Continued Support for Physical Activity in Everyday Life With Parkinson's Disease Using eHealth Technology
Overview
- Phase
- N/A
- Intervention
- Not specified
- Conditions
- Idiopathic Parkinson Disease
- Sponsor
- Stiftelsen Stockholms Sjukhem
- Enrollment
- 15
- Locations
- 1
- Primary Endpoint
- Participants perceived intensity of the motor exercises
- Status
- Completed
- Last Updated
- 3 years ago
Overview
Brief Summary
The purpose of this study is to test the feasibility of a novel motor-cognitive home training intervention using eHealth technology among people with Parkinson's Disease
Investigators
Breiffni Leavy
Principal Investigator
Stiftelsen Stockholms Sjukhem
Eligibility Criteria
Inclusion Criteria
- •Neurologist diagnosed Idiopathic PD at least 6 months previous to inclusion.
- •Hoehn \& Yahr stages I-III
- •Stable in anti-Parkinson medications three months prior to inclusion.
- •The ability to walk walk independently indoors without a walking aid.
- •The ability to walk continually with/without a walking aid for at least 5 minutes.
Exclusion Criteria
- •Cognitive impairment affecting the ability to understand or follow verbal or written instructions (Montreal Cognitive Assessment ≤ 21 points).
- •Impaired vision and/or impaired communication which hinders participation.
- •Major problems with freezing and/or two or more falls in the month previous to inclusion.
- •Other existing neurological/ orthopedic or cardiovascular disease which impedes the performance of unsupervised exercise in the home.
- •No internet connection in the home.
Outcomes
Primary Outcomes
Participants perceived intensity of the motor exercises
Time Frame: 10-week period.
Participants will rate the intensity of the intervention using the Borg Rating of perceived, Exertion Scale (6-20) following each training session. According to this scale, lower numbers signify lower levels of exertion, and higher numbers signify higher levels of exertion. The aim is that participants levels of exertion will lie in the middle range (12-17) This will measure the feasibility outcome - Practicality or Ability to carry out the intervention.
Participants actual use of the eHealth training tool
Time Frame: 10-week period.
Total time logged in to the digital training app will be derived from system and expressed as a percentage of total recommended intervention time. This will measure the feasibility outcome - Demand of the intervention'.
Participant satisfaction with the eHealth intervention
Time Frame: 10-week period.
Participants will rate their satisfaction with using a digital survey following each training session. An average value will be calculated. This will measure the feasibility outcome - Acceptability of the intervention.
Participants perceived difficulty of the motor-cognitive (dual-task) exercises
Time Frame: 10-week period.
Participants will rate the difficulty of the dual-task exercises using a 0-10 scale (higher scores = higher degree of difficulty) following each exercise session and scores will be averaged over the study period following. This will measure the feasibility outcome - Suitability of the intervention.
Total number of adverse events during the training sessions
Time Frame: 10 week period
Participants will report all adverse events such as falls or other injuries acquired during the training session, during a once weekly telephone interview. This will measure the feasibility outcome Safety.
Secondary Outcomes
- Exercise self-efficacy(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Lower extremity function(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Executive Function(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Functional capacity as well as dual task gait ability(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Self-reported walk ability(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Usual and fast walking speed(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Balance performance(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Self-reported difficulties across 8 dimensions of daily living(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Habitual physical activity(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Self-reported balance confidence(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))
- Verbal Fluency(i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training))