Physical Activity Coaching via Telehealth for People With Parkinson Disease: A Cohort Study.

IF 2.6 3区医学 Q2 CLINICAL NEUROLOGY

Journal of Neurologic Physical Therapy Pub Date : 2022-10-01 Epub Date: 2022-09-01 DOI:10.1097/NPT.0000000000000410

Hai-Jung Steffi Shih, Chelsea E Macpherson, Miriam King, Elizabeth Delaney, Yu Gu, Katrina Long, Jennifer Reid, Julie Fineman, Geraldine Yu, Jamie Rieger, Ashrita Satchidanand, Hiral Shah, Roy N Alcalay, Lori Quinn

{"title":"Physical Activity Coaching via Telehealth for People With Parkinson Disease: A Cohort Study.","authors":"Hai-Jung Steffi Shih, Chelsea E Macpherson, Miriam King, Elizabeth Delaney, Yu Gu, Katrina Long, Jennifer Reid, Julie Fineman, Geraldine Yu, Jamie Rieger, Ashrita Satchidanand, Hiral Shah, Roy N Alcalay, Lori Quinn","doi":"10.1097/NPT.0000000000000410","DOIUrl":null,"url":null,"abstract":"Background and purpose: Physical activity (PA) has many known benefits for people with Parkinson disease (PD); however, many people do not meet recommended levels of frequency or intensity. We designed Engage-PD, a PA coaching program delivered via telehealth and grounded in self-determination theory to promote PA uptake and facilitate exercise self-efficacy in people with Parkinson disease. This study aimed to determine the feasibility and preliminary efficacy of Engage-PD, and to explore whether baseline characteristics were associated with outcomes.Methods: A single cohort of people with PD (n = 62, Hoehn and Yahr I-III) participated in the 3-month Engage-PD program, which consisted of up to 5 telehealth coaching sessions delivered by physical therapists. Feasibility was evaluated based on recruitment and retention rates, along with participants' feedback. Planned and unplanned PA, exercise self-efficacy (ESE), and individualized goals were assessed pre- and post-intervention. Relationships between baseline characteristics and changes in planned PA and ESE were also evaluated.Results: Recruitment (62%) and retention (85%) rates were high, and the intervention was well accepted and perceived by the participants. From pre- to postintervention, participants increased planned PA (d = 0.33), ESE (d = 1.20), and individualized goal performance (d = 1.63) and satisfaction (d = 1.70). Participants with lower baseline planned PA experienced greater improvements in planned PA, and those with lower baseline ESE experienced greater improvements in ESE.Discussion and conclusions: A telehealth PA coaching program for people with PD was feasible and potentially efficacious. Physical therapist-led coaching may be an important component of a consultative model of care starting early in the disease process.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A393).","PeriodicalId":49030,"journal":{"name":"Journal of Neurologic Physical Therapy","volume":null,"pages":null},"PeriodicalIF":2.6000,"publicationDate":"2022-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"1","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Neurologic Physical Therapy","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1097/NPT.0000000000000410","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2022/9/1 0:00:00","PubModel":"Epub","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}

引用次数: 1

Abstract

Background and purpose: Physical activity (PA) has many known benefits for people with Parkinson disease (PD); however, many people do not meet recommended levels of frequency or intensity. We designed Engage-PD, a PA coaching program delivered via telehealth and grounded in self-determination theory to promote PA uptake and facilitate exercise self-efficacy in people with Parkinson disease. This study aimed to determine the feasibility and preliminary efficacy of Engage-PD, and to explore whether baseline characteristics were associated with outcomes.

Methods: A single cohort of people with PD (n = 62, Hoehn and Yahr I-III) participated in the 3-month Engage-PD program, which consisted of up to 5 telehealth coaching sessions delivered by physical therapists. Feasibility was evaluated based on recruitment and retention rates, along with participants' feedback. Planned and unplanned PA, exercise self-efficacy (ESE), and individualized goals were assessed pre- and post-intervention. Relationships between baseline characteristics and changes in planned PA and ESE were also evaluated.

Results: Recruitment (62%) and retention (85%) rates were high, and the intervention was well accepted and perceived by the participants. From pre- to postintervention, participants increased planned PA (d = 0.33), ESE (d = 1.20), and individualized goal performance (d = 1.63) and satisfaction (d = 1.70). Participants with lower baseline planned PA experienced greater improvements in planned PA, and those with lower baseline ESE experienced greater improvements in ESE.

Discussion and conclusions: A telehealth PA coaching program for people with PD was feasible and potentially efficacious. Physical therapist-led coaching may be an important component of a consultative model of care starting early in the disease process.Video Abstract available for more insights from the authors (see the Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A393).

查看原文本刊更多论文

通过远程医疗对帕金森病患者进行体育锻炼指导:一项队列研究。

背景和目的:体育活动(PA)对帕金森病(PD)患者有许多已知的益处;然而，许多人没有达到建议的频率或强度水平。我们设计了Engage-PD，这是一个通过远程医疗提供的基于自我决定理论的PA指导项目，旨在促进帕金森病患者PA的吸收和促进运动自我效能。本研究旨在确定Engage-PD的可行性和初步疗效，并探讨基线特征是否与预后相关。方法:一组PD患者(n = 62, Hoehn和Yahr I-III)参加了为期3个月的Engage-PD项目，其中包括由物理治疗师提供的多达5次远程医疗指导课程。可行性是根据招聘率和保留率以及参与者的反馈来评估的。在干预前和干预后评估计划和非计划PA、运动自我效能感(ESE)和个性化目标。基线特征与计划PA和ESE变化之间的关系也进行了评估。结果:参与者的入组率和留任率分别为62%和85%，对干预的接受度和感知度较高。从干预前到干预后，参与者增加了计划PA (d = 0.33)， ESE (d = 1.20)，个性化目标表现(d = 1.63)和满意度(d = 1.70)。基线计划PA较低的参与者在计划PA方面有更大的改善，基线ESE较低的参与者在ESE方面有更大的改善。讨论与结论:PD患者远程医疗PA辅导方案是可行的，并且具有潜在的有效性。物理治疗师领导的指导可能是一个重要的组成部分，咨询模式的护理开始在疾病过程的早期。视频摘要可获得作者的更多见解(参见视频，补充数字内容1，可在:http://links.lww.com/JNPT/A393)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Journal of Neurologic Physical Therapy CLINICAL NEUROLOGY-REHABILITATION

CiteScore

5.70

自引率

2.60%

发文量

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.