Accepted for/Published in: JMIR Serious Games
Date Submitted: Oct 11, 2020
Date Accepted: May 29, 2021
TELEP@RK: evaluation of the use of a digitally-guided self-rehabilitation device coupled with telerehabilitation monitoring in patients with Parkinson's disease, an open prospective observationnal study
ABSTRACT
Background:
Parkinson's disease is a neurodegenerative disease causing a progressive loss of autonomy. This requires long-term rehabilitation care. Currently, we are witnessing the development of new technologies in our daily lives and also the progressive implementation of telerehabilitation.
Objective:
To evaluate the uses of a digital self-rehabilitation device in patients with Parkinson's disease and their liberal physiotherapists on the scale of a health territory.
Methods:
10 independent physiotherapists and 31 patients suffering from Parkinson's disease were followed for one year to evaluate the use (via questionnaires of the UTAUT model) of a rehabilitation tool (digital tablet and inertial sensor). The questionnaires were submitted to participants at 0, 2 and 12 months from the start of follow-up. The averages of the scores of the different determinants and constructs of the UTAUT questionnaires were compared at the different follow-up times.
Results:
Among professionals, the averages of the different determinants were generally high at the beginning of the study with an average (out of 5): expected performance = 4.19, expected effort = 3.88, social influence = 3.95, facilitating conditions = 4, intention to use = 3.97. These averages decrease over time.
Conclusions:
Acceptability, acceptance, appropriation of the tool are very good among the physiotherapists as well as the patients, despite the lack of evolution of the tool during the study. In the current healthcare context, these results lead us to think about a new organization of the care pathway for patients suffering from chronic diseases with the increased use of new technologies associated with telecare.
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