Promoting Physical Activity in People With Parkinson's Disease Through a Smartphone App: A Pilot Study.

IF 2.6 3区 医学 Q2 CLINICAL NEUROLOGY
Journal of Neurologic Physical Therapy Pub Date : 2025-04-01 Epub Date: 2025-03-21 DOI:10.1097/NPT.0000000000000507
Sabine Schootemeijer, Nienke M de Vries, Sirwan K L Darweesh, Alberto Ascherio, Michael A Schwarzschild, Eric A Macklin, Bastiaan R Bloem
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Abstract

Background and purpose: Physical activity has beneficial symptomatic effects for people with Parkinson's disease (PD), but increasing-and sustaining-a physically active lifestyle remains challenging. We investigated the feasibility (ability to increase step counts) and usability of a behavioral intervention using a motivational smartphone application to remotely increase physical activity in PD.

Methods: We performed a 4-week, double-blind pilot trial. Thirty people with PD who were able to walk independently and did not take more than 7000 steps at baseline were randomized to minimal, moderate, or large increases in step counts. Step counts were continuously collected with the participants' own smartphones. Usability was assessed with a translated version of the System Usability Scale. We reported the distribution of clinical characteristics in our participants.

Results: Step counts per day increased over 4 weeks in a dose-dependent pattern (mean ± standard deviation: minimal = 1064 ± 1030, moderate = 1689 ± 2060, large = 2745 ± 3817). The usability of the STEPWISE app (System Usability Scale) was perceived as excellent (mean ± standard deviation: 86.6 ± 12.7).

Discussion and conclusions: Our findings support the notion that a titrated increase in daily step count is feasible over 4 weeks. This motivates and supports further development of a smartphone application to increase physical activity in people with manifest PD. If effective, this behavioral intervention could provide an accessible option for people with PD worldwide.

Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content available at: http://links.lww.com/JNPT/A516 ).

通过智能手机应用程序促进帕金森病患者的体育锻炼:试点研究。
背景和目的:体育锻炼对帕金森病(PD)患者有有益的症状效果,但增加并维持体育锻炼的生活方式仍然具有挑战性。我们研究了行为干预的可行性(增加步数的能力)和可用性,使用动机智能手机应用程序远程增加PD患者的身体活动。方法:我们进行了为期4周的双盲先导试验。30名PD患者能够独立行走,并且在基线时不超过7000步,他们被随机分为最小、中等或大量增加步数的组。研究人员用参与者自己的智能手机连续收集步数。可用性是用翻译版本的系统可用性量表来评估的。我们报告了参与者的临床特征分布。结果:每天步数在4周内呈剂量依赖性增加(平均值±标准差:最小= 1064±1030,中等= 1689±2060,大= 2745±3817)。STEPWISE应用程序(系统可用性量表)的可用性被认为是优秀的(平均值±标准差:86.6±12.7)。讨论和结论:我们的研究结果支持这样一种观点,即在4周内逐步增加每日步数是可行的。这激励并支持了智能手机应用程序的进一步开发,以增加明显PD患者的身体活动。如果有效,这种行为干预可以为全世界的PD患者提供一种可访问的选择。视频摘要可获得作者的更多见解(参见视频,补充数字内容可在:http://links.lww.com/JNPT/A516)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Journal of Neurologic Physical Therapy
Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION
CiteScore
5.70
自引率
2.60%
发文量
63
审稿时长
>12 weeks
期刊介绍: The Journal of Neurologic Physical Therapy (JNPT) is an indexed resource for dissemination of research-based evidence related to neurologic physical therapy intervention. High standards of quality are maintained through a rigorous, double-blinded, peer-review process and adherence to standards recommended by the International Committee of Medical Journal Editors. With an international editorial board made up of preeminent researchers and clinicians, JNPT publishes articles of global relevance for examination, evaluation, prognosis, intervention, and outcomes for individuals with movement deficits due to neurologic conditions. Through systematic reviews, research articles, case studies, and clinical perspectives, JNPT promotes the integration of evidence into theory, education, research, and practice of neurologic physical therapy, spanning the continuum from pathophysiology to societal participation.
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