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PDRemote: Automated Telehealth Diagnostics for Remote Parkinson's Monitoring

Award Number: R44MD004049
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 09/30/2009
PERIOD OF PERFORMANCE END DATE: 03/31/2015

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PDRemote: Automated Telehealth Diagnostics for Remote Parkinson's Monitoring - DESCRIPTION (provided by applicant): The objective is to build and clinically assess PDRemote, a system for automated telehealth diagnostics for remote Parkinson's disease (PD) monitoring. Currently in the United States, there are approximately 1.5 million patients living wit PD and 50,000 new cases reported each year. However, there is limited access to movement disorder specialist centers for a significant portion of this population as well as limited opportunity for remote continuous monitoring of motor symptoms to capture complex fluctuation patterns and optimize treatment protocols. PD is characterized by tremors of the fingers, hands, head, and neck, bradykinesia (slowed movements), and rigidity of musculature. Treatments include pharmaceutical interventions such as levodopa and surgical procedures such as deep brain stimulation (DBS). It is important to accurately quantify motor function and disability in PD to assess intervention efficacy. Currently, subjective clinical rating scales, most commonly the Unified Parkinson's Disease Rating Scale (UPDRS), are used to show clinical improvement in PD. While the UPDRS has shown clinical utility, it requires presence of a clinician for scoring and only obtains a snapshot of symptoms during a clinical office visit. Furthermore, access to movement disorder specialists for effective motor symptom monitoring and management is critical for a geographically disparate subset of the PD population or those unable to travel. The location of movement disorder centers can limit access to well-trained clinicians and effective symptom management for many PD patients. Telehealth technologies that can improve access for these patients can have a significant impact on the equity, accessibility, and management of the condition for remote patients or those unable to travel. PDRemote will provide remote, automated, motor symptom severity scoring to accurately quantify intervention effectiveness and limit the required number of office visits for treatment adjustments, thereby improving outcomes and decreasing costs for disparate patient populations. PD patients will be sent home with patient kit including an ergonomically designed touch-screen tablet PC, intuitive software interface for diaries, and a wireless motion sensor unit. Data collected from home sessions will be wirelessly transmitted to an online database that generates a motor symptom severity report for clinicians to review via a web-based interface and video conference with a patient to make appropriate medication changes. Feasibility was demonstrated in Phase I by patients successfully using the patient kit in the home to perform motor assessments and clinicians successfully using the web-based application to prescribe tests and view reports. Phase II will further improve ergonomics, data transfer, reporting capabilities, and result in a clinically deployable technology. The system will be employed in a multi-center clinical trial to determine if using the system can reduce fluctuations, decrease office visits, and improve patient outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2014 ( Subtotal = $392,749 )
2014	2014	GREAT LAKES NEUROTECHNOLOGIES INC	10055 SWEET VALLEY DRIVE	VALLEY VIEW	OH	44125	CUYAHOGA	USA	Minority Health and Health Disparities Research	000	5	3/27/2014	NON-COMPETING CONTINUATION	$392,749
														Subtotal = $392,749

Issue Date FY: 2013 ( Subtotal = $391,358 )
2013	2013	GREAT LAKES NEUROTECHNOLOGIES INC	4415 EUCLID AVENUE	CLEVELAND	OH	44103	CUYAHOGA	USA	Minority Health and Health Disparities Research	000	4	4/2/2013	NON-COMPETING CONTINUATION	$176,111
2013	2013	GREAT LAKES NEUROTECHNOLOGIES INC	4415 EUCLID AVENUE	CLEVELAND	OH	44103	CUYAHOGA	USA	Minority Health and Health Disparities Research	001	4	5/16/2013	NON-COMPETING CONTINUATION	$215,247
														Subtotal = $391,358

Issue Date FY: 2012 ( Subtotal = $390,249 )
2012	2012	CLEVEMED INC	4415 EUCLID AVENUE	CLEVELAND	OH	44103	CUYAHOGA	USA	Minority Health and Health Disparities Research	001	3	9/13/2012	COMPETING CONTINUATION	$181
2012	2012	CLEVEMED INC	4415 EUCLID AVENUE	CLEVELAND	OH	44103	CUYAHOGA	USA	Minority Health and Health Disparities Research	000	3	9/11/2012	COMPETING CONTINUATION	$390,068
														Subtotal = $390,249

Grand Total All Awards = $1,174,356

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PDRemote: Automated Telehealth Diagnostics for Remote Parkinson's Monitoring

Award Number: R44MD004049

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 09/30/2009

PERIOD OF PERFORMANCE END DATE: 03/31/2015

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