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Clinical Trial Details — Status: Recruiting

Administrative data

NCT number NCT06170866
Other study ID # 23-117S-2
Secondary ID P30AG067988
Status Recruiting
Phase N/A
First received
Last updated
Start date November 16, 2023
Est. completion date July 2024

Study information

Verified date December 2023
Source UConn Health
Contact Cristina Colón-Semenza, PhD
Phone 8604860019
Email cristina.colon-semenza@uconn.edu
Is FDA regulated No
Health authority
Study type Interventional

Clinical Trial Summary

The goal of this interventional study is to culturally adapt and determine feasibility of the peer partner training program and the peer-supported mobile health physical activity intervention in older Latin/Hispanic people with Parkinson's disease. The main question[s] it aims to answer are: - What is the feasibility of the peer partner training program? - What is the feasibility of the peer-supported mobile health physical activity intervention? - What are the effects of the peer-supported mobile health physical activity intervention on physical activity, motivation, depression, apathy and self-efficacy? Participants will be asked to: - Wear a research-grade activity monitor, Actigraph GT9X device for 10 days at the beginning and end of the study. - Watch 11 educational videos about Parkinson´s disease and exercise and attend two virtual educational sessions. - Connect with another person with Parkinson´s disease one time a week on a virtual meeting platform for 8 weeks. - Use Fitbit activity monitors and connect with other participants through the Fitbit application for 8 weeks. - Attend a weekly online exercise class for 8 weeks with other people with Parkinon´s disease.


Recruitment information / eligibility

Status Recruiting
Enrollment 20
Est. completion date July 2024
Est. primary completion date January 2024
Accepts healthy volunteers No
Gender All
Age group 50 Years and older
Eligibility Inclusion Criteria: - Idiopathic Parkinson disease, - Able to walk without the assistance of another person for 10 minutes -= 29 on Telephone Interview for Cognitive Status (TICS) - To have a close friend/family member over the age of 18 that would support the participant during the intervention -= 50 years of age - Hispanic - To be willing to use an activity monitor and use a Fitbit and Fitbit application - To be on a stable course of PD medications without any plans for change over the next 3 months - To be able to speak, read and write in Spanish or English Exclusion Criteria: - Unstable cardiopulmonary, orthopedic, psychological or metabolic condition - Atypical Parkinsonism Disorders - A fall in the last 6 months (that was unrelated to an external force) - Currently engaging in 150 minutes of mod-vigorous physical activity/week

Study Design


Related Conditions & MeSH terms


Intervention

Behavioral:
Socially supported physical activity
Use of a culturally and linguistically tailored intervention that uses mobile health technology plus social support to increase engagement in physical activity in the management of Parkinson´s disease.

Locations

Country Name City State
United States University of Connecticut Storrs Connecticut

Sponsors (3)

Lead Sponsor Collaborator
UConn Health National Institute on Aging (NIA), National Institutes of Health (NIH)

Country where clinical trial is conducted

United States, 

References & Publications (32)

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Colon-Semenza C, Latham NK, Quintiliani LM, Ellis TD. Peer Coaching Through mHealth Targeting Physical Activity in People With Parkinson Disease: Feasibility Study. JMIR Mhealth Uhealth. 2018 Feb 15;6(2):e42. doi: 10.2196/mhealth.8074. — View Citation

Crespo CJ, Smit E, Andersen RE, Carter-Pokras O, Ainsworth BE. Race/ethnicity, social class and their relation to physical inactivity during leisure time: results from the Third National Health and Nutrition Examination Survey, 1988-1994. Am J Prev Med. 2000 Jan;18(1):46-53. doi: 10.1016/s0749-3797(99)00105-1. — View Citation

Damron L, Litvan I, Bayram E, Berk S, Siddiqi B, Shill H. Hispanic Perspectives on Parkinson's Disease Care and Research Participation. J Alzheimers Dis. 2021;81(2):809-819. doi: 10.3233/JAD-210231. — View Citation

Dorsey ER, Constantinescu R, Thompson JP, Biglan KM, Holloway RG, Kieburtz K, Marshall FJ, Ravina BM, Schifitto G, Siderowf A, Tanner CM. Projected number of people with Parkinson disease in the most populous nations, 2005 through 2030. Neurology. 2007 Jan 30;68(5):384-6. doi: 10.1212/01.wnl.0000247740.47667.03. Epub 2006 Nov 2. — View Citation

Ellis T, Latham NK, DeAngelis TR, Thomas CA, Saint-Hilaire M, Bickmore TW. Feasibility of a virtual exercise coach to promote walking in community-dwelling persons with Parkinson disease. Am J Phys Med Rehabil. 2013 Jun;92(6):472-81; quiz 482-5. doi: 10.1097/PHM.0b013e31828cd466. — View Citation

