Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial

On behalf of the MoMoPa-EC Research Group Anna Planas-Ballvé, Pau Pastor, Ignacio Alvarez, Mª Isabel Morales Casado, Sara Lucas del Pozo, Anna Prats, Álvaro Sánchez-Ferro, Antonio Méndez Guerrero, Carlos Leiva Santana, Laura Muñoz-Delgado, Daniel Macías-García, Silvia Jesús, Astrid Adarmes-Gómez, An...

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Autores: Rodríguez-Molinero, Alejandro, Pérez-López, Carlos, Caballol, Nuria, Buongiorno, Maria Teresa, Ávila-Rivera, María A., López-Ariztegui, Nuria, López-Manzanares, Lydia, Hernández-Vara, Jorge, Bayes-Rusiñol, Àngels, Gironell Carreró, Alexandre, Álvarez-Sauco, María, Franquet Gomez, Elisabet, Pérez-Martínez, David A., Escalante Arroyo, Sonia, Martí Martínez, Silvia, Mir, Pablo, Salom Juan, José María, Martinez-Castrillo, Juan Carlos, Tebé, Cristian, On behalf of the MoMoPa-EC Research Group
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2025
País:España
Institución:Consejo Superior de Investigaciones Científicas (CSIC)
Repositorio:DIGITAL.CSIC. Repositorio Institucional del CSIC
OAI Identifier:oai:digital.csic.es:10261/402609
Acceso en línea:http://hdl.handle.net/10261/402609
https://api.elsevier.com/content/abstract/scopus_id/105014633564
Access Level:acceso abierto
Palabra clave:Neurological disorders
Neurology
Parkinson's disease
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oai_identifier_str oai:digital.csic.es:10261/402609
network_acronym_str ES
network_name_str España
repository_id_str
dc.title.none.fl_str_mv Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
title Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
spellingShingle Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
Rodríguez-Molinero, Alejandro
Neurological disorders
Neurology
Parkinson's disease
title_short Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
title_full Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
title_fullStr Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
title_full_unstemmed Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
title_sort Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trial
dc.creator.none.fl_str_mv Rodríguez-Molinero, Alejandro
Pérez-López, Carlos
Caballol, Nuria
Buongiorno, Maria Teresa
Ávila-Rivera, María A.
López-Ariztegui, Nuria
López-Manzanares, Lydia
Hernández-Vara, Jorge
Bayes-Rusiñol, Àngels
Gironell Carreró, Alexandre
Álvarez-Sauco, María
Franquet Gomez, Elisabet
Pérez-Martínez, David A.
Escalante Arroyo, Sonia
Martí Martínez, Silvia
Mir, Pablo
Salom Juan, José María
Martinez-Castrillo, Juan Carlos
Tebé, Cristian
On behalf of the MoMoPa-EC Research Group
author Rodríguez-Molinero, Alejandro
author_facet Rodríguez-Molinero, Alejandro
Pérez-López, Carlos
Caballol, Nuria
Buongiorno, Maria Teresa
Ávila-Rivera, María A.
López-Ariztegui, Nuria
López-Manzanares, Lydia
Hernández-Vara, Jorge
Bayes-Rusiñol, Àngels
Gironell Carreró, Alexandre
Álvarez-Sauco, María
Franquet Gomez, Elisabet
Pérez-Martínez, David A.
Escalante Arroyo, Sonia
Martí Martínez, Silvia
Mir, Pablo
Salom Juan, José María
Martinez-Castrillo, Juan Carlos
Tebé, Cristian
On behalf of the MoMoPa-EC Research Group
author_role author
author2 Pérez-López, Carlos
Caballol, Nuria
Buongiorno, Maria Teresa
Ávila-Rivera, María A.
López-Ariztegui, Nuria
López-Manzanares, Lydia
Hernández-Vara, Jorge
Bayes-Rusiñol, Àngels
Gironell Carreró, Alexandre
Álvarez-Sauco, María
Franquet Gomez, Elisabet
Pérez-Martínez, David A.
