Mobile Health Technology to Promote Physical Activity in Persons With Parkinson Disease
- Conditions
- Parkinson Disease
- Interventions
- Behavioral: Mobile Health TechnologyBehavioral: Stretching & Strengthening ExercisesBehavioral: Walking with Pedometer
- Registration Number
- NCT01955889
- Lead Sponsor
- Boston University Charles River Campus
- Brief Summary
Persons with Parkinson Disease (PD) face significant declines in function resulting in greater disability. Function can improve through participation in exercise, yet many people with PD are physically inactive. Given that people with PD live long lifespans following diagnosis; it is essential to include routine exercise into their lives over the long-term. Physical therapy is effective in improving function in persons with PD. However, participation in on-going physical therapy indefinitely is not a realistic option due to limited healthcare resources. Interventions using mobile health technologies allow physical therapists to stay connected to patients over time potentially improving their ability to meet the changing needs of patients with PD. Innovative approaches using mobile health technology may improve outcome; however, the effectiveness of different approaches to improve function and reduce disability in PD is unknown.
The purpose of this study is to compare the effectiveness of two interventions to improve function and health-related quality of life in 65 people with PD. In one study group, participants receive a home exercise program, in written format, to continue on an independent basis. In the other study group, participants are instructed to continue with an exercise program, in their home, delivered using videos of the exercises on a computer tablet device. This use of mobile-Health technology allows the physical therapist to remotely monitor participants' progress and modify the exercise program to meet the changing needs of each patient. The long-term objective of this research is to determine the most efficient and effective way to improve function that can be widely disseminated to persons with PD.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
- Inactive over the last 3 months
- Clinical diagnosis of idiopathic Parkinson's disease
- Mild to moderate disease severity
- Sufficient cognitive ability to follow study instructions
- Stable dose of Parkinson's medications for at least 2 weeks prior to study onset and during the 12 month study period unless medically necessary
- Able to walk without physical assistance or an assistive device for at least 6 continuous minutes
- Be interested in participating and provide informed consent
- A diagnosis of atypical Parkinsonism
- Balance impairment (More than 2 falls in the previous month)
- Significant freezing
- Serious co-morbidities or medical conditions that may interfere with ability to participate in an exercise program (i.e., musculoskeletal, cardiovascular, and neurological (other than Parkinson's))
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Mobile Health Technology Walking with Pedometer Stretching and strengthening exercises provided via video using mobile health technology; walk daily using a pedometer; interact with a physical therapist remotely through an exercise application on a tablet device over 12 month period Mobile Health Technology Mobile Health Technology Stretching and strengthening exercises provided via video using mobile health technology; walk daily using a pedometer; interact with a physical therapist remotely through an exercise application on a tablet device over 12 month period Mobile Health Technology Stretching & Strengthening Exercises Stretching and strengthening exercises provided via video using mobile health technology; walk daily using a pedometer; interact with a physical therapist remotely through an exercise application on a tablet device over 12 month period Control Stretching & Strengthening Exercises Stretching and strengthening exercises provided using printed photographs; walk daily using a pedometer; interact with a physical therapist at the beginning of the 12 month study; no use of mobile technology Control Walking with Pedometer Stretching and strengthening exercises provided using printed photographs; walk daily using a pedometer; interact with a physical therapist at the beginning of the 12 month study; no use of mobile technology
- Primary Outcome Measures
Name Time Method Change from Baseline in Physical Activity Level 52-54 weeks Physical activity level will be assessed using an activity monitor worn around the ankle over a 7-day period at the beginning and the end of the study
- Secondary Outcome Measures
Name Time Method Change from Baseline Apathy Scale 52-54 weeks Apathy Scale is a self-administered questionnaire to assess apathy
Change from Baseline in BriefBEST Balance Test 52-54 weeks The BriefBEST balance test assesses balance using a series of tasks such as sitting and leaning, standing on compliant and non-compliant surfaces, stepping to the side, and walking on level surfaces
Change from Baseline in Falls Self-Efficacy Scale International 52-54 weeks Falls Self-Efficacy Scale International is a self-administered questionnaire to assess the level of confidence in performing a series of 16 daily activities without falling
Change from Baseline in Parkinson's Disease Questionnaire-39 52-54 weeks Parkinson's Disease Questionnaire-39 is a self-administered questionnaire to assess the quality of life in people with Parkinson's disease
Change from Baseline in Fatigue Severity Scale 52-54 weeks Fatigue Severity Scale is a self-administered questionnaire where subjects are instructed to rate the impact of fatigue in their daily life over the prior week
Change from Baseline in Geriatric Depression Scale 52-54 weeks Geriatric Depression Scale is a self-administered questionnaire to assess depression in individuals
Change from Baseline in Six Minute Walk Test 52-54 weeks Six Minute Walk Test is measure of the distance a participant is able to walk in a 6 minute time period
Change from Baseline in Unified Parkinson's Disease Rating Scale 52-54 weeks Unified Parkinson's Disease Rating Scale assesses disability level related to the non-motor and motor signs in people with Parkinson's disease.
Change from Baseline in Godin Leisure-Time Exercise Questionnaire 52-54 weeks Godin Leisure-Time Exercise Questionnaire a self-administered questionnaire about the subjects leisure-time exercise habits over a typical seven day period
Change from Baseline in Self-Efficacy Exercise Scale 52-54 weeks Self-Efficacy Exercise Scale is a self-administered questionnaire to assess confidence in ability to exercise
Change from Baseline in Functional Gait Assessment 52-54 weeks Functional Gait Assessment assesses balance using a series of walking tasks, including walking in different directions, speeds, and around obstacles, including navigating stairs
Trial Locations
- Locations (1)
Center for Neurorehabilitation, College of Health & Rehabilitation Sciences, Sargent College, Boston University
🇺🇸Boston, Massachusetts, United States