Journal Article DZNE-2022-01485

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Remote digital assessment of amyotrophic lateral sclerosis functional rating scale - a multicenter observational study.

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2023
Taylor Francis Group Abingdon

Amyotrophic lateral sclerosis & frontotemporal degeneration 24(3-4), 175-184 () [10.1080/21678421.2022.2104649]

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Abstract: Remote self-assessment of the revised amyotrophic lateral sclerosis functional rating scale (ALSFRS-R) using digital data capture was investigated for its feasibility as an add-on to ALSFRS-R assessments during multidisciplinary clinic visits.From August 2017 to December 2021, at 12 ALS centers in Germany, an observational study on remote assessment of the ALSFRS-R was performed. In addition to the assessment of ALSFRS-R during clinic visits, patients were offered a digital self-assessment of the ALSFRS-R - either on a computer or on a mobile application ('ALS-App').An estimated multicenter cohort of 4,670 ALS patients received care at participating ALS centers. Of these patients, 971 remotely submitted the ALSFRS-R, representing 21% of the multicenter cohort. Of those who opted for remote assessment, 53.7% (n = 521) completed a minimum of 4 ALSFRS-R per year with a mean number of 10.9 assessments per year. Different assessment frequencies were found for patients using a computer (7.9 per year, n = 857) and mobile app (14.6 per year, n = 234). Patients doing remote assessments were more likely to be male and less functionally impaired but many patients with severe disability managed to complete it themselves or with a caregiver (35% of remote ALSFRS-R cohort in King's Stage 4).In a dedicated ALS center setting remote digital self-assessment of ALSFRS-R can provide substantial data which is complementary and potentially an alternative to clinic assessments and could be used for research purposes and person-level patient management. Addressing barriers relating to patient uptake and adherence are key to its success.

Keyword(s): Persons with Disabilities (MeSH) ; Humans (MeSH) ; Male (MeSH) ; Female (MeSH) ; Amyotrophic Lateral Sclerosis: diagnosis (MeSH) ; Disabled Persons (MeSH) ; Germany (MeSH) ; Disease Progression (MeSH) ; ALS-App ; Amyotrophic lateral sclerosis ; amyotrophic lateral sclerosis functional rating scale-revised ; remote assessment ; self-assessment

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Contributing Institute(s):
  1. Clinical Study Team Dresden (Clinical Study Team Dresden ; AG Falkenburger)
Research Program(s):
  1. 353 - Clinical and Health Care Research (POF4-353) (POF4-353)

Appears in the scientific report 2023
Database coverage:
Medline ; Creative Commons Attribution-NonCommercial-NoDerivs CC BY-NC-ND 4.0 ; OpenAccess ; Clarivate Analytics Master Journal List ; Current Contents - Clinical Medicine ; Ebsco Academic Search ; Essential Science Indicators ; IF < 5 ; JCR ; SCOPUS ; Science Citation Index Expanded ; Web of Science Core Collection
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 Record created 2022-09-23, last modified 2025-01-27


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