Horin Adam P, McNeely Marie E, Harrison Elinor C, Myers Peter S, Sutter Ellen N, Rawson Kerri S, Earhart Gammon M
Program in Physical Therapy, Washington University School of Medicine, St Louis, MO, USA.
Department of Neurology, Washington University School of Medicine, St Louis, MO, USA.
Neurodegener Dis Manag. 2019 Apr;9(2):97-105. doi: 10.2217/nmt-2018-0036. Epub 2019 Apr 18.
This study investigated the usability of a mobile health (mHealth) smartphone application to treat gait, speech and dexterity in people with Parkinson's disease. 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. 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. 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.
本研究调查了一款移动健康（mHealth）智能手机应用程序用于治疗帕金森病患者步态、言语和灵活性的可用性。参与者要么使用mHealth应用程序（干预组），要么维持其正常日常活动（对照组），为期12周，并在基线和测试后时间点针对依从性、步态、言语和灵活性的主要结局指标进行评估。将mHealth应用程序的依从性与步态、言语和灵活性测量的百分比变化分数进行比较。依从性为中等，对于任何结局指标，均未发现显著的组间、时间或交互效应。依从性与结局之间的相关性较弱且呈负相关。这些数据表明，如低依从性所示，该mHealth应用程序的可用性有限。以其目前的形式，单独使用该应用程序不足以治疗帕金森病患者的步态、言语或灵活性症状。
