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Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators

BACKGROUND: Parkinson’s disease (PD) is a progressive neurodegenerative disease with a fast increasing prevalence. Several pharmacological and non-pharmacological interventions are available to alleviate symptoms. Technology can be used to improve the efficiency, accessibility and feasibility of the...

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Autores principales: Laar, Arjonne, Silva de Lima, Ana Ligia, Maas, Bart R., Bloem, Bastiaan R., de Vries, Nienke M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972397/
https://www.ncbi.nlm.nih.gov/pubmed/36864905
http://dx.doi.org/10.1016/j.prdoa.2023.100188
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author Laar, Arjonne
Silva de Lima, Ana Ligia
Maas, Bart R.
Bloem, Bastiaan R.
de Vries, Nienke M.
author_facet Laar, Arjonne
Silva de Lima, Ana Ligia
Maas, Bart R.
Bloem, Bastiaan R.
de Vries, Nienke M.
author_sort Laar, Arjonne
collection PubMed
description BACKGROUND: Parkinson’s disease (PD) is a progressive neurodegenerative disease with a fast increasing prevalence. Several pharmacological and non-pharmacological interventions are available to alleviate symptoms. Technology can be used to improve the efficiency, accessibility and feasibility of these treatments. Although many technologies are available, only few are actually implemented in daily clinical practice. AIM: Here, we study the barriers and facilitators, as experienced by patients, caregivers and/or healthcare providers, to successful implement technology for PD management. METHODS: We performed a systematic literature search in the PubMed and Embase databases until June 2022. Two independent raters screened the titles, abstracts and full texts on: 1) people with PD; 2) using technology for disease management; 3) qualitative research methods providing patients’, caregivers and/or healthcare providers’ perspective, and; 4) full text available in English or Dutch. Case studies, reviews and conference abstracts were excluded. RESULTS: We found 5420 unique articles of which 34 were included in this study. Five categories were made: cueing (n = 3), exergaming (n = 3), remote monitoring using wearable sensors (n = 10), telerehabilitation (n = 8) and remote consultation (n = 10). The main barriers reported across categories were unfamiliarity with technology, high costs, technical issues and (motor) symptoms hampering the use of some technologies. Facilitators included good usability, experiencing beneficial effects and feeling safe whilst using the technology. CONCLUSION: Although only few articles presented a qualitative evaluation of technologies, we found some important barriers and facilitators that may help to bridge the gap between the fast developing technological world and actual implementation in day-to-day living with PD.
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spelling pubmed-99723972023-03-01 Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators Laar, Arjonne Silva de Lima, Ana Ligia Maas, Bart R. Bloem, Bastiaan R. de Vries, Nienke M. Clin Park Relat Disord Review BACKGROUND: Parkinson’s disease (PD) is a progressive neurodegenerative disease with a fast increasing prevalence. Several pharmacological and non-pharmacological interventions are available to alleviate symptoms. Technology can be used to improve the efficiency, accessibility and feasibility of these treatments. Although many technologies are available, only few are actually implemented in daily clinical practice. AIM: Here, we study the barriers and facilitators, as experienced by patients, caregivers and/or healthcare providers, to successful implement technology for PD management. METHODS: We performed a systematic literature search in the PubMed and Embase databases until June 2022. Two independent raters screened the titles, abstracts and full texts on: 1) people with PD; 2) using technology for disease management; 3) qualitative research methods providing patients’, caregivers and/or healthcare providers’ perspective, and; 4) full text available in English or Dutch. Case studies, reviews and conference abstracts were excluded. RESULTS: We found 5420 unique articles of which 34 were included in this study. Five categories were made: cueing (n = 3), exergaming (n = 3), remote monitoring using wearable sensors (n = 10), telerehabilitation (n = 8) and remote consultation (n = 10). The main barriers reported across categories were unfamiliarity with technology, high costs, technical issues and (motor) symptoms hampering the use of some technologies. Facilitators included good usability, experiencing beneficial effects and feeling safe whilst using the technology. CONCLUSION: Although only few articles presented a qualitative evaluation of technologies, we found some important barriers and facilitators that may help to bridge the gap between the fast developing technological world and actual implementation in day-to-day living with PD. Elsevier 2023-02-16 /pmc/articles/PMC9972397/ /pubmed/36864905 http://dx.doi.org/10.1016/j.prdoa.2023.100188 Text en © 2023 The Author(s) https://creativecommons.org/licenses/by/4.0/This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Review
Laar, Arjonne
Silva de Lima, Ana Ligia
Maas, Bart R.
Bloem, Bastiaan R.
de Vries, Nienke M.
Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title_full Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title_fullStr Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title_full_unstemmed Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title_short Successful implementation of technology in the management of Parkinson's disease: Barriers and facilitators
title_sort successful implementation of technology in the management of parkinson's disease: barriers and facilitators
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9972397/
https://www.ncbi.nlm.nih.gov/pubmed/36864905
http://dx.doi.org/10.1016/j.prdoa.2023.100188
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