255 An Exploration of the Feasibility and Acceptability of Wearable Technology in Parkinson`s Disease (Age and Ageing)

AbstractBackgroundWearable technology is increasingly used to diagnose, monitor and manage neurological disorders such as Parkinson`s Disease (PD). This study aims to gain information about the views and needs of people with Parkinson`s (PwP`s) regarding wearable technology for monitoring the disease and assisting its management.MethodsThe study employed a mixed methods parallel design, wherein focus-groups and questionnaires were concurrently conducted with people with PwP`s in Munster. Questionnaires and topic guides were developed with significant input from PwP`s. The participants for focus-groups were purposively sampled for variation in PD stage, age (all >50 years) and sex. Questionnaire and focus-group results were analysed together, using a pragmatic triangulation protocol.ResultsThirty-two questionnaires were completed by PwP`s. Four semi-structured focus-groups were held (n=24 participants). Participants were overall positive about wearable technology in PD, and perceived benefits in wearable technology for improved management of symptoms. Wearables should be user-friendly, have an appealing design, and demonstrate clinical usefulness. Comfort and discrete design were emphasised for greater usability.The value of sharing information between PwP`s and health professionals for improved outcomes was highlighted. PwP`s perceived that increased patient data in the form of reliable information from a wearable device may allow for more accurate management of PD. Participants also felt that a device could help increase physical activity, and potentially track compliance with medication. There was little focus on device safety and privacy/ownership of data. While participants anticipated that there may be challenges for some in wearing a device, they believed overall potential benefits would outweigh these.ConclusionEngagement of PwP`s in the design of wearable technology is vital for the development of devices that improve the management of PD. This study will directly inform a multi-country feasibility study of wearable devices for older people, with a particular focus on the needs of PwP`s.