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Patient-reported, health economic and psychosocial outcomes in patients with Friedreich ataxia (PROFA): protocol of an observational study using momentary data assessments via mobile health app.
Buchholz, Maresa; Weber, Niklas; Borel, Stephanie; Sayah, Sabrina; Xie, Feng; Schulz, Jörg B; Reetz, Kathrin; Boesch, Sylvia; Klopstock, Thomas; Karin, Ivan; Schöls, Ludger; Grobe-Einsler, Marcus; Klockgether, Thomas; Davies, Elin Haf; Schmeder, Madeleine; Nadke, Andreas; Michalowsky, Bernhard.
Afiliación
  • Buchholz M; Translational Health Care Research, German Center for Neurodegenerative Diseases, Site Rostock/Greifswald, Greifswald, Germany maresa.buchholz@dzne.de.
  • Weber N; Translational Health Care Research, German Center for Neurodegenerative Diseases, Site Rostock/Greifswald, Greifswald, Germany.
  • Borel S; Paris Brain Institute (ICM - Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France.
  • Sayah S; Paris Brain Institute (ICM - Institut du Cerveau), INSERM, CNRS, Assistance Publique-Hôpitaux de Paris (AP-HP), Sorbonne University, Paris, France.
  • Xie F; Department of Health Research Methods, Evidence and Impact, McMaster University, Hamilton, Ontario, Canada.
  • Schulz JB; Department of Neurology, RWTH Aachen University, Aachen, Germany.
  • Reetz K; Department of Neurology, RWTH Aachen University, Aachen, Germany.
  • Boesch S; Clinical Department of Neurology, Medical University Innsbruck, Innsbruck, Austria.
  • Klopstock T; Friedrich-Baur-Institut, Department of Neurology, Ludwig Maximilians University of Munich, Munich, Germany.
  • Karin I; Friedrich-Baur-Institut, Department of Neurology, Ludwig Maximilians University of Munich, Munich, Germany.
  • Schöls L; Hertie Institute for Clinical Brain Research and Center of Neurology, University Hospital Tübingen, Tubingen, Germany.
  • Grobe-Einsler M; German Center for Neurodegenerative Diseases, Bonn, Germany.
  • Klockgether T; Department of Neurology, University Hospital Bonn, Bonn, Germany.
  • Davies EH; German Center for Neurodegenerative Diseases, Bonn, Germany.
  • Schmeder M; Department of Neurology, University Hospital Bonn, Bonn, Germany.
  • Nadke A; Aparito Ltd, Wrexham, UK.
  • Michalowsky B; Association Française de l'Ataxie de Friedreich, Hirson, France.
BMJ Open ; 13(8): e075736, 2023 08 01.
Article en En | MEDLINE | ID: mdl-37527887
INTRODUCTION: Friedreich ataxia (FA) is the most common hereditary ataxia in Europe, characterised by progressively worsening movement and speech impairments with a typical onset before the age of 25 years. The symptoms affect the patients' health-related quality of life (HRQoL) and psychosocial health. FA leads to an increasing need for care, associated with an economic burden. Little is known about the impact of FA on daily lives and HRQoL. To fill that gap, we will assess patient-reported, psychosocial and economic outcomes using momentary data assessment via a mobile health application (app). METHODS AND ANALYSIS: The PROFA Study is a prospective observational study. Patients with FA (n=200) will be recruited at six European study centres (Germany, France and Austria). We will interview patients at baseline in the study centre and subsequently assess the patients' health at home via mobile health app. Patients will self-report ataxia severity, HRQoL, speech and hearing disabilities, coping strategies and well-being, health services usage, adverse health events and productivity losses due to informal care on a daily to monthly basis on the app for 6 months. Our study aims to (1) validate measurements of HRQoL and psychosocial health, (2) assess the usability of the mobile health app, and (3) use descriptive and multivariate statistics to analyse patient-reported and economic outcomes and the interaction effects between these outcomes. Insights into the app's usability could be used for future studies using momentary data assessments to measure outcomes of patients with FA. ETHICS AND DISSEMINATION: Ethical approval has been obtained from the Ethics Committee of the University Medicine of Greifswald, (BB096/22a, 26 October 2022) and from all local ethics committees of the participating study sites. Findings of the study will be published in peer-reviewed journals, presented at relevant international/national congresses and disseminated to German and French Patient Advocacy Organizations. TRIAL REGISTRATION NUMBER: ClinicalTrials.gov Registry (NCT05943002); Pre-results.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ataxia de Friedreich / Telemedicina / Aplicaciones Móviles Tipo de estudio: Health_economic_evaluation / Observational_studies / Qualitative_research Aspecto: Ethics / Patient_preference Límite: Adult / Humans Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Ataxia de Friedreich / Telemedicina / Aplicaciones Móviles Tipo de estudio: Health_economic_evaluation / Observational_studies / Qualitative_research Aspecto: Ethics / Patient_preference Límite: Adult / Humans Idioma: En Revista: BMJ Open Año: 2023 Tipo del documento: Article País de afiliación: Alemania Pais de publicación: Reino Unido