Behaviour Change for Parkinson's Disease: A Randomised Controlled Feasibility Study to Promote Physical Activity and Exercise Adherence Among People with Parkinson's Disease.

Leanne Ahern, Suzanne Timmons, Sarah E Lamb, Ruth McCullagh
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Abstract

Objective: Exercise reduces fall risk, sarcopenia and frailty in Parkinson's disease, but motor and non-motor symptoms hinder adherence. This study aimed to feasibility test an exercise intervention with behaviour change techniques, examining recruitment, procedures, and measure responsiveness.

Methods: A mixed-methods parallel-arm, single-blinded, randomized feasibility study. Participants (Hoehn and Yahr 1-3) were randomly allocated to intervention or control groups. Both received 12-weeks of education, supervised exercise, and home exercises. The intervention group received additional behaviour change techniques. Enrolment, attendance, adherence, and adverse events were recorded. Outcomes included walking activity, balance, falls, strength, and exercise self-efficacy. Surveys and interviews explored acceptability.

Results: Twenty-six people were screened; sixteen randomized, fourteen completed. Exercise class attendance in both groups was high. Adherence to home exercises was higher in the intervention group (70% vs 63%). No serious adverse events. Time resources were acceptable. Walking activity and aerobic endurance reached minimally important differences. Interviews indicated participants enjoyed the group dynamic and gained skills. Feedback will improve acceptability.

Conclusion: The intervention is feasible and well-accepted. While not designed to measure frailty, sarcopenia, or fall risk directly, enhancing adherence through behaviour change techniques and tailoring interventions to individual preferences maybe a promising strategy to support long-term exercise engagement. ClinicalTrials.gov: ID: NCT06192628.

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帕金森病的行为改变:一项促进帕金森病患者体育活动和坚持运动的随机对照可行性研究
目的:运动可降低帕金森病患者跌倒风险、肌肉减少和虚弱,但运动和非运动症状阻碍了坚持运动。本研究旨在用行为改变技术测试运动干预的可行性,检查招募、程序和测量反应性。方法:一项混合方法、平行组、单盲、随机可行性研究。参与者(Hoehn和Yahr 1-3)被随机分配到干预组或对照组。他们都接受了为期12周的教育、有监督的锻炼和家庭锻炼。干预组接受额外的行为改变技术。记录入组、出勤、依从性和不良事件。结果包括步行活动、平衡、跌倒、力量和运动自我效能。调查和访谈探讨了可接受性。结果:筛选了26人;16个随机,14个完成。两组的运动课出勤率都很高。干预组坚持在家锻炼的比例更高(70% vs 63%)。无严重不良事件。时间资源是可以接受的。步行活动和有氧耐力达到最小的重要差异。采访表明,参与者喜欢团队的活力,并获得了技能。反馈将提高可接受性。结论:该干预措施是可行的,被广泛接受。虽然不是为了直接测量虚弱、肌肉减少症或跌倒风险而设计的,但通过行为改变技术和根据个人偏好量身定制的干预措施来增强坚持性,可能是支持长期锻炼的有希望的策略。ClinicalTrials.gov: ID: NCT06192628。
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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