Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s)
Background/objectivesThis study aimed to evaluate compliance and accuracy in comparison with traditional PD diaries for tracking motor symptoms using a new smartphone application (MyParkinson’s) and paper diary strategies. Parkinson’s disease (PD) is a neurodegenerative disorder with progressive mot...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2025-01-01
|
| Series: | Frontiers in Neurology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fneur.2025.1522721/full |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832582904283136000 |
|---|---|
| author | Nazli Durmaz Celik Nazli Durmaz Celik Asli Yaman Kula Naci Murat Müge Kuzu Kumcu Aydan Topal Serhat Özkan |
| author_facet | Nazli Durmaz Celik Nazli Durmaz Celik Asli Yaman Kula Naci Murat Müge Kuzu Kumcu Aydan Topal Serhat Özkan |
| author_sort | Nazli Durmaz Celik |
| collection | DOAJ |
| description | Background/objectivesThis study aimed to evaluate compliance and accuracy in comparison with traditional PD diaries for tracking motor symptoms using a new smartphone application (MyParkinson’s) and paper diary strategies. Parkinson’s disease (PD) is a neurodegenerative disorder with progressive motor symptoms. Treatment becomes more challenging as PD progresses, motor complications in the form of wearing-off phenomenon and levodopa-induced dyskinesia develop. Traditional paper diaries and clinical scales used to evaluate patients may be inadequate in assessing whether the patient is “on” or “off,” resulting in less-than-ideal treatment changes.MethodsA randomized crossover design was utilized to examine 22 advanced PD patients who underwent symptomatic assessment with both diaries during two separate 24-h periods seven days apart. The compliance and accuracy of data were assessed by comparing diary entries with the clinical examination notes and WhatsApp queries. LaOerly, patients’ diary preferences were also evaluated.ResultsThe digital diary had significantly beOer compliance and accuracy than the paper diaries, with substantial/almost perfect levels of agreement (κ = 0.615 to 0.818) between logged symptoms and clinical examination notes. 65% of patients preferred the digital diary for follow-ups, and there was no significant difference in ease of use compared to paper diaries.ConclusionDigital diaries are helpful in the clinical management of PD patients as they minimize recall bias and reduce data errors in appropriately selected patients. Our study suggests a broader adoption of digital health technologies in PD management. Still, additional research is necessary to improve the tools and assess long-term patient outcomes. |
| format | Article |
| id | doaj-art-681e7d98295b48eb933a391e79c8203d |
| institution | Kabale University |
| issn | 1664-2295 |
| language | English |
| publishDate | 2025-01-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj-art-681e7d98295b48eb933a391e79c8203d2025-01-29T06:46:02ZengFrontiers Media S.A.Frontiers in Neurology1664-22952025-01-011610.3389/fneur.2025.15227211522721Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s)Nazli Durmaz Celik0Nazli Durmaz Celik1Asli Yaman Kula2Naci Murat3Müge Kuzu Kumcu4Aydan Topal5Serhat Özkan6Department of Neurology, Eskişehir Osmangazi University, Faculty of Medicine, Eskişehir, TürkiyeDepartment of Neurology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TürkiyeDepartment of Neurology, Bezmialem Vakif University Hospital, Istanbul, TürkiyeDepartment of Industrial Engineering, Ondokuz Mayıs University, Samsun, TürkiyeDepartment of Neurology, Lokman Hekim University, Ankara, TürkiyeDepartment of Neurology, Samsun Training and Research Hospital, Samsun, TürkiyeDepartment of Neurology, Faculty of Medicine, Eskişehir Osmangazi University, Eskişehir, TürkiyeBackground/objectivesThis study aimed to evaluate compliance and accuracy in comparison with traditional PD diaries for tracking motor symptoms using a new smartphone application (MyParkinson’s) and paper diary strategies. Parkinson’s disease (PD) is a neurodegenerative disorder with progressive motor symptoms. Treatment becomes more challenging as PD progresses, motor complications in the form of wearing-off phenomenon and levodopa-induced dyskinesia develop. Traditional paper diaries and clinical scales used to evaluate patients may be inadequate in assessing whether the patient is “on” or “off,” resulting in less-than-ideal treatment changes.MethodsA randomized crossover design was utilized to examine 22 advanced PD patients who underwent symptomatic assessment with both diaries during two separate 24-h periods seven days apart. The compliance and accuracy of data were assessed by comparing diary entries with the clinical examination notes and WhatsApp queries. LaOerly, patients’ diary preferences were also evaluated.ResultsThe digital diary had significantly beOer compliance and accuracy than the paper diaries, with substantial/almost perfect levels of agreement (κ = 0.615 to 0.818) between logged symptoms and clinical examination notes. 65% of patients preferred the digital diary for follow-ups, and there was no significant difference in ease of use compared to paper diaries.ConclusionDigital diaries are helpful in the clinical management of PD patients as they minimize recall bias and reduce data errors in appropriately selected patients. Our study suggests a broader adoption of digital health technologies in PD management. Still, additional research is necessary to improve the tools and assess long-term patient outcomes.https://www.frontiersin.org/articles/10.3389/fneur.2025.1522721/fullmobile applicationsParkinson’s disease digital diarysmartphone applicationmotor symptom diaryParkinson’s disease |
| spellingShingle | Nazli Durmaz Celik Nazli Durmaz Celik Asli Yaman Kula Naci Murat Müge Kuzu Kumcu Aydan Topal Serhat Özkan Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) Frontiers in Neurology mobile applications Parkinson’s disease digital diary smartphone application motor symptom diary Parkinson’s disease |
| title | Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) |
| title_full | Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) |
| title_fullStr | Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) |
| title_full_unstemmed | Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) |
| title_short | Evaluation of compliance and accuracy in Parkinson’s disease motor symptom tracking: a comparative study of digital and traditional paper diaries using a smartphone application (MyParkinson’s) |
| title_sort | evaluation of compliance and accuracy in parkinson s disease motor symptom tracking a comparative study of digital and traditional paper diaries using a smartphone application myparkinson s |
| topic | mobile applications Parkinson’s disease digital diary smartphone application motor symptom diary Parkinson’s disease |
| url | https://www.frontiersin.org/articles/10.3389/fneur.2025.1522721/full |
| work_keys_str_mv | AT nazlidurmazcelik evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT nazlidurmazcelik evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT asliyamankula evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT nacimurat evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT mugekuzukumcu evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT aydantopal evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons AT serhatozkan evaluationofcomplianceandaccuracyinparkinsonsdiseasemotorsymptomtrackingacomparativestudyofdigitalandtraditionalpaperdiariesusingasmartphoneapplicationmyparkinsons |