Escalante Arroyo, Sonia
Martí Martínez, Silvia
Mir, Pablo
Salom Juan, José María
Martinez-Castrillo, Juan Carlos
Tebé, Cristian
On behalf of the MoMoPa-EC Research Group
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
author
dc.contributor.none.fl_str_mv Instituto de Salud Carlos III
European Commission
Pérez-López, Carlos [0000-0003-4544-5735]
Mir, Pablo [0000-0003-1656-302X]
Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]
dc.subject.none.fl_str_mv Neurological disorders
Neurology
Parkinson's disease
topic Neurological disorders
Neurology
Parkinson's disease
description On behalf of the MoMoPa-EC Research Group Anna Planas-Ballvé, Pau Pastor, Ignacio Alvarez, Mª Isabel Morales Casado, Sara Lucas del Pozo, Anna Prats, Álvaro Sánchez-Ferro, Antonio Méndez Guerrero, Carlos Leiva Santana, Laura Muñoz-Delgado, Daniel Macías-García, Silvia Jesús, Astrid Adarmes-Gómez, Antonio Salvador Aliaga, Gema Sánchez, Esther Cubo, Lourdes Ispierto González, Ramiro Álvarez-Ramo, Dolores Vilas Rolan, Antonio Koukoulis Fernández, Mª Gema Alonso Losada, Jon Infante, María Sierra Peña, Isabel González Aramburu, Mª Victoria Sánchez Peláez, Marina Mata Álvarez-Santullano, Carmen Borrúe Fernández, Mª Concepción Jimeno Montero, Lydia Vela Desojo, Berta Solano Vila, Anna Cots Foraster, Daniel López Domínguez, Esteban Peña Llamas, Pilar Sánchez Alonso, Elisa Gamo Gonzalez, Sabela Novo Ponte, Alfredo López López, Mª José Gómez Heredia, Francisco Pérez Errazquin, Mª Pilar Solís Pérez, Esther Blanco Vicente, Rafael García Ruiz, Ana Rita Santos Pinto, Marta Recio-Bermejo, Ernest Balaguer, Antonio Hernández Vidal, Rocío García-Ramos, Eva López Valdés, Rubén Alonso Redondo, Jessica González Ardura, Teresa Muñoz Ruiz, Lucía Flores García, Javier Ruiz Martínez, Ana Vinagre Aragón, Ioana Croitoru, Esther Catena Ruiz, Victor Puente, Irene Navalpotro Gómez & Antonio Miñarro
publishDate 2025
dc.date.none.fl_str_mv 2025
2025
2025
dc.type.none.fl_str_mv info:eu-repo/semantics/article
http://purl.org/coar/resource_type/c_6501
Publisher's version
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/10261/402609
https://api.elsevier.com/content/abstract/scopus_id/105014633564
url http://hdl.handle.net/10261/402609
https://api.elsevier.com/content/abstract/scopus_id/105014633564
dc.language.none.fl_str_mv Inglés
language_invalid_str_mv Inglés
dc.relation.none.fl_str_mv The underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1038/s41531-025-00977-2
https://doi.org/10.1038/s41531-025-00977-2

dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Nature Publishing Group
publisher.none.fl_str_mv Nature Publishing Group
dc.source.none.fl_str_mv reponame:DIGITAL.CSIC. Repositorio Institucional del CSIC
instname:Consejo Superior de Investigaciones Científicas (CSIC)
instname_str Consejo Superior de Investigaciones Científicas (CSIC)
reponame_str DIGITAL.CSIC. Repositorio Institucional del CSIC
collection DIGITAL.CSIC. Repositorio Institucional del CSIC
repository.name.fl_str_mv
repository.mail.fl_str_mv
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spelling Parkinson’s disease medication adjustments based on wearable device information compared to other methods: randomized clinical trialRodríguez-Molinero, AlejandroPérez-López, CarlosCaballol, NuriaBuongiorno, Maria TeresaÁvila-Rivera, María A.López-Ariztegui, NuriaLópez-Manzanares, LydiaHernández-Vara, JorgeBayes-Rusiñol, ÀngelsGironell Carreró, AlexandreÁlvarez-Sauco, MaríaFranquet Gomez, ElisabetPérez-Martínez, David A.Escalante Arroyo, SoniaMartí Martínez, SilviaMir, PabloSalom Juan, José MaríaMartinez-Castrillo, Juan CarlosTebé, CristianOn behalf of the MoMoPa-EC Research GroupNeurological disordersNeurologyParkinson's diseaseOn behalf of the MoMoPa-EC Research Group Anna