{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,13]],"date-time":"2026-06-13T07:15:21Z","timestamp":1781334921144,"version":"3.54.1"},"reference-count":10,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T00:00:00Z","timestamp":1569369600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/100000864","name":"The Michael J. Fox Foundation for Parkinson's Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000864","id-type":"DOI","asserted-by":"crossref"}]},{"DOI":"10.13039\/100000864","name":"The Michael J. Fox Foundation for Parkinson\u2019s Research","doi-asserted-by":"crossref","id":[{"id":"10.13039\/100000864","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["npj Digit. Med."],"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Mobile and wearable device-captured data have the potential to inform Parkinson\u2019s disease (PD) care. The objective of the Clinician Input Study was to assess the feasibility and clinical utility of data obtained using a mobile health technology from PD patients. In this observational, exploratory study, PD participants wore a smartwatch and used the <jats:italic>Fox Wearable Companion<\/jats:italic> mobile phone app to stream movement data and report symptom severity and medication intake for 6 months. Data were analyzed using the Intel\u00ae Pharma Analytics Platform. Clinicians reviewed participants\u2019 data in a dashboard during in-office visits at 2 weeks, 1, 3, and 6 months. Clinicians provided feedback in focus groups leading to dashboard updates. Between June and August 2017, 51 PD patients were recruited at four US sites, and 39 (76%) completed the 6-month study. Patients streamed 83,432\u2009h of movement data from their smartwatches (91% of expected). Reporting of symptoms and medication intake using the app was lower than expected, 44% and 60%, respectively, but did not differ according to baseline characteristics. Clinicians\u2019 feedback resulted in ten updates to the dashboard during the study period. Clinicians reported that medications and patient reported outcomes were generally discernable in the dashboard and complementary to clinical assessments. Movement, symptoms, and medication intake data were feasibly translated from the app into a clinician dashboard but there was substantial attrition rate over 6 months. Further enhancements are needed to ensure long-term patient adherence to portable technologies and optimal digital data transfer to clinicians caring for PD patients.<\/jats:p>","DOI":"10.1038\/s41746-019-0169-y","type":"journal-article","created":{"date-parts":[[2019,9,25]],"date-time":"2019-09-25T10:03:33Z","timestamp":1569405813000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Feasibility and utility of a clinician dashboard from wearable and mobile application Parkinson\u2019s disease data"],"prefix":"10.1038","volume":"2","author":[{"given":"Jordan J.","family":"Elm","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Margaret","family":"Daeschler","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lauren","family":"Bataille","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ruth","family":"Schneider","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0762-9656","authenticated-orcid":false,"given":"Amy","family":"Amara","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alberto J.","family":"Espay","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michal","family":"Afek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chen","family":"Admati","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Abeba","family":"Teklehaimanot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tanya","family":"Simuni","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2019,9,25]]},"reference":[{"key":"169_CR1","first-page":"2","volume":"12","author":"S Cohen","year":"2016","unstructured":"Cohen, S., Bataille, L. R. & Martig, A. K. Enabling breakthroughs in Parkinson\u2019s disease with wearable technologies and big data analytics. Mhealth. May 12, 2\u201320 (2016).","journal-title":"Mhealth. May"},{"issue":"12","key":"169_CR2","doi-asserted-by":"publisher","first-page":"e0189161","DOI":"10.1371\/journal.pone.0189161","volume":"12","author":"Ana L\u00edgia Silva de Lima","year":"2017","unstructured":"Silva de Lima, A. L. et al. Feasibility of large-scale deployment of multiple wearable sensors in Parkinson\u2019s disease. PLoS One 12, https:\/\/doi.org\/10.1371\/journal.pone.0189161 (2017).","journal-title":"PLOS ONE"},{"key":"169_CR3","doi-asserted-by":"publisher","DOI":"10.2196\/resprot.5990","volume":"5","author":"AL Silva de Lima","year":"2016","unstructured":"Silva de Lima, A. L. et al. Large-scale wearable sensor deployment in Parkinson\u2019s Patients: The Parkinson@home study protocol. JMIR Res Protoc. 