Fullard ME, Thibault DP, Hill A, Fox J, Bhatti DE, Burack MA, Dahodwala N, Haberfeld E, Kern DS, Klepitskava OS, Urrea-Mendoza E, Myers P, Nutt J, Rafferty MR, Schwalb JM, Shulman LM, Willis AW; Parkinson Study Group Healthcare Outcomes and Disparities Working Group. Utilization of rehabilitation therapy services in Parkinson disease in the United States. Neurology. 2017 Sep 12;89(11):1162-1169. doi: 10.1212/WNL.0000000000004355. Epub 2017 Aug 23. — View Citation

Griffith DM, Bergner EM, Cornish EK, McQueen CM. Physical Activity Interventions With African American or Latino Men: A Systematic Review. Am J Mens Health. 2018 Jul;12(4):1102-1117. doi: 10.1177/1557988318763647. Epub 2018 Mar 20. — View Citation

Hooker SP, Wilcox S, Rheaume CE, Burroughs EL, Friedman DB. Factors related to physical activity and recommended intervention strategies as told by midlife and older African American men. Ethn Dis. 2011 Summer;21(3):261-7. — View Citation

Ige-Elegbede J, Pilkington P, Gray S, Powell J. Barriers and facilitators of physical activity among adults and older adults from Black and Minority Ethnic groups in the UK: A systematic review of qualitative studies. Prev Med Rep. 2019 Jul 13;15:100952. doi: 10.1016/j.pmedr.2019.100952. eCollection 2019 Sep. — View Citation

Johansson ME, Cameron IGM, Van der Kolk NM, de Vries NM, Klimars E, Toni I, Bloem BR, Helmich RC. Aerobic Exercise Alters Brain Function and Structure in Parkinson's Disease: A Randomized Controlled Trial. Ann Neurol. 2022 Feb;91(2):203-216. doi: 10.1002/ana.26291. Epub 2022 Jan 19. — View Citation

Kadhim S, Pringsheim T, Le A, Fiest KM, Patten SB, Prisnie JC, Gill S, Bulloch AGM, Hu B, Jette N. Validating screening tools for depression in Parkinson's disease. Mov Disord. 2018 Jul;33(7):1184-1186. doi: 10.1002/mds.27371. Epub 2018 Mar 24. No abstract available. — View Citation

Kroenke K, Spitzer RL, Williams JB. The PHQ-9: validity of a brief depression severity measure. J Gen Intern Med. 2001 Sep;16(9):606-13. doi: 10.1046/j.1525-1497.2001.016009606.x. — View Citation

Leentjens AF, Dujardin K, Marsh L, Martinez-Martin P, Richard IH, Starkstein SE, Weintraub D, Sampaio C, Poewe W, Rascol O, Stebbins GT, Goetz CG. Apathy and anhedonia rating scales in Parkinson's disease: critique and recommendations. Mov Disord. 2008 Oct 30;23(14):2004-14. doi: 10.1002/mds.22229. — View Citation

Lima LO, Rodrigues-de-Paula F. Recruitment rate, feasibility and safety of power training in individuals with Parkinson's disease: a proof-of-concept study. Braz J Phys Ther. 2013 Jan-Feb;17(1):49-56. doi: 10.1590/s1413-35552012005000069. English, Portuguese. — View Citation

Mantri S, Fullard M, Gray SL, Weintraub D, Hubbard RA, Hennessy S, Willis AW. Patterns of Dementia Treatment and Frank Prescribing Errors in Older Adults With Parkinson Disease. JAMA Neurol. 2019 Jan 1;76(1):41-49. doi: 10.1001/jamaneurol.2018.2820. — View Citation

Marras C, Beck JC, Bower JH, Roberts E, Ritz B, Ross GW, Abbott RD, Savica R, Van Den Eeden SK, Willis AW, Tanner CM; Parkinson's Foundation P4 Group. Prevalence of Parkinson's disease across North America. NPJ Parkinsons Dis. 2018 Jul 10;4:21. doi: 10.1038/s41531-018-0058-0. eCollection 2018. — View Citation

Mendoza-Vasconez AS, Marquez B, Benitez TJ, Marcus BH. Psychometrics of the self-efficacy for physical activity scale among a Latina women sample. BMC Public Health. 2018 Sep 5;18(1):1097. doi: 10.1186/s12889-018-5998-0. — View Citation

Noroozi A, Ghofranipour F, Heydarnia AR, Nabipour I, Shokravi FA. Validity and reliability of the social support scale for exercise behavior in diabetic women. Asia Pac J Public Health. 2011 Sep;23(5):730-41. doi: 10.1177/1010539509357342. Epub 2010 May 10. — View Citation

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Schenkman M, Moore CG, Kohrt WM, Hall DA, Delitto A, Comella CL, Josbeno DA, Christiansen CL, Berman BD, Kluger BM, Melanson EL, Jain S, Robichaud JA, Poon C, Corcos DM. Effect of High-Intensity Treadmill Exercise on Motor Symptoms in Patients With De Novo Parkinson Disease: A Phase 2 Randomized Clinical Trial. JAMA Neurol. 2018 Feb 1;75(2):219-226. doi: 10.1001/jamaneurol.2017.3517. — View Citation

