PONE-D-22-33798The integration of technology into a home-based visuo-cognitive training intervention for people with Parkinson’s: is the future digital?PLOS ONE

Dear Dr. Stuart,

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Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

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2. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: N/A

Reviewer #2: N/A

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3. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: No

Reviewer #2: Yes

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4. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: This paper examined the experiences of individuals with Parkinson's disease while using an at-home visuo-cognitive training program. The authors used Normalization Process Theory to evaluate the subjective experience the individuals had with the program. The primary goal was to evaluate potential factors that would drive use of this program from the end-user perspective. The research subjects were a subset of a larger randomized controlled trial. Overall the paper is well-written and interesting, although is a small sample and preliminary. This initial evaluation of the program/technology is an important part of the developmental process. The authors provided a detailed description of the analysis/theory which is appreciated. Below are some minor suggestions to improve the quality of the manuscript.

Pg. 3, line 67: Although the technology is outlined in Table 1, it would be helpful to add a general overview of the training in the introduction.

Pg. 3, line 68: please define these "gaps", it will help to support your "WHY" this is needed.

Results: There is some repetitions between the tables and the text-- especially in subject quotes. Please make sure that these statements are presented only once.

Although this was a qualitative study, it would be helpful to add some data about trends in subject statements, similar to what was noted on line 200 -- the majority of the subjects (give numbers to support this statement, for example 6 out of 8)

Table 5: Please remove extra lines in this table to make it cleaner.

Overall there are a few typos and grammatical errors- please review for those.

Reviewer #2: I really enjoyed this article - it was a well written qualitative study. I honestly have so few suggestions that I'm almost embarrassed as a reviewer! The only comment I have is just to double check consistency in format of headings - sometimes all words are capitalized, sometimes only the first is. That's such a minor thing, but the one thing I caught. From a methodological standpoint, it was great. The authors noted the limitation of the small sample, but it was also appropriate for the design. Well done, all around.

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Reviewer #1: No

Reviewer #2: Yes: Meg Patterson

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The integration of technology into a home-based visuo-cognitive training intervention for people with Parkinson’s: is the future digital?

PONE-D-22-33798R1

Dear Dr. Stuart,

We’re pleased to inform you that your manuscript has been judged scientifically suitable for publication and will be formally accepted for publication once it meets all outstanding technical requirements.

Within one week, you’ll receive an e-mail detailing the required amendments. When these have been addressed, you’ll receive a formal acceptance letter and your manuscript will be scheduled for publication.

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Kind regards,

Jeffrey S. Hallam, Ph.D., FRSPH

Academic Editor

PLOS ONE

Additional Editor Comments (optional):

Reviewers' comments:

Reviewer's Responses to Questions

Comments to the Author

1. If the authors have adequately addressed your comments raised in a previous round of review and you feel that this manuscript is now acceptable for publication, you may indicate that here to bypass the “Comments to the Author” section, enter your conflict of interest statement in the “Confidential to Editor” section, and submit your "Accept" recommendation.

Reviewer #1: All comments have been addressed

Reviewer #2: All comments have been addressed

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2. Is the manuscript technically sound, and do the data support the conclusions?

The manuscript must describe a technically sound piece of scientific research with data that supports the conclusions. Experiments must have been conducted rigorously, with appropriate controls, replication, and sample sizes. The conclusions must be drawn appropriately based on the data presented.

Reviewer #1: Yes

Reviewer #2: Yes

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3. Has the statistical analysis been performed appropriately and rigorously?

Reviewer #1: Yes

Reviewer #2: Yes

**********

4. Have the authors made all data underlying the findings in their manuscript fully available?

The PLOS Data policy requires authors to make all data underlying the findings described in their manuscript fully available without restriction, with rare exception (please refer to the Data Availability Statement in the manuscript PDF file). The data should be provided as part of the manuscript or its supporting information, or deposited to a public repository. For example, in addition to summary statistics, the data points behind means, medians and variance measures should be available. If there are restrictions on publicly sharing data—e.g. participant privacy or use of data from a third party—those must be specified.

Reviewer #1: Yes

Reviewer #2: Yes

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5. Is the manuscript presented in an intelligible fashion and written in standard English?

PLOS ONE does not copyedit accepted manuscripts, so the language in submitted articles must be clear, correct, and unambiguous. Any typographical or grammatical errors should be corrected at revision, so please note any specific errors here.

Reviewer #1: Yes

Reviewer #2: Yes

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6. Review Comments to the Author

Please use the space provided to explain your answers to the questions above. You may also include additional comments for the author, including concerns about dual publication, research ethics, or publication ethics. (Please upload your review as an attachment if it exceeds 20,000 characters)

Reviewer #1: Thank you for your consideration of my suggestions. The manuscript is much improved. Congratulations on your good work.

Reviewer #2: (No Response)

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7. PLOS authors have the option to publish the peer review history of their article (what does this mean?). If published, this will include your full peer review and any attached files.

If you choose “no”, your identity will remain anonymous but your review may still be made public.

Do you want your identity to be public for this peer review? For information about this choice, including consent withdrawal, please see our Privacy Policy.

Reviewer #1: No

Reviewer #2: No

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