Feasibility and Acceptability of a Physical Activity Behavior Change Intervention for Improving Self-efficacy, Automaticity, and Physical Activity Levels in People With Parkinson's Disease
Overview
- Phase
- Phase 1
- Intervention
- Not specified
- Conditions
- Parkinson's Disease
- Sponsor
- Teachers College, Columbia University
- Enrollment
- 13
- Locations
- 1
- Primary Endpoint
- Change From Baseline in the Behavioural Regulation In Exercise Questionnaire (BREQ-2)
- Status
- Completed
- Last Updated
- 5 years ago
Overview
Brief Summary
The purpose of this study is to assess the feasibility, in regards to acceptability and implementation, of the Pre-Active PD intervention for increased high intensity goal-directed aerobic exercise engagement in people with early-stage Parkinson's disease (Hoehn and Yahr stage I & II). In addition, the study aims to explore the effect estimates of the Pre-Active PD intervention on self-efficacy, motivation, stage of behavior change, and physical activity levels in people with early stage Parkinson's disease.
Detailed Description
The investigators will recruit 14 individuals with early stage Parkinson's disease (Hoehn and Yahr stage I \& II). The investigators will conduct a single arm cohort. (pre and post intervention) pilot feasibility study over 4 months with embedded process analyses of Preactive-HD, a physical activity coaching intervention program. Previous studies conducted by the investigators will be utilized to adapt the Engage-HD physical activity coaching program to people with early stage PD. The intervention will include a participant/coach interaction and disease-specific workbook grounded within the framework of self-determination theory. The coaching sessions will be conducted by an occupational therapist and will entail six coaching sessions (either face-to-face or remote video sessions via secure Webex connection via computer or smart phone, or phone call if internet/smart phone is not available to participant). The first session (approximately 45 min) will lay the groundwork for the program, and the remaining sessions will serve to provide directed support in relation to regular physical activity and exercise. Participants will develop physical activity goals and will be supported with individual physical activity progression. Participants will be given Fitbit devices as a motivational tool and to track activity progression.
Investigators
Lori Quinn
Associate Professor
Teachers College, Columbia University
Eligibility Criteria
Inclusion Criteria
- •Neurologist confirmed clinical dx for Parkinson's disease Hoehn \& Yahr stage I or II
- •Ambulatory for indoor and outdoor mobility without assistance or assistive device
- •Successful completion of Physical Activity Readiness Questionnaire (PAR-Q) (Thomas et al., 1992), or medical clearance from GP
Exclusion Criteria
- •Musculoskeletal injury that would prevent participation in an exercise program
- •Other neurological disease or disorder such as stroke
- •Already engaging in aerobic exercise for at least 30 minutes for 5 or more days per week.
Outcomes
Primary Outcomes
Change From Baseline in the Behavioural Regulation In Exercise Questionnaire (BREQ-2)
Time Frame: baseline and 4 months
The BREQ-2 is a 19-item questionnaire that measures each of the subscales of the self-determination continuum: external, introjected, identified, and intrinsic regulations, as well as amotivation. Each subscale is represented by 4 questions, except for introjected regulation which has 3. Questions are scored using a 5-point Likert scale; Answers range from 0 (not true for me) to 4 (very true for me). Composite scores were calculated from these subscales. Autonomous motivation was calculated from the intrinsic motivation and identified regulation subscales, with possible scores ranging from 0 (low autonomous motivation) to 4 (high autonomous motivation. Controlled motivation was calculated from the introjected regulation and external regulation subscales, with possible scores ranging from 0 (low controlled motivation) to 4 (high controlled motivation).
Change From Baseline Moderate-Vigorous Physical Activity Using Actigraph at 4 Months
Time Frame: baseline and 4 months
Measured using Actigraph accelerometer, levels of moderate-vigorous physical activity will be measured, as well as number of steps and sedentary behavior.
Secondary Outcomes
- Change From Baseline Wechsler Adult Intelligence Scale -III (WAIS-III) Digit Span Forward and Backward at 4 Months(baseline and 4 months)
- Change From Baseline Stroop Color-Word Interference at 4 Months(baseline and 4 months)
- Change From Baseline Timed-up-and-go (TUG) at 4 Months(baseline and 4 months)
- Change From Baseline 6 Minute Walk Test at 4 Months(baseline and 4 months)
- Change From Baseline Brunel Lifestyle Inventory at 4 Months(baseline and 4 months)
- Change From Baseline Exercise Self Efficacy Questionnaire at 4 Months(baseline and 4 months)
- Semi-Structured Post-intervention Questionnaire(4 months)
- Change From Baseline Canadian Occupational Performance Measure (COPM) at 4 Months(baseline and 4 months)
- Perceived Autonomy Support Healthcare Climate Questionnaire (HCCQ) at 4 Months(4 months)