5, e172 (2016).","journal-title":"JMIR Res Protoc."},{"key":"169_CR4","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1097\/ACM.0000000000001205","volume":"92","author":"ER Dorsey","year":"2017","unstructured":"Dorsey, E. R. et al. The use of smartphones for health research. Acad. Med. 92, 157\u2013160 (2017).","journal-title":"Acad. Med."},{"key":"169_CR5","doi-asserted-by":"publisher","first-page":"1272","DOI":"10.1002\/mds.26642","volume":"31","author":"AJ Espay","year":"2016","unstructured":"Espay, A. J. et al. Technology in Parkinson\u2019s disease: challenges and opportunities. Mov. Disord. 31, 1272\u20131282 (2016).","journal-title":"Mov. Disord."},{"key":"169_CR6","doi-asserted-by":"publisher","first-page":"44","DOI":"10.1016\/j.parkreldis.2016.09.009","volume":"33","author":"JM Fisher","year":"2016","unstructured":"Fisher, J. M. et al. Unsupervised home monitoring of Parkinson\u2019s disease motor symptoms using body-worn accelerometers. Parkinsonism Relat. Disord. 33, 44\u201350 (2016).","journal-title":"Parkinsonism Relat. Disord."},{"key":"169_CR7","doi-asserted-by":"publisher","first-page":"63","DOI":"10.1089\/tmj.2015.0026","volume":"22","author":"JM Fisher","year":"2016","unstructured":"Fisher, J. M., Hammerla, N. Y., Rochester, L., Andras, P. & Walker, R. W. Body-worn sensors in Parkinson\u2019s disease: evaluating their acceptability to patients. Telemed. J. E Health 22, 63\u201369 (2016).","journal-title":"Telemed. J. E Health"},{"key":"169_CR8","doi-asserted-by":"crossref","first-page":"43","DOI":"10.1159\/000475801","volume":"1","author":"DA Heldman","year":"2017","unstructured":"Heldman, D. A. et al. Telehealth management of Parkinson\u2019s disease using wearable sensors: an exploratory study. Digit Biomark. 1, 43\u201351 (2017).","journal-title":"Digit Biomark."},{"key":"169_CR9","doi-asserted-by":"publisher","DOI":"10.1038\/sdata.2016.11","volume":"3","author":"BM Bot","year":"2016","unstructured":"Bot, B. M. et al. The mPower study, Parkinson disease mobile data collected using ResearchKit. Sci. Data. 3, 160011 (2016).","journal-title":"Sci. Data."},{"key":"169_CR10","doi-asserted-by":"publisher","first-page":"117","DOI":"10.1097\/WNN.0b013e3181a722b0","volume":"22","author":"PM Jenkinson","year":"2009","unstructured":"Jenkinson, P. M., Edelstyn, N. M., Stephens, R. & Ellis, S. J. Why are some Parkinson disease patients unaware of their dyskinesias? Cogn. Behav. Neurol. 22, 117\u2013121 (2009).","journal-title":"Cogn. Behav. Neurol."}],"container-title":["npj Digital Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.nature.com\/articles\/s41746-019-0169-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-019-0169-y","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/www.nature.com\/articles\/s41746-019-0169-y.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,12,17]],"date-time":"2022-12-17T18:33:36Z","timestamp":1671302016000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.nature.com\/articles\/s41746-019-0169-y"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,9,25]]},"references-count":10,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2019,12]]}},"alternative-id":["169"],"URL":"https:\/\/doi.org\/10.1038\/s41746-019-0169-y","relation":{},"ISSN":["2398-6352"],"issn-type":[{"value":"2398-6352","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,9,25]]},"assertion":[{"value":"6 February 2019","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"20 August 2019","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 September 2019","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"C.A. and M.A. were employees of Intel during the course of this study. The remaining authors declare no competing interests.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"95"}}