Abstract

Purpose/aim

A targeted questionnaire may help increase rates of reporting Parkinson’s disease psychosis (PDP) symptoms. Despite the need for a rapid patient- and/or caregiver-administered screening tool for PDP symptoms, an appropriate tool is not yet available. This study developed a targeted PDP questionnaire and examined rates of reporting psychosis symptoms in response to the questionnaire compared to rates of reporting symptoms to healthcare providers during a routine visit.

Materials and methods

This was a single-center, cross-sectional observational study of patients at an outpatient neurology practice. Medical charts were screened for eligibility, and patients were contacted by telephone for informed consent.

Results

A total of 25 patients (24%, N = 104) newly reported PDP symptoms in response to the targeted questionnaire. The frequency of reporting new symptoms in response to the questionnaire was statistically significantly greater compared to frequency of reporting symptoms without use of a targeted questionnaire (p < 0.0001).

Conclusions

A targeted questionnaire increases rates of reporting PDP symptoms, and based on frequency, severity, and distress ratings, may allow for capture of PDP symptoms earlier in the course of the disease. By using a questionnaire, patients reported symptom onset an average of 1.4 years earlier than patients who reported symptoms to their providers according to patient medical records.

中文翻译：

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评估报告帕金森病精神病症状的比率：提供者与目标问卷

摘要

目的/目标

有针对性的问卷可能有助于提高报告帕金森病精神病 (PDP) 症状的比率。尽管需要一种由患者和/或护理人员管理的 PDP 症状快速筛查工具，但目前还没有合适的工具。本研究制定了一份有针对性的 PDP 问卷，并检查了响应问卷的精神病症状报告率与常规访问期间向医疗保健提供者报告症状的比率。

材料和方法

这是一项针对门诊神经病学实践中患者的单中心、横断面观察研究。对病历进行了资格审查，并通过电话联系患者以获得知情同意。

结果

共有 25 名患者 (24%, N  = 104) 新报告了针对目标问卷的 PDP 症状。与不使用有针对性的问卷调查报告症状的频率相比，根据调查问卷报告新症状的频率在统计学上显着更高（p  < 0.0001）。

结论

有针对性的问卷调查提高了 PDP 症状的报告率，并且基于频率、严重程度和痛苦等级，可能允许在疾病过程的早期捕获 PDP 症状。通过使用问卷调查，患者报告症状发作的时间比根据患者医疗记录向其提供者报告症状的患者平均早 1.4 年。