Sockeel P, Dujardin K, Devos D, Deneve C, Destee A, Defebvre L. The Lille apathy rating scale (LARS), a new instrument for detecting and quantifying apathy: validation in Parkinson's disease. J Neurol Neurosurg Psychiatry. 2006 May;77(5):579-84. doi: 10.1136/jnnp.2005.075929. — View Citation

Van Den Eeden SK, Tanner CM, Bernstein AL, Fross RD, Leimpeter A, Bloch DA, Nelson LM. Incidence of Parkinson's disease: variation by age, gender, and race/ethnicity. Am J Epidemiol. 2003 Jun 1;157(11):1015-22. doi: 10.1093/aje/kwg068. — View Citation

Washburn RA, McAuley E, Katula J, Mihalko SL, Boileau RA. The physical activity scale for the elderly (PASE): evidence for validity. J Clin Epidemiol. 1999 Jul;52(7):643-51. doi: 10.1016/s0895-4356(99)00049-9. — View Citation

Weiner BJ, Lewis CC, Stanick C, Powell BJ, Dorsey CN, Clary AS, Boynton MH, Halko H. Psychometric assessment of three newly developed implementation outcome measures. Implement Sci. 2017 Aug 29;12(1):108. doi: 10.1186/s13012-017-0635-3. — View Citation

Yesavage JA, Brink TL, Rose TL, Lum O, Huang V, Adey M, Leirer VO. Development and validation of a geriatric depression screening scale: a preliminary report. J Psychiatr Res. 1982-1983;17(1):37-49. doi: 10.1016/0022-3956(82)90033-4. — View Citation

* Note: There are 32 references in allClick here to view all references

Outcome

Type Measure Description Time frame Safety issue
Primary Feasibility of Peer Training as measured by Acceptability of Intervention Measure (AIM), Intervention Appropriateness Measure (IAM), and Feasibility of Intervention Measure (FIM) The investigators will examine acceptability, appropriateness, feasibility and cultural relevance through self-report surveys and qualitative interviews with study participants. The investigators will examine knowledge acquisition with a pre and post knowledge quiz. The investigators will examine training engagement with attendance at the 2 virtual training sessions.
The summary score for each of the 3 surveys (AIM,IAM and FIM) will be evaluated for feasibility. Qualitative data analysis will also be completed to assess feasibility of peer training. Knowledge acquisition will be assessed by examining change score on the knowledge quiz.
After completion of peer training (2 to 3 weeks) and after completion of the intervention (8 weeks)
Primary Feasibility of Peer Support for physical activity The investigators will examine intervention engagement, as measured by attendance at exercise classes and with the number of peer contacts acceptability, appropriateness, feasibility and cultural relevance through self-report surveys and qualitative interviews with study participants.
The summary score for each of the 3 surveys (AIM,IAM and FIM) will be evaluated for feasibility. Qualitative data analysis will also be completed to assess feasibility of peer training.
After completion of peer training (2 to 3 weeks) and after completion of the intervention (8 weeks)
Secondary Objective measurement of physical activity Steps per day and minutes of moderate to vigorous physical activity measured using research-grade activity monitor. The investigators will asses the group mean change in physical activity as measured by steps per day and minutes of moderate to vigorous activity from baseline to post intervention. 10 days at baseline and post-intervention (approximately 12 to 14 weeks)
Secondary Motivation of physical activity measurement Assessment of motivations through the Behavioral Regulation in Exercise Questionnaire. It is a 19-item survey that evaluates the stages of motivation to exercise. This includes amotivation, external regulation, introjected regulation, identified regulation, and intrinsic regulation. The investigators will evaluate the group mean change of sub-scores as well as total scores related to motivation. Baseline and post Intervention (approximately 12 to 14 weeks)
Secondary Quality of Life Measurement Quality of Life measured by the Parkinson Disease Questionnaire-39 (PDQ-39). This is 39-item self-report survey that assess quality of life. This covers an assessment of mobility, activities of daily living, emotional well-being, stigma, social support, cognition, communication, and bodily discomfort.The investigators will evaluate the group mean change of sub-scores as well as total scores related to quality of life. Pre and post intervention (approximately 12 to 14 weeks)
Secondary Depression and Apathy Screening Screening for Depression and Apathy in older adults using the Geriatric Depression Scale (GDS), a 15-item self-report measure of depression in older adults, and Lille Apathy Rating Scale (LARS) which is a 33-item structured interview designed to assess apathy in Parkinson's disease. The investigators will evaluate the group mean change of sub-scores as well as total scores related to depression and apathy. Pre and post intervention (approximately 12 to 14 weeks)
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