Virtual coach and telerehabilitation for Parkinson´s disease patients: vCare system.
Aim: The vCare system is a virtual coach that involves physical and cognitive telerehabilitation and a daily life monitoring system. This pilot study aims to evaluate the vCare pilot test for Parkinson's disease (PD) patients and to analyze the usability and the satisfaction level of patients and th...
| Publicado en: | Journal of Public Health: From Theory to Practice (2198-1833) Vol. 33; no. 7; pp. 1583 - 1597 |
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| Autores principales: | , , , , , , , , , |
| Formato: | Artículo |
| Publicado: |
Springer Nature
Jul2025
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=186105053&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 186105053 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 21981833 NENI jtl: Journal of Public Health: From Theory to Practice (2198-1833) issn: 21981833 maglogo: N pubinfo: dt: Jul2025 vid: 33 iid: 7 pid: 237 pub: Springer Nature artinfo: ui: 186105053 10.1007/s10389-023-02082-1 ppf: 1583 ppct: 14 formats: tig: atl: Virtual coach and telerehabilitation for Parkinson´s disease patients: vCare system. aug: au: Del Pino, Rocio de Echevarría, Amaia Ortiz Díez-Cirarda, Maria Ustarroz-Aguirre, Iker Caprino, Massimo Liu, Jin Gand, Kai Schlieter, Hannes Gabilondo, Iñigo Gómez-Esteban, Juan Carlos affil: https://ror.org/0061s4v88 Neurodegenerative Diseases Group, Biocruces Bizkaia Health Research Institute, Barakaldo, Bizkaia, Spain https://ror.org/04d0ybj29 Department of Neurology, Hospital Clínico San Carlos, Health Research Institute "San Carlos" (IdISCC), Madrid, Spain https://ror.org/03nzegx43 Economic evaluation department, Cruces University Hospital, Osakidetza, Barakaldo, Spain Department of Neurorehabilitation Sciences, Casa di Cura Igea, Milano, Italy https://ror.org/04kdh6x72 Forschungszentrum Informatik (FZI), Karlsruhe, Germany https://ror.org/042aqky30 Faculty of Business and Economics, Research Group Digital Health, Technische Universität Dresden, Dresden, Germany https://ror.org/01cc3fy72 IKERBASQUE, The Basque Foundation for Science, Bilbao, Spain https://ror.org/03nzegx43 Neurology Department, Cruces University Hospital, Osakidetza, Barakaldo, Spain https://ror.org/000xsnr85 Department of Neuroscience, University of the Basque Country (Universidad del Pais Vasco/Euskal Herriko Unibertsitatea), Leioa, Spain su: Health self-care Patient compliance Motor ability Randomized controlled trials Cost benefit analysis Quality of life Analysis of variance Patient satisfaction Psychological tests Activities of daily living Cognition Medical care costs Repeated measures design Pain measurement Research funding Pilot projects Statistical sampling Questionnaires Parkinson's disease Telerehabilitation Treatment effectiveness Descriptive statistics Mann Whitney U Test Longitudinal method Experimental design Pre-tests & post-tests Patient monitoring Home rehabilitation Individualized medicine Human comfort Comparative studies Data analysis software Cognitive rehabilitation Physical mobility Evaluation sug: subj: Health self-care Patient compliance Motor ability Randomized controlled trials Cost benefit analysis Quality of life Analysis of variance Patient satisfaction Psychological tests Activities of daily living Cognition Medical care costs Marketing Research and Public Opinion Polling Repeated measures design Pain measurement Research funding Pilot projects Statistical sampling Questionnaires Parkinson's disease Telerehabilitation Treatment effectiveness Descriptive statistics Mann Whitney U Test Longitudinal method Experimental design Pre-tests & post-tests Patient monitoring Home rehabilitation Individualized medicine Human comfort Comparative studies Data analysis software Cognitive rehabilitation Physical mobility Evaluation keyword: Parkinson's diseases1 Pilot test2 Quality of life3 Telerehabilitation4 vCare5 Parkinson's diseases1 Pilot test2 Quality of life3 Telerehabilitation4 vCare5 ab: Aim: The vCare system is a virtual coach that involves physical and cognitive telerehabilitation and a daily life monitoring system. This pilot study aims to evaluate the vCare pilot test for Parkinson's disease (PD) patients and to analyze the usability and the satisfaction level of patients and their quality of life (QoL). Subject and methods: Twenty PD patients were randomized, 10 patients into the vCare group focused on personalized home telerehabilitation [motor and cognitive rehabilitation (4 days/week for 4 months)], while the control group (10 patients) continued the clinical standard at the clinic. A pre-post clinical evaluation and a cost-utility study were performed. Results: Repeated measures ANOVA showed significant improvement in the PD vCare group compared to the control group (p<.05). Specifically, the PD vCare group showed significant improvement in cognition (p=.016), and QoL dimensions of mobility (p=.008), self-care (p=.008), daily activities (p=.010) and pain/discomfort (p=.004) at post-treatment. vCare PD patients showed high adherence to the vCare system (90.5-100%). Costs per patient in the control group were higher (€5,108.26) than in the vCare group (€2,243.07). Conclusion: The PD vCare group significantly increase their QoL, cognition, motor symptoms, and daily life activities compared to the control group. Patients showed high adherence to the vCare coach, the care plan, rehabilitation, and devices. The vCare system seems to be an optimal and cost-effective tool for telerehabilitation in PD. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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