Planas-Ballvé, Pau Pastor, Ignacio Alvarez, Mª Isabel Morales Casado, Sara Lucas del Pozo, Anna Prats, Álvaro Sánchez-Ferro, Antonio Méndez Guerrero, Carlos Leiva Santana, Laura Muñoz-Delgado, Daniel Macías-García, Silvia Jesús, Astrid Adarmes-Gómez, Antonio Salvador Aliaga, Gema Sánchez, Esther Cubo, Lourdes Ispierto González, Ramiro Álvarez-Ramo, Dolores Vilas Rolan, Antonio Koukoulis Fernández, Mª Gema Alonso Losada, Jon Infante, María Sierra Peña, Isabel González Aramburu, Mª Victoria Sánchez Peláez, Marina Mata Álvarez-Santullano, Carmen Borrúe Fernández, Mª Concepción Jimeno Montero, Lydia Vela Desojo, Berta Solano Vila, Anna Cots Foraster, Daniel López Domínguez, Esteban Peña Llamas, Pilar Sánchez Alonso, Elisa Gamo Gonzalez, Sabela Novo Ponte, Alfredo López López, Mª José Gómez Heredia, Francisco Pérez Errazquin, Mª Pilar Solís Pérez, Esther Blanco Vicente, Rafael García Ruiz, Ana Rita Santos Pinto, Marta Recio-Bermejo, Ernest Balaguer, Antonio Hernández Vidal, Rocío García-Ramos, Eva López Valdés, Rubén Alonso Redondo, Jessica González Ardura, Teresa Muñoz Ruiz, Lucía Flores García, Javier Ruiz Martínez, Ana Vinagre Aragón, Ioana Croitoru, Esther Catena Ruiz, Victor Puente, Irene Navalpotro Gómez & Antonio MiñarroParkinson’s disease (PD) is characterized by motor fluctuations, with alternating periods of good (“ON”) and poor (“OFF”) motor function. Monitoring these fluctuations is crucial for optimizing treatment, yet traditional methods rely on subjective patient reports. This multicenter, single-blind, cluster-randomized trial evaluated the effectiveness of three monitoring approaches in real-world clinical practice. Neurologists from 35 centers were randomized into three groups: one using clinical visit data alone, another incorporating Hauser diary entries, and a third integrating Parkinson’s Holter (STAT-ON®) reports. A total of 156 patients were recruited. Changes in ‘OFF time’ from baseline to 26 weeks were minimal and non-significant across groups. Secondary outcomes, including ‘ON time,’ dyskinesia, and quality-of-life scores, showed no significant differences. These findings suggest that the choice of motor fluctuation monitoring method may not significantly impact clinical outcomes, underscoring the need for a broader understanding of how these monitoring tools are integrated and utilized in real-world settings. Trial registration: NCT04176302 (November 21, 2019 - ClinicalTrials.gov).This work is supported by the Instituto de Salud Carlos III [DTS17/00195], the "A way to make Europe" European Fund for Regional Development, and AbbVie S.L.U.The authors would like to thank the i2e3 Procomms (Barcelona, Spain) team and especially, Jesús Loureiro, Ph.D., and Sara Cervantes, Ph.D., for providing medical writing support during the manuscript preparation.Peer reviewedNature Publishing GroupInstituto de Salud Carlos IIIEuropean CommissionPérez-López, Carlos [0000-0003-4544-5735]Mir, Pablo [0000-0003-1656-302X]Consejo Superior de Investigaciones Científicas [https://ror.org/02gfc7t72]202520252025info:eu-repo/semantics/articlehttp://purl.org/coar/resource_type/c_6501Publisher's versioninfo:eu-repo/semantics/publishedVersionapplication/pdfhttp://hdl.handle.net/10261/402609https://api.elsevier.com/content/abstract/scopus_id/105014633564reponame:DIGITAL.CSIC. Repositorio Institucional del CSICinstname:Consejo Superior de Investigaciones Científicas (CSIC)InglésThe underlying dataset has been published as supplementary material of the article in the publisher platform at DOI https://doi.org/10.1038/s41531-025-00977-2https://doi.org/10.1038/s41531-025-00977-2Síinfo:eu-repo/semantics/openAccessoai:digital.csic.es:10261/4026092026-05-22T06:33:51Z
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