Reluctance to Video Recording in Functional Movement Disorders: A Cross-Sectional Study

Area of Science:

• Neurology
• Movement Disorders
• Medical Education

Background:

• Video recording is crucial for educating about movement disorders, especially functional movement disorders (FMD).
• Understanding patient consent for video recording is vital for research and training in neurology.

Purpose of the Study:

• To investigate factors influencing patient consent to video recording during neurological examinations.
• To compare consent rates and influencing factors across different movement disorder groups, including FMD.

Main Methods:

• A cross-sectional study involving 128 patients with FMD, essential tremor (ET), isolated dystonia, and Parkinson's disease (PD).
• Patients underwent a standardized neurological exam and were asked for consent to video recording.
• Health-related quality of life (HRQoL), anxiety, depression, and personality traits were assessed via questionnaires.

Main Results:

• 78.9% of patients consented to video recording.
• Patients with FMD were significantly more likely to refuse consent compared to non-FMD patients (OR = 4.20, p = 0.002).
• Female sex was associated with a lower consent rate (OR = 0.34, p = 0.044); HRQoL, anxiety, depression, and personality traits did not differ between consenters and decliners.

Conclusions:

• Functional movement disorder patients exhibit greater reluctance towards video recording during neurological exams.
• This reluctance is not solely attributable to sex, comorbidities, or personality traits.
• Factors unique to FMD may underlie the observed differences in consent for video recording.