Background: As motor symptoms of Parkinson's disease (PD) progress, visits to medical clinics for patients and caregivers become burdensome.
Aim:The aim of this study is to examine satisfaction with an integrated digital platform (online medical examination, online medication instruction, drug delivery, and remote patient monitoring) in PD.Methods: This multicenter, prospective, observational pilot study (July 2020-March 2021), comprising face-to-face (weeks 0-4) and online (weeks 5-16) periods, included patients with PD aged ≥20 years capable of visiting a clinic. PD symptoms were collected via a smartwatch and mobile phone. Patient-assessed (primary objective) and caregiver-and physician-assessed (secondary objectives) satisfaction was evaluated using the Client Satisfaction Questionnaire-8 (CSQ-8) and a self-completed questionnaire, respectively. Changes in patient and caregiver burden were also assessed (exploratory objective).Results: Thirty patients, 15 caregivers, and six physicians participated. The mean (SD) age of patients was 66.7 (8.5) years, 63.3% were male, mean (SD) duration of disease was 8.04 (5.4) years. CSQ-8 total mean (SD) score was 25.6 (3.06), 25.7 (3.05), and 23.2 (3.96) at week 0 (n = 30), week 4 (n = 30), and week 16 (n = 29), respectively. Assessment of the individual components of the digital platform indicated a degree of satisfaction with online medical examination and online medication instruction and drug delivery; satisfaction with remote patient monitoring was moderate. During the online period, patient and caregiver burdens were reduced. Conclusion: Patients, caregivers, and physicians were satisfied with the integrated digital platform. Future research to prove the medical usefulness of this platform is required.