Clinical Trial Details
— Status: Recruiting
Administrative data
NCT number |
NCT04922190 |
Other study ID # |
20-005 |
Secondary ID |
|
Status |
Recruiting |
Phase |
Phase 1
|
First received |
|
Last updated |
|
Start date |
March 15, 2020 |
Est. completion date |
September 15, 2023 |
Study information
Verified date |
October 2022 |
Source |
Teachers College, Columbia University |
Contact |
n/a |
Is FDA regulated |
No |
Health authority |
|
Study type |
Interventional
|
Clinical Trial Summary
Engage-PD is a single cohort evaluation of implementation of a telehealth-delivered physical
activity coaching program for people with early-mid stage Parkinson's disease. The program
utilizes a physical or occupational therapist to provide one-on-one coaching for individuals
with early-mid stage Parkinson's disease to provide individualized structured support to
facilitate and optimize exercise uptake as part of an effective self-management program. The
structure of the coaching program is based on previous research in neurodegenerative disease
including Parkinson's disease and Huntington's disease.
Description:
Individuals will be recruited through the Columbia University Medical Center Parkinson's
Disease Center of Excellence. Individuals who choose to participate will first be given a
brief evaluation, including history and contraindications for exercise, assessment of gait
and balance, physical activity questionnaire (Brunel Lifestyle Inventory and International
Physical Activity Questionnaire), pain questionnaire (Brief Pain Inventory), NeuroQOL quality
of life assessment, and a self-efficacy measure about exercise engagement (Exercise Self
Efficacy Scale). For those individuals who report low back pain, we will further administer
the Modified Oswestry Low Back Pain Disability Questionnaire and a customized low back pain
questionnaire. The therapist will then conduct the coaching session (see below). If this
assessment is not able to be conducted in person, it will be conducted via secure
videoconferencing. There will be between 1-4 follow-up phone call/videosessions and a
follow-up assessments at 3 months and 6 months where all assessment will be repeated. A short
questionnaire will also be administered at 3 and 6 months to assess the acceptability of the
intervention.
The coaching program will utilize the Pre-Active PD program (Clinicaltrials.gov NCT03696589)
to guide the delivery of the intervention. This will include a checklist of the key elements
that are important for the therapist in order to facilitate PA behavior change. In addition,
the therapist will utilize motivational interviewing strategies that include four processes
(engaging, evoking, planning, and tracking) and five core communication skills (asking open
ended questions, affirming, reflective listening, summarizing, and informing and advising).
The therapist will introduce the Pre-Active PD workbook and utilize it as a tool and
reference for the participant in order to engage and focus them throughout the coaching
process, and will educate participants on the types of exercise options and the specific
exercise benefits for PD. In the planning process, the therapist will facilitate discussion
on development of specific and measurable goals, and will provide options for tracking their
progress, such as written or web-based exercise logs or an activity monitor. The recommended
exercises will be individualized to each participant but will primarily focus on increasing
general physical activity (e.g. steps per day) as well as engagement in moderate-vigorous
intensity aerobic exercise a minimum of three times per week. Balance and strengthening
exercises will also be recommended as appropriate. At the follow up sessions (15-30 min), the
therapist will review progress with the current exercise plan and progress, record if any
falls have occurred and discuss barriers and facilitators for exercise engagement.
Participants will also be given a short exercise safety checklist to assure safety when
conducting home exercises. Participants will have the option to use a Fitbit device (Charge
4) to monitor their heart rate and physical activity during the course of the intervention
period. Participants will use a study-specific login to track their progress and activity.
Participants who already own a Fitbit or other activity monitor can continue to use their
device during the study.