Efficacy of a Recreation Therapy Community Based Wellness Recovery Program for Individuals With Parkinson's Disease
试验速览
- 阶段
- 不适用
- 状态
- 终止
- 入组人数
- 3
- 试验地点
- 1
- 主要终点
- Perceived Stress Scale (PSS-10)
研究概览
简要总结
The Recreation Therapy Wellness Recovery Program conducts group classes which provide repetitive training of foundational skills designed specifically for those with Parkinson's Disease. The course will encourage bigger and faster movements (adapted from the Parkinson Wellness Recovery, PWR!Moves ® program) and education on optimal function.
详细描述
The purpose of this project is to evaluate a currently active community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (PD) to determine the efficacy of the treatment intervention. Since PD is a progressive, degenerative neurological disease, it is critical that individuals with this diagnosis remain as active as possible to slow down the progression of the disease, improve balance and strength, and increase health-related quality of life. The overall goal of this project is to determine the efficacy of a neuroplasticity physical activity program in terms of improving balance, improving health-related quality of life, reducing stress, and increasing satisfaction in exercise including social connectedness of group exercise. There is evidence that the neuroplasticity model may be a more effective type of intervention than traditional exercise programs in improving symptoms of PD. The neuroplasticity approach requires repetition of complex tasks that are high intensity and present a novel challenge. This type of intervention has been shown to improve motor and cognitive behaviors which are critical areas of decline for those with PD. The WRP program uses a comprehensive neuroplasticity-principled program that integrates exercise and wellness. The PI, Julie Bradwell, LRT/CTRS is a Certified Instructor for Parkinson Wellness Recovery Power Moves. The RT Wellness Recovery program at Wake Forest Baptist Health is modeled on the Parkinson Wellness Recovery Power Moves. Components within the program include the Parkinson Power Moves and the exercise 4 Brain Change. This study will be a 14-week study with the first two weeks of collecting baseline data and immediately following with a 12-week intervention program to increase balance, health-related quality of life, and satisfaction in exercise in individuals with PD as well as reduce stress. Most research on RT interventions for this population are in traditional settings (inpatient or rehabilitation settings). When discharged from these settings, many individuals become less active, have few social interactions and lose the benefits of exercise and physical therapy they gained while in these programs once they are home. The WRP community-based program at Wake Forest Baptist Health has the potential to prevent secondary complications as well as slow down the progression of the disease for participants. If the outcomes of this project suggest this type of intervention will improve the functional skills, quality of life, and/or satisfaction in exercise for individuals with PD and reduce stress, it will provide the RT discipline with evidenced based practice intervention for this population
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 45 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Potential subjects in this study will have a diagnosis of Parkinson's disease.
- •Potential subjects in this study are able to tolerate a 60-minute exercise program; participants complete the Parkinson Power Moves Class Application which requires a release form and a physician's signature that identifies any limitations or precautions to be taken in the program.
排除标准
- •Individuals who do not have a diagnosis of Parkinson's disease or those with PD who are not medically cleared to participate in the program will be excluded.
研究组 & 干预措施
Recreational Therapy Wellness Recovery Program Group
All participants will enter a baseline data collection period for two weeks. They will then participate in a 12-week community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (WRP).
干预措施: Wellness Recovery Program (Behavioral)
结局指标
主要结局
Perceived Stress Scale (PSS-10)
时间窗: Week 12 post baseline period
Total range 0-4. Lower scores denotes worse/better outcome.
Timed Up and Go (TUG) test
时间窗: Week 12 post baseline period
Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
Pain Rating Scale
时间窗: completed week 14 after signing consent
10 point rating scale, low score indicates less pain.
Sit to Stand Test
时间窗: Week 12 post baseline period
Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Timed Floor Transfer Test
时间窗: Week 12 post baseline period
Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
The Blue Foam (stand) with Trek Poles Test
时间窗: Week 12 post baseline period
Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
Psychological Need Satisfaction in Exercise Scale (PNSES)
时间窗: Week 12 post baseline period
Total range 1-6. Lower scores denotes worse outcome.
Parkinson's Disease Questionnaire Short Form (PDQ8)
时间窗: Week 12 post baseline period
This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
Sit to Stand Test
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Sit to Stand Test
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Sit to Stand Test
时间窗: Week 4 post baseline period
Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Sit to Stand Test
时间窗: Week 8 post baseline period
Measures functional muscle strength in the lower limbs. This test is reported in seconds.
Timed Floor Transfer Test
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
Timed Floor Transfer Test
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
Timed Floor Transfer Test
时间窗: Week 4 post baseline period
Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
Timed Floor Transfer Test
时间窗: Week 8 post baseline period
Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.
Timed Up and Go (TUG) test
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
Timed Up and Go (TUG) test
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
Timed Up and Go (TUG) test
时间窗: Week 4 post baseline period
Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
Timed Up and Go (TUG) test
时间窗: Week 8 post baseline period
Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.
The Blue Foam (stand) with Trek Poles Test
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
The Blue Foam (stand) with Trek Poles Test
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
The Blue Foam (stand) with Trek Poles Test
时间窗: Week 4 post baseline period
Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
The Blue Foam (stand) with Trek Poles Test
时间窗: Week 8 post baseline period
Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.
Parkinson's Disease Questionnaire Short Form (PDQ8)
时间窗: Baseline Measure 1 performed at day 1 after signing consent
This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
Parkinson's Disease Questionnaire Short Form (PDQ8)
时间窗: Baseline Measure 2 performed at day 2 after signing consent
This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
Parkinson's Disease Questionnaire Short Form (PDQ8)
时间窗: Week 4 post baseline period
This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
Parkinson's Disease Questionnaire Short Form (PDQ8)
时间窗: Week 8 post baseline period
This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease
Psychological Need Satisfaction in Exercise Scale (PNSES)
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Total range 1-6. Lower scores denotes worse outcome.
Psychological Need Satisfaction in Exercise Scale (PNSES)
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Total range 1-6. Lower scores denotes worse outcome.
Psychological Need Satisfaction in Exercise Scale (PNSES)
时间窗: Week 4 post baseline period
Total range 1-6. Lower scores denotes worse outcome.
Psychological Need Satisfaction in Exercise Scale (PNSES)
时间窗: Week 8 post baseline period
Total range 1-6. Lower scores denotes worse outcome.
Perceived Stress Scale (PSS-10)
时间窗: Baseline Measure 1 performed at day 1 after signing consent
Total range 0-4. Lower scores denotes worse/better outcome.
Perceived Stress Scale (PSS-10)
时间窗: Baseline Measure 2 performed at day 2 after signing consent
Total range 0-4. Lower scores denotes worse/better outcome.
Perceived Stress Scale (PSS-10)
时间窗: Week 4 post baseline period
Total range 0-4. Lower scores denotes worse/better outcome.
Perceived Stress Scale (PSS-10)
时间窗: Week 8 post baseline period
Total range 0-4. Lower scores denotes worse/better outcome.
Pain Rating Scale
时间窗: completed week 3 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 4 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 5 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 6 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 7 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 8 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 9 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 10 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 11 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 12 after signing consent
10 point rating scale, low score indicates less pain.
Pain Rating Scale
时间窗: completed week 13 after signing consent
10 point rating scale, low score indicates less pain.
次要结局
未报告次要终点