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| Name | Class |
|---|---|
| National Institute on Disability, Independent Living, and Rehabilitation Research | FED |
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The purpose of this study is to test the efficacy of a 6-month telephone-based motivational interviewing intervention and a web-based application intervention to improve physical activity in participants with Parkinson's Disease.
Participants will be randomized into one of four groups to examine two separate interventions. The groups are: motivational interviewing (a counseling/coaching style), a web-based application for participants to keep track of their physical activity, a combination of the motivational interviewing and the web-based application, and an educational program on various issues related to Parkinson's Disease. The intervention will last 6 months with a follow-up appointment at 9 months. Participants will be asked to come to Galter Pavilion at Northwestern Memorial Hospital or Shirley Ryan AbilityLab a total of five times over the course of the nine months.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Motivational Interviewing | Experimental | Participants will talk to a coach on the phone who will employ Motivational Interviewing as a coaching style. |
|
| Web-Based Application | Experimental | Participants will use a Web-Based Application to track their daily physical activity. |
|
| Combination MI and App | Experimental | Participants will have both a coach by phone who will employ Motivational Interviewing as a coaching style and use a Web-Based Application to track their daily physical activity. |
|
| Educational Program | No Intervention | Participants will get to use a website that contains information relevant to patients with Parkinson's Disease. |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Motivational Interviewing | Behavioral | Motivational interviewing will consist of weekly phone calls for two months, bi-weekly phone calls for two months, and monthly phone calls for two months. |
| Measure | Description | Time Frame |
|---|---|---|
| Test the efficacy of the Motivational Interviewing (MI) Intervention and the Web-Based Self-Monitoring Application Intervention by monitoring the change in physical activity using data collected from an Actigraph activity monitor. | Participants will wear an Actigraph activity monitor for one week every quarter to collect data about physical activity throughout the duration of the study. Time spent doing physical activity will be compared at each assessment for this outcome. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Test the efficacy of the MI Intervention and the Web-Based Self-Monitoring Application Intervention by monitoring the change in physical activity using the Physical Activity Scale for Individuals with Physical Disabilities (PASIPD). | PASIPD is a 13-item 7-day physical activity recall questionnaire designed to evaluate physical activity levels in people with physical disabilities by soliciting information about leisure time activities, household activities, and work- related activities. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Measure | Description | Time Frame |
|---|---|---|
| Test the efficacy of the Motivational Interviewing (MI) intervention and the Web-Based Self-Monitoring Application Intervention for improving balance using the Berg Balance Scale (BBS). | The Berg Balance Scale is a 14-item performance measure to assess static balance and fall risk. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Linda Ehrlich-Jones, PhD | Shirley Ryan AbilityLab | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Northwestern Medicine | Chicago | Illinois | 60611 | United States | ||
| Shirley Ryan Abilitylab |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 20057213 | Background | Stuart M, Chard S, Benvenuti F, Steinwachs S. Community exercise: a vital component to healthy aging. Healthc Pap. 2009;10(1):23-8; discussion 79-83. doi: 10.12927/hcpap.2009.21219. | |
| 15809561 | Background | Brown DR, Yore MM, Ham SA, Macera CA. Physical activity among adults >or=50 yr with and without disabilities, BRFSS 2001. Med Sci Sports Exerc. 2005 Apr;37(4):620-9. doi: 10.1249/01.mss.0000158189.17546.ed. |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| D009043 | Motor Activity |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D062405 | Motivational Interviewing |
| ID | Term |
|---|---|
| D037001 | Directive Counseling |
| D003376 | Counseling |
| D008605 | Mental Health Services |
| D004191 | Behavioral Disciplines and Activities |
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This study examines how a web-based application and/or motivational interviewing impact a participant's exercise routine compared to an educational control group.
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Participants will be aware which group they are assigned to. Study team members who will be providing assessments will be blinded to the condition the participant is in.
| Web-based application | Behavioral | Web-based application participants will be asked to log activity at least on a daily basis. |
|
| Test the efficacy of the Motivational Interviewing (MI) intervention and the Web-Based Self-Monitoring Application Intervention for improving balance using the Activities-Specific Balance Confidence Scale (ABC). | Activities-Specific Balance Confidence Scale is a 16-item self-report measure of confidence in performing various activities of daily living without falling. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Test the efficacy of the Motivational Interviewing (MI) intervention and the Web-Based Self-Monitoring Application Intervention for improving balance using the Unified Parkinson's Disease Rating Scale (UPDRS). | The UPDRS is an assessment that monitors the progression of Parkinson's Disease. For this outcome, the "postural stability" portion of the assessment will be used to determine balance improvements. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Test the efficacy of the Motivational Interviewing (MI) intervention and the Web-Based Self-Monitoring Application Intervention for improving quality of life using the assessment measure Neuro-QOL. | The Neuro-QOL is a set of self-report measures that assess the health-related quality of life of adults and children with neurological disorders. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Test the efficacy of the Motivational Interviewing (MI) intervention and the Web-Based Self-Monitoring Application Intervention for improving quality of life using the assessment measure Patient-Reported Outcomes Measurement Information System (PROMIS). | PROMIS Global Health is a 10-item scale rating physical and mental health and overall quality of life. | Assessment will occur at baseline, 3 months, 6 months and 9 months. |
| Chicago |
| Illinois |
| 60611 |
| United States |
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| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D001519 | Behavior |
| D006296 | Health Services |
| D005159 | Health Care Facilities Workforce and Services |