COVID-19 Modifications for Remote Teleassessment and Teletraining of a Complementary Alternative Medicine Intervention for People With Multiple Sclerosis: Protocol for a Randomized Controlled Trial

Lai, Byron; Chiu, Chia-Ying; Pounds, Emily; Mehta, Tapan; Young, Hui-Ju; Riser, Emily; Rimmer, James H.

doi:10.2196/18415

Cited by 35 publications

(27 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Several clinical trials have incorporated online platforms to enable remote assessment of patients. Some studies began to utilize self-monitoring applications, of which there is now a broad range of choices ( Lai et al, 2020 ). Also, patient-reported outcomes now play a more central role ( Moccia et al, 2020 ).…”

Section: Resultsmentioning

confidence: 99%

Update on the management of multiple sclerosis during the COVID-19 pandemic and post pandemic: An international consensus statement

Reyes

Cunningham

Kalinčík

et al. 2021

Journal of Neuroimmunology

View full text Add to dashboard Cite

In this consensus statement, we provide updated recommendations on multiple sclerosis (MS) management during the COVID-19 crisis and the post-pandemic period applicable to neurology services around the world. Statements/recommendations were generated based on available literature and the experience of 13 MS expert panelists using a modified Delphi approach online. The statements/recommendations give advice regarding implementation of telemedicine; use of disease-modifying therapies and management of MS relapses during the pandemic; management of people with MS at highest risk from COVID-19; management of radiological monitoring; use of remote pharmacovigilance; impact on MS research; implications for lowest income settings, and other key issues.

show abstract

Section: Resultsmentioning

confidence: 99%

Update on the management of multiple sclerosis during the COVID-19 pandemic and post pandemic: An international consensus statement

Reyes

Cunningham

Kalinčík

et al. 2021

Journal of Neuroimmunology

View full text Add to dashboard Cite

show abstract

“…Telerehabilitation is recommended by the American Physical Therapy Association 62 , the Chartered Society of Physiotherapy 54 , the World Confederation for Physical Therapy, and the International Network of Physiotherapy Regulatory Authorities 63 . The successful implementation in other conditions such as stroke [64][65][66][67] , cerebellar ataxia 8 , muscular dystrophies 68 , hereditary spastic paraplegia 6 , and multiple sclerosis 69 makes it a promising therapeutic possibility in PD. A recent study showed the readiness of PD patients to take part in telerehabilitation 70 .…”

Section: Recommendations For Rehabilitation Measures During the Covidmentioning

confidence: 99%

How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review

Langer

Gassner

Flotz

et al. 2021

npj Parkinsons Dis.

View full text Add to dashboard Cite

The lack of physical exercise during the COVID-19 pandemic-related quarantine measures is challenging, especially for patients with Parkinson’s disease (PD). Without regular exercise not only patients, but also nursing staff and physicians soon noticed a deterioration of motor and non-motor symptoms. Reduced functional mobility, increased falls, increased frailty, and decreased quality of life were identified as consequences of increased sedentary behavior. This work overviews the current literature on problems of supplying conventional physiotherapy and the potential of telerehabilitation, allied health services, and patient-initiated exercise for PD patients during the COVID-19 period. We discuss recent studies on approaches that can improve remote provision of exercise to patients, including telerehabilitation, motivational tools, apps, exergaming, and virtual reality (VR) exercise. Additionally, we provide a case report about a 69-year-old PD patient who took part in a 12-week guided climbing course for PD patients prior to the pandemic and found a solution to continue her climbing training independently with an outdoor rope ladder. This case can serve as a best practice example for non-instructed, creative, and patient-initiated exercise in the domestic environment in difficult times, as are the current. Overall, many recent studies on telemedicine, telerehabilitation, and patient-initiated exercises have been published, giving rise to optimism that facilitating remote exercise can help PD patients maintain physical mobility and emotional well-being, even in phases such as the COVID-19 pandemic. The pandemic itself may even boost the need to establish comprehensive and easy-to-do telerehabilitation programs.

show abstract

“…The pandemic also disrupted research, forcing projects to suspend operations or implement remote noncontact methods [5][6][7]. Paradoxically, some studies of mobile technology faced difficulties converting to entirely remote technology delivery and usability assessment, revealing opportunities for technology projects to experiment with remote operations [8].…”

Section: Overviewmentioning

confidence: 99%

“…A medication list created by the user through searching and browsing, selecting medication choices, and numeric data entry. 5. Monthly reminders to complete medication review.…”

Section: Overviewmentioning

confidence: 99%

Going Remote—Demonstration and Evaluation of Remote Technology Delivery and Usability Assessment With Older Adults: Survey Study (Preprint)

Hill¹,

Harrington²,

Adeoye³

et al. 2020

Preprint

View full text Add to dashboard Cite

BACKGROUND The COVID-19 pandemic necessitated “going remote” with the delivery, support, and assessment of a study intervention targeting older adults enrolled in a clinical trial. While remotely delivering and assessing technology is not new, there are few methods available in the literature that are proven to be effective with diverse populations, and none for older adults specifically. Older adults comprise a diverse population, including in terms of their experience with and access to technology, making this a challenging endeavor. OBJECTIVE Our objective was to remotely deliver and conduct usability testing for a mobile health (mHealth) technology intervention for older adult participants enrolled in a clinical trial of the technology. This paper describes the methodology used, its successes, and its limitations. METHODS We developed a conceptual model for remote operations, called the Framework for Agile and Remote Operations (FAR Ops), that combined the general requirements for spaceflight operations with Agile project management processes to quickly respond to this challenge. Using this framework, we iteratively created <i>care packages</i> that differed in their contents based on participant needs and were sent to study participants to deliver the study intervention—a medication management app—and assess its usability. Usability data were collected using the System Usability Scale (SUS) and a novel usability questionnaire developed to collect more in-depth data. RESULTS In the first 6 months of the project, we successfully delivered 21 <i>care packages</i>. We successfully designed and deployed a minimum viable product in less than 6 weeks, generally maintained a 2-week sprint cycle, and achieved a 40% to 50% return rate for both usability assessment instruments. We hypothesize that lack of engagement due to the pandemic and our use of asynchronous communication channels contributed to the return rate of usability assessments being lower than desired. We also provide general recommendations for performing remote usability testing with diverse populations based on the results of our work, including implementing screen sharing capabilities when possible, and determining participant preference for phone or email communications. CONCLUSIONS The FAR Ops model allowed our team to adopt remote operations for our mHealth trial in response to interruptions from the COVID-19 pandemic. This approach can be useful for other research or practice-based projects under similar circumstances or to improve efficiency, cost, effectiveness, and participant diversity in general. In addition to offering a replicable approach, this paper tells the often-untold story of practical challenges faced by mHealth projects and practical strategies used to address them. CLINICALTRIAL ClinicalTrials.gov NCT04121858; https://clinicaltrials.gov/ct2/show/NCT04121858

show abstract

COVID-19 Modifications for Remote Teleassessment and Teletraining of a Complementary Alternative Medicine Intervention for People With Multiple Sclerosis: Protocol for a Randomized Controlled Trial

Cited by 35 publications

References 24 publications

Update on the management of multiple sclerosis during the COVID-19 pandemic and post pandemic: An international consensus statement

Update on the management of multiple sclerosis during the COVID-19 pandemic and post pandemic: An international consensus statement

How COVID-19 will boost remote exercise-based treatment in Parkinson’s disease: a narrative review

Going Remote—Demonstration and Evaluation of Remote Technology Delivery and Usability Assessment With Older Adults: Survey Study (Preprint)

Contact Info

Product

Resources

About