ArticleBMJ open quality2020
Using telemedicine and wearable technology to establish a virtual clinic for people with Parkinson's disease.
Article in BMJ open quality, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 3 of them syntheses that pooled it.
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
19 citing papers in PubMed, 3 syntheses or guidelines pooled it, 31 citations in OpenAlex.
- The experience and perception of wearable devices in Parkinson's disease patients: a systematic review and meta-synthesis of qualitative studies.Journal of neurology · 2025Pooled it
- Movement Disorders and Smart Wrist Devices: A Comprehensive Study.Sensors (Basel, Switzerland) · 2025Pooled it
- Devices for remote continuous monitoring of people with Parkinson's disease: a systematic review and cost-effectiveness analysis.Health technology assessment (Winchester, England) · 2024Pooled it
- ParkinSong Online: Feasibility of Telehealth Delivery and Remote Data Collection for a Therapeutic Group Singing Study in Parkinson's.Neurorehabilitation and neural repair · 2024Trial
- Televisits for Parkinson's disease: benefits and barriers.Journal of neural transmission (Vienna, Austria : 1996) · 2026Review
- Short-term changes in objectively measured activity predict brain atrophy and disability progression in multiple sclerosis.medRxiv : the preprint server for health sciences · 2025Article
- Editorial: Integrating technology into advanced Parkinson's disease management: from screening and evaluation to treatment and prevention.Frontiers in neurology · 2025Article
- A Framework for the Human-Centered Design of Service Processes Enabled by Medical Devices: A Case Study of Wearable Devices for Parkinson's Disease.International journal of environmental research and public health · 2024Article
- Old problems, new solutions: harnessing technology and innovation in Parkinson's disease-evidence and experiences from Thailand.Journal of neural transmission (Vienna, Austria : 1996) · 2024Review
- Rapid Implementation of the Virtual Clinic Concept in an Oncology Department to Minimize the Exposure of Patients with Cancer to COVID-19.Global journal on quality and safety in healthcare · 2024Article
- Overview on wearable sensors for the management of Parkinson's disease.NPJ Parkinson's disease · 2023Review
- An Exploration of Wearable Device Features Used in UK Hospital Parkinson Disease Care: Scoping Review.Journal of medical Internet research · 2023Article
- Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators.Clinical parkinsonism & related disorders · 2023Review
- Closing the loop for patients with Parkinson disease: where are we?Nature reviews. Neurology · 2022Review
- Feasibility of a continuous, multi-sensor remote health monitoring approach in persons living with neurodegenerative disease.Journal of neurology · 2022Article
- Artificial intelligence applications and robotic systems in Parkinson's disease (Review).Experimental and therapeutic medicine · 2022Review
- Parkinson's disease and Covid-19: The effect and use of telemedicine.International review of neurobiology · 2022Article
- The state of telemedicine for persons with Parkinson's disease.Current opinion in neurology · 2021Review
- Promoting Self-Care in Nursing Encounters with Persons Affected by Long-Term Conditions-A Proposed Model to Guide Clinical Care.International journal of environmental research and public health · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTo develop an effective, patient-centred and sustainable service, we set up a virtual clinic (VC) for patients with Parkinson's disease, combining phone consultations and reports from wearable technology. The Parkinson's Kinetigraph (PKG) is a wrist-worn device providing objective motor assessment, generating a report used by clinicians to optimise medication regimens.
interventionsA pilot study of VC was designed using quality improvement methodology. For a VC appointment, patients were phoned by a clinician. After discussing symptoms and reviewing the PKG report, the clinician could decide on any medication changes or other interventions and relay this to the patient's general practitioner in a clinic letter. Patient feedback was gathered via questionnaires and data collected on the outcomes and timings of the consultations.
resultsOver 12 clinics, 61 patients had VC appointments. Of questionnaire respondents, 89% were satisfied with VC (n=41). At VC, the clinician was able to make a treatment decision comparable to a face-to-face clinic in 79% of cases (n=48). Reasons appointments were deemed unsuccessful included issues with the PKG, speech or hearing problems and complex phase of disease. VC appointments, including administration time, last on average 22 min. This compares to 20 min face-to-face appointments but these do not include administration time.
conclusionsWe have demonstrated a safe and effective VC template. Most VC appointments are equivalent to face-to-face clinic in terms of treatment outcome. Success could be further improved by appropriate patient selection. Using VC is time saving and can result in releasing face-to-face appointment slots for those in urgent need or newly referred patients. Further cost analysis is required; the cost of the PKG alone is more expensive than a face-to-face appointment, but this does not take into account other value added, such as patient convenience and satisfaction, and reduced need for ambulance transport.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.