Category: Allied Healthcare Professionals
Objective: To assess the feasibility/acceptability, and preliminary efficacy of Pre-Active PD intervention delivered via telehealth to increase physical activity (PA) engagement in people with early-stage Parkinson disease (PwP) (H & Y stages I & II).
Background: Evidence supports PA and exercise as central to managing symptoms in PwP. While disease-specific exercise programs are well developed, there is a need for occupational therapist-delivered coaching to support PwP to engage in regular exercise and make PA a lifestyle routine.
Method: A fully remote RCT(NCT05308238) feasibility study was conducted over 4 months. Participants were randomized to an education control group or intervention group. Intervention group received 6 individual telehealth coaching sessions with an occupational therapist who provided direct support regarding PA and exercise habits. Fitbits were provided as a tool for motivation and tracking of PA. Primary outcome measures looked at feasibility in terms of adherence (Participant completion of ≥ 75% of sessions 1, 2 & 3) and retention (> 75% retained at 4-month follow-up). In addition, we measured changes from baseline planned and unplanned PA levels through self-report and changes in baseline to moderate-vigorous PA using a wearable activity monitor. Measured using an accelerometer, levels of moderate-vigorous PA will be measured, as well as number of steps and sedentary behavior. Secondary outcome measures included exercise motivation, exercise self-efficacy; self-perception of performance/ability. Motor performance was assessed using 4-stage balance test, Timed-up & Go, and 30-second Chair Stand Test.
Results: 129 individuals were screened, 50 enrolled and 43 were randomized, with 22 in intervention group and 21 in education group. Both groups were assessed at 4 and 6-month follow-up. Participants comprised 24 men and 19 women, age 64(7) range 47-83 yrs. Average MOCA score at baseline was 26(4) range 11-30. Exercise readiness score was evaluated in intervention group and indicated that most were in preparation/action stage of preparing to make an exercise change (Pre-contemplation: n=5; Contemplation: n=22; Preparation/Action: n=16).
Conclusion: Preliminary findings suggest this RCT study is feasible to implement in early-stage PwP. Results from this study will inform outcomes and effect sizes for a larger-scale clinical trial.
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To cite this abstract in AMA style:
K. Long, A. Pacheco, L. Quinn, D. Wani, J. Alomar, D. Kipnis, C. Macpherson. PreActive-PD Telehealth Coaching to Increase Physical Activity in Early-Stage Parkinson Disease: A Randomized Controlled Feasibility Trial [abstract]. Mov Disord. 2024; 39 (suppl 1). https://www.mdsabstracts.org/abstract/preactive-pd-telehealth-coaching-to-increase-physical-activity-in-early-stage-parkinson-disease-a-randomized-controlled-feasibility-trial/. Accessed October 7, 2024.« Back to 2024 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/preactive-pd-telehealth-coaching-to-increase-physical-activity-in-early-stage-parkinson-disease-a-randomized-controlled-feasibility-trial/