Exercise Strategies in Parkinson's Disease

Conditions

• Parkinson Disease

Eligibility Criteria

Sex

ALL

Age

18 Years - 89 Years

Healthy Volunteers

Not accepted

Interventions

• Written exercise guidance by neurologist — OTHER
  Neurologists will provide written exercise education and guidance to their patients with Parkinson's Disease during neurologist visits and/or in after visit summary in the patient's EMR patient portal. The research team will facilitate the development of the written exercise guidance with input and feedback from each site's neurology, clinical, and administrative teams.
• Physical therapy — OTHER
  A consultative model of physical therapy - a lower dose of physical therapy focused on physical activity and exercise promotion and coaching - will be implemented into each site. In the consultative model of physical therapy, visits are scheduled around needs of the patient, however will involve 1-4 additional visits within 3 months of evaluation and is based on personal factors that influence their exercise prognosis such as self-efficacy, readiness to change, fitness level, age, health literacy, comorbidities, and Parkinson's Disease-related motor and non-motor impairments.

Study Details

The goal of this clinical trial is to learn about exercise and physical activity people with Parkinson's Disease. The main questions it aims to answer are: 1) learn about the physical activity and exercise behaviors of people with Parkinson's Disease over the course of a year and 2) compare 3 exercise guidance strategies aimed to impact exercise behavior: standard care, written exercise guidance from neurologist and/or physical therapy. During the course of the study: 1. Participants will use activity trackers and a mobile phone application to monitor their exercise participation. 2. At the same time, the research team will be working with the participant's medical teams at Northwestern Medicine and University of Chicago Medical Center to improve the way that they deliver exercise guidance using verbal instructions and encouragement, written exercise guidance, and/or physical therapy.

Key Dates

Start date

Mar 1, 2024

Status verified

May 2026

Primary completion

May 31, 2028

Completion

May 31, 2028

Study Design

Enrollment

288 participants (estimated)

Allocation

NON_RANDOMIZED

Intervention model

SEQUENTIAL

Primary purpose

TREATMENT

Arms

• No Intervention: Standard Care
  Standard care patient's with Parkinson's Disease are receiving at each site.
• Active Comparator: Written exercise guidance by neurologist
  Neurologists will provide written exercise education and guidance to their patients with Parkinson's Disease.
• Experimental: Physical therapy
  A consultative model of physical therapy will be implemented at each site for patient's with Parkinson's Disease.

Primary Outcome Measure

Accelerometer Measures [ Time Frame: Average 1-week MVPA measured every 3-months throughout 12-month study period ]

Locations (7)

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