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
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
15
Participants engage in a progressive 10-week exercise program targeted at improving motor and cognitive function. Motor exercises target functional strength, gait and physical activity level. Training sessions occur 3 times weekly and supported by a digital application which has been adapted for people with Parkinson's disease. Weeks 1-2 focus solely on motor exercises. Dual-task (Motor-cognitive) exercises are introduced at week 3 and progressed until week 10. Participants are also encouraged to increase the physical activity levels during the 10 week period. Weekly contact is made using the video function/ telephone with clinical specialists/ researchers. Two home visits will occur, the first one week prior to the intervention and at the 5-week period. Participants receive motivational messaging and reminders via the app during the intervention period.
Stockholms Sjukhem
Stockholm, Sweden
Participant satisfaction with the eHealth intervention
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.
Time frame: 10-week period.
Participants perceived intensity of the motor exercises
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.
Time frame: 10-week period.
Participants perceived difficulty of the motor-cognitive (dual-task) exercises
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.
Time frame: 10-week period.
Participants actual use of the eHealth training tool
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'.
Time frame: 10-week period.
Total number of adverse events during the training sessions
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.
Time frame: 10 week period
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Habitual physical activity
Measured by the ActiGraph accelerometer model GT3X+ (ActiGraph, Pensacola, FL, US) worn on the hip for seven consecutive days
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Usual and fast walking speed
10 meter walk test at self-selected and fast speeds respectively
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Functional capacity as well as dual task gait ability
Assessed during the 2 minute walk test (2MWT) in single and dual task conditions
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Self-reported walk ability
Walk-12 G Questionnaire
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Lower extremity function
30 second chair stand test
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Balance performance
Mini Balance Evaluation Systems Test (Mini-BESTest)
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Self-reported balance confidence
Activity-specific Balance Confidence (ABC) scale
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Self-reported difficulties across 8 dimensions of daily living
The Parkinson's Disease Questionnaire -39 (PDQ-39)
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Exercise self-efficacy
Swedish Exercise Self-Efficacy Scale (S-ESES)
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Executive Function
Attention and psychomotor processing speed will be assessed by the Trail making test (TMT) conditions 2 (letter Sequencing) and 4 (number-Letter Switching (set-shifting)) from Delis-Kaplan Executive Function System (D-KEFS). Results are presented as time in seconds.
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)
Verbal Fluency
Verbal function, initiation \& task-set switching will be assessed by the Verbal fluency (Letter Fluency, Category Fluency, and Category Switching) from Delis-Kaplan Executive Function System (D-KEFS). Raw scores are converted to scaled scores.
Time frame: i) Baseline, pre-intervention. ii) Immediately after the intervention (10-week home training)