor symptoms and quality of life. Clinicians evaluate patients by having them perform specific motor tasks and rating the severity on a 0-4 scale. A major limitation is that a single evaluation in a clinical setting may not accurately reflect motor symptom fluctuations experienced over the course of a day, week, or month. Clinicians currently lack effective, affordable medical devices that can be easily delivered to a patient's home for monitoring symptoms on a more continuous basis as motor symptoms typically change throughout the day. Kinesia HomeView provides a repeatable, automated system clinicians can use to remotely monitor PD motor symptoms on a more continuous basis in a patient's home. The investigators hypothesize use of the Kinesia HomeView system will improve outcomes and decrease costs especially for patient populations in areas not in close proximity to movement disorder specialists.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
SINGLE
Enrollment
21
Clinicians will view the KHV motor symptom severity reports and use KHV to videoconference with subjects to titrate medications.
Subjects will receive the same disease management as if they were not participating in this study.
University of Rochester
Rochester, New York, United States
Percent of subjects completing remote assessments
Percent of subjects who successfully completed the requested home-based Kinesia HomeView (KHV) automated motor assessments.
Time frame: 7 Months
Percent of remote assessments completed
Percent of remote home-based Kinesia-HomeView automated motor assessments successfully completed .
Time frame: 7 Months
KHV Motor Scores
Tremor, bradykinesia, and dyskinesia scores given by the KHV system.
Time frame: 7 Months
KHV measured fluctuations
Changes in KHV motor scores throughout each day.
Time frame: 7 Months
PDQ-39 responses
PDQ-39 quality of life survey responses.
Time frame: 7 Months
PACIC responses
The Patient Assessment of Care for Chronic Conditions (PACIC) is a questionnaire that measures specific actions or qualities of care
Time frame: 7 Months
PAM-13 responses
The Patient Activation Measure (PAM) assessment gauges the knowledge, skills and confidence essential to managing one's own health and healthcare.
Time frame: 7 Months
Number of clinic visits
Time frame: 7 Months
Number of patient/clinician communications
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Time frame: 7 Months
Number and type of medication changes
Time frame: 7 Months
Number of videoconferences completed
Time frame: 7 Months
Unified Parkinson's Disease Rating Scale (UPDRS)
Time frame: 7 Months