{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,10]],"date-time":"2026-10-10T00:58:18Z","timestamp":1791593898738,"version":"4.3.4"},"reference-count":65,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>People with Parkinson's disease (pwPD) are a candidate population to regularly use telemedicine services. However, their implementation into clinical practice can be limited by the so\u2010called \u201cdigital exclusion\u201d of the target population.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We aimed to (1) explore the level of digital inclusion in a cohort of pwPD as compared to sex\u2010 and age\u2010matched healthy controls (HC), and (2) to determine the possible influence of both socio\u2010demographic factors and disease features on the level of digital exclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Four hundred and ninety pwPD and 140 HC completed the Digital Inclusion Questionnaire (DIQUEST), which measures two barriers related to digital access and skills; demographic data (age, sex, education and economic status) and clinical characteristics (Hoeh &amp; Yahr stage, MDS\u2010UPDRSIII, presence of depression\/apathy, and\/or mild cognitive decline) were also collected. Nonparametric tests were used for comparative analyses; multivariate linear regression models were performed to establish the predictive value of demographics and disease\u2010related variables on the DIQUEST scores.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>pwPD had a higher level of digital exclusion than HC especially due to poorer digital skills. Both depression\/apathy and mild cognitive decline were associated with a more pronounced digital exclusion. Beyond demographic variables, the presence of PD as well as its severity independently predicted the level of digital exclusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>PwPD suffer from a significant digital exclusion. Our results further highlight the paradox whereby subjects with more advanced PD are more prone to be digitally excluded, despite being the population that would most need telemedicine services.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70171","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T06:33:52Z","timestamp":1749450832000},"page":"1873-1881","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Digital Inclusion in Parkinson's Disease: A Case\u2013Control Study"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3159-0157","authenticated-orcid":false,"given":"Vincenzo","family":"Canoro","sequence":"first","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Pilotto","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Sciences, Neurology Unit University of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Lena","sequence":"additional","affiliation":[{"name":"Department of Neurology IRCCS INM Neuromed  Pozzilli Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Valentina","family":"Fioravanti","sequence":"additional","affiliation":[{"name":"Neurology Unit, Neuromotor &amp; Rehabilitation Department Azienda USL\u2010IRCCS di Reggio Emilia  Reggio Emilia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6904-6494","authenticated-orcid":false,"given":"Chiara","family":"Longo","sequence":"additional","affiliation":[{"name":"Department of Neurology \u201cSanta Chiara Hospital\u201d, Azienda Provinciale per I Servizi Sanitari (APSS)  Trento Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Schirinzi","sequence":"additional","affiliation":[{"name":"Department of Systems Medicine University of Roma Tor Vergata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9025-137X","authenticated-orcid":false,"given":"Marina","family":"Picillo","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Teresa","family":"Pellecchia","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cristiano","family":"Sorrentino","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5836-1982","authenticated-orcid":false,"given":"Francesco","family":"Cavallieri","sequence":"additional","affiliation":[{"name":"Neurology Unit, Neuromotor &amp; Rehabilitation Department Azienda USL\u2010IRCCS di Reggio Emilia  Reggio Emilia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Padovani","sequence":"additional","affiliation":[{"name":"Department of Clinical and Experimental Sciences, Neurology Unit University of Brescia  Brescia Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Maria Chiara","family":"Malaguti","sequence":"additional","affiliation":[{"name":"Department of Neurology \u201cSanta Chiara Hospital\u201d, Azienda Provinciale per I Servizi Sanitari (APSS)  Trento Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicola","family":"Modugno","sequence":"additional","affiliation":[{"name":"Department of Neurology IRCCS INM Neuromed  Pozzilli Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paolo","family":"Barone","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"},{"name":"IRCCS Synlab SDN  Naples Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7800-7419","authenticated-orcid":false,"given":"Roberto","family":"Erro","sequence":"additional","affiliation":[{"name":"Department of Medicine, Surgery and Dentistry \u201cScuola Medica Salernitana\u201d Neuroscience Section University of Salerno  Baronissi Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"Global Observatory for eHealth;https:\/\/www.who.int\/observatories\/global-observatory-for-ehealth. Accessed 29 October 2024."