Falls in Parkinson's Disease (PD) are very frequent with often devastating consequences, increasing comorbidity, mortality, decreased quality of life and increased socio-health costs. In this national, single-center, single-blind, randomized, case-control study, non-demented patients with idiopathic PD with high risk of falling will be included. The main objective of this study is to determine the cost-effectiveness of a home-based, multidisciplinary tele-health intervention to decrease the risk of falling.
In this study, PD patients using multidisciplinary tele-health intervention (study group) will be compared to age, gender-matched PD patients receiving the best standard in-office clinical management (control group). Both groups will be followed for 8 months. The main outcome will be the comparison of incidence of falls between the study and control groups. Secondary outcomes will include the analysis of cost-effectiveness of multidisciplinary tele-health interventions. The results of this study will allow us to study the feasibility of remote health care to prevent falls in patients with PD, allowing equity in the distribution and access to specialized health care.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
PREVENTION
Masking
SINGLE
Enrollment
50
Non-pharmacological and pharmacological treatment provided by telemedicine plus in-office visits
Non-pharmacological and pharmacological treatment provided in-office visits
Hospital Universitario de Burgos
Burgos, Spain
Incidence of falls reduction
Comparison of incidence of falls between the study and control groups by using diaries and wearable sensors
Time frame: 8 months
Feasibility
Number of virtual videoconferences completed
Time frame: 8 months
Cost-effectiveness
To compare the medical and non-medical direct costs between the study and control groups by using structured questionnaires
Time frame: 8 months
Healt-related quality of life
To compare the PDQ-39 scores between the study and control groups
Time frame: 8 months
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