Adam P Horin1, Marie E McNeely1,2,3, Elinor C Harrison1,2, Peter S Myers1,2, Ellen N Sutter1,4, Kerri S Rawson1, Gammon M Earhart1,2,5. 1. Program in Physical Therapy, Washington University School of Medicine, St Louis, MO, USA. 2. Department of Neurology, Washington University School of Medicine, St Louis, MO, USA. 3. Change in affiliation: Unfold Productions, LLC, St. Louis, MO, USA. 4. Change in affiliation: Department of Rehabilitation Medicine, University of Minnesota, Minneapolis, MN, USA. 5. Department of Neuroscience, Washington University School of Medicine, St Louis, MO, USA.
Abstract
Aim: This study investigated the usability of a mobile health (mHealth) smartphone application to treat gait, speech and dexterity in people with Parkinson's disease. Methods: Participants either used an mHealth application (intervention) or maintained their normal routine (control) for 12 weeks and were evaluated at baseline and post-test time points for primary outcome measures of adherence, gait, speech and dexterity. mHealth application adherence was compared with percent change scores on gait, speech and dexterity measures. Results: Adherence was moderate and there were no significant group, time or interaction effects for any outcome measures. Correlations between adherence and outcomes were weak and negative. Conclusion: These data suggest that usability of this mHealth application was limited as indicated by low adherence. The application alone in its present form was not adequate to treat symptoms of gait, speech or dexterity in people with Parkinson's disease.
Aim: This study investigated the usability of a mobile health (mHealth) smartphone application to treat gait, speech and dexterity in people with Parkinson's disease. Methods:Participants either used an mHealth application (intervention) or maintained their normal routine (control) for 12 weeks and were evaluated at baseline and post-test time points for primary outcome measures of adherence, gait, speech and dexterity. mHealth application adherence was compared with percent change scores on gait, speech and dexterity measures. Results: Adherence was moderate and there were no significant group, time or interaction effects for any outcome measures. Correlations between adherence and outcomes were weak and negative. Conclusion: These data suggest that usability of this mHealth application was limited as indicated by low adherence. The application alone in its present form was not adequate to treat symptoms of gait, speech or dexterity in people with Parkinson's disease.
Authors: A Nieuwboer; G Kwakkel; L Rochester; D Jones; E van Wegen; A M Willems; F Chavret; V Hetherington; K Baker; I Lim Journal: J Neurol Neurosurg Psychiatry Date: 2007-02 Impact factor: 10.154
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