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Feasibility, Effectiveness, and Acceptability of a Telemedicine Neurological Consultation for Drug-Induced Movement Disorders; A Randomized Pilot Study

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Telemedicine for Drug-Induced Movement Disorders

Background

People taking certain medications may develop movement disorders. It’s crucial to identify and manage these issues early to prevent them from worsening. Neurologists can help doctors understand these disorders and suggest treatment options. This study explores using telemedicine to provide neurological consultations for patients with these disorders.

Methods

Patients referred by mental health clinicians in a rural area were randomly assigned to receive consultations either in-person or through telemedicine. Each patient had two visits with a neurologist and filled out surveys about their experience and well-being. Mental health clinicians also shared their feedback through surveys and interviews.

Results

In the in-person (IP) group, 79% completed the first visit and 71% the second. In the telemedicine (TM) group, 86% completed the first visit, while only 57% attended the second. Satisfaction scores were slightly higher for the IP group at both visits. Mental health clinicians reported that the consultations were helpful and improved patient care.

Discussion

Telemedicine consultations are feasible, effective, and well-received by both patients and clinicians. Feedback from mental health clinicians can help improve the service. Overall, participants appreciated the chance to work with a neurologist through telemedicine.

Highlights

  • Telemedicine is a practical way to provide specialist care for drug-induced movement disorders, especially in rural areas.
  • There were few technological problems, and patients were satisfied with telemedicine consultations.

Next Steps

To further enhance telemedicine consultations, consider the following:

  • Define Measurable Outcomes: Set clear goals for feasibility, effectiveness, and acceptability in your clinic.
  • Select AI Tools: Choose AI solutions tailored to your specific clinical needs.
  • Implement Step by Step: Start with a pilot project, track results using AI solutions, and assess real-world impact.

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