},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2011.0103"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra1601705"},{"key":"e_1_2_8_5_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.15599"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(17)30167-9"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.2196\/24087"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41531-020-00153-8"},{"key":"e_1_2_8_9_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-202320"},{"key":"e_1_2_8_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.28297"},{"key":"e_1_2_8_11_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2015.0055"},{"key":"e_1_2_8_12_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.86.16_supplement.P1.022"},{"key":"e_1_2_8_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.6688"},{"key":"e_1_2_8_14_1","doi-asserted-by":"publisher","DOI":"10.1258\/jtt.2012.120105"},{"key":"e_1_2_8_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2012.10.008"},{"key":"e_1_2_8_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2015.02.026"},{"key":"e_1_2_8_17_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2017.0210"},{"key":"e_1_2_8_18_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-202163"},{"key":"e_1_2_8_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-023-02697-4"},{"key":"e_1_2_8_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2015.02.018"},{"key":"e_1_2_8_21_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2013.123"},{"key":"e_1_2_8_22_1","doi-asserted-by":"publisher","DOI":"10.1212\/01.CPJ.0000437937.63347.5a"},{"key":"e_1_2_8_23_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2015.0191"},{"key":"e_1_2_8_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/mdc3.12436"},{"key":"e_1_2_8_25_1","doi-asserted-by":"publisher","DOI":"10.1089\/tmj.2017.0119"},{"key":"e_1_2_8_26_1","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2020.582613"},{"key":"e_1_2_8_27_1","doi-asserted-by":"publisher","DOI":"10.14802\/jmd.20099"},{"key":"e_1_2_8_28_1","doi-asserted-by":"publisher","DOI":"10.1177\/2374373521997224"},{"key":"e_1_2_8_29_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1758751"},{"key":"e_1_2_8_30_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0042-1755323"},{"key":"e_1_2_8_31_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-0043-1768665"},{"key":"e_1_2_8_32_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X221146819"},{"key":"e_1_2_8_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-024-03614-2"},{"key":"e_1_2_8_34_1","doi-asserted-by":"publisher","DOI":"10.1111\/ene.16423"},{"key":"e_1_2_8_35_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2024.498"},{"key":"e_1_2_8_36_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23145"},{"key":"e_1_2_8_37_1","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2022.459"},{"key":"e_1_2_8_38_1","doi-asserted-by":"publisher","DOI":"10.4103\/0028-3886.359193"},{"key":"e_1_2_8_39_1","doi-asserted-by":"publisher","DOI":"10.1080\/10410236.2018.1485077"},{"key":"e_1_2_8_40_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.2021.56"},{"key":"e_1_2_8_41_1","doi-asserted-by":"publisher","DOI":"10.3109\/17538157.2014.948171"},{"key":"e_1_2_8_42_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10823-019-09370-y"},{"key":"e_1_2_8_43_1","doi-asserted-by":"publisher","DOI":"10.2196\/jmir.2645"},{"key":"e_1_2_8_44_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-023-15094-z"},{"key":"e_1_2_8_45_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2021.10.032"},{"key":"e_1_2_8_46_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10072-023-07090-3"},{"key":"e_1_2_8_47_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-024-18036-5"},{"key":"e_1_2_8_48_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11845-020-02299-z"},{"key":"e_1_2_8_49_1","doi-asserted-by":"publisher","DOI":"10.2196\/31752"},{"key":"e_1_2_8_50_1","doi-asserted-by":"publisher","DOI":"10.21037\/mhealth-23-28"},{"key":"e_1_2_8_51_1","unstructured":"Serrano\u2010CincaC Mu\u00f1oz\u2010SoroJF Brusca\u2010AlijardeI.A multivariate study of the digital divide and digital exclusion."},{"key":"e_1_2_8_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10796-020-10012-9"},{"key":"e_1_2_8_53_1","doi-asserted-by":"publisher","DOI":"10.31128\/AJGP-03-22-6358"},{"key":"e_1_2_8_54_1","doi-asserted-by":"publisher","DOI":"10.1177\/00469580221096272"},{"key":"e_1_2_8_55_1","doi-asserted-by":"publisher","DOI":"10.1057\/s41599-024-03307-8"},{"key":"e_1_2_8_56_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10663-022-09555-8"},{"key":"e_1_2_8_57_1","doi-asserted-by":"publisher","DOI":"10.1093\/geronb\/gbad079"},{"key":"e_1_2_8_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2014.01.004"},{"key":"e_1_2_8_59_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.21030"},{"key":"e_1_2_8_60_1","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.2007.131045"},{"key":"e_1_2_8_61_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41572-021-00280-3"},{"key":"e_1_2_8_62_1","doi-asserted-by":"publisher","DOI":"10.1159\/000353630"},{"key":"e_1_2_8_63_1","doi-asserted-by":"publisher","DOI":"10.1111\/jgs.15664"},{"key":"e_1_2_8_64_1","unstructured":"TMS 2020 D.Digital divide strategies to reduce it in Italy;https:\/\/www.dyndevice.com\/en\/news\/digital-divide-strategies-to-reduce-it-in-italy-ELN-1755\/. Accessed 28 October 2024."},{"key":"e_1_2_8_65_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-212735"},{"key":"e_1_2_8_66_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-230229"}],"container-title":["Movement Disorders Clinical Practice"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mdc3.70171","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,18]],"date-time":"2025-11-18T14:04:14Z","timestamp":1763474654000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mdc3.70171"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,6,9]]},"references-count":65,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2025,11]]}},"alternative-id":["10.1002\/mdc3.70171"],"URL":"https:\/\/doi.org\/10.1002\/mdc3.70171","archive":["Portico"],"relation":{},"ISSN":["2330-1619","2330-1619"],"issn-type":[{"value":"2330-1619","type":"print"},{"value":"2330-1619","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,6,9]]},"assertion":[{"value":"2025-01-27","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-05-20","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-06-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}