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Parkinson DiseaseNCT03329833

Motivational Interviewing and Physical Activity Change in Parkinson's Disease

A study testing Motivational Interviewing and Web-based application in people with Parkinson Disease, run by Shirley Ryan AbilityLab at 2 sites in United States.

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

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. Read more about this study

Who is it for?
Ages 18 years and older
Conditions the study is for
Parkinson Disease
What is being tested?
Motivational Interviewing and Web-based application
Could I receive a placebo?
No, everyone receives an active treatment
How many people
44 participants
Where
2 sitesUnited States
Study dates
20 Nov 2017to 30 Apr 2021
Phase
Interventional
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Community dwelling
  • Age 18 or older
  • Physician confirmed diagnosis of PD with Hoehn and Yahr stage ≤3
  • Ability to ambulate independently (walker is allowed) for distance of 50 feet or 10 minutes at a time
  • Does not meet current CDC physical activity guidelines of 150 minutes of moderate to vigorous physical activity per week
  • Currently and plans to have a smartphone, tablet, or computer and access to the internet for the next 9 months
  • Willing to monitor activity on their smartphone, tablet, or computer via a web-based application during the 9-month program
  • Currently uses the internet in a basic capacity

Who cannot join

  • Inability to speak and understand English
  • Has a cardiovascular disorder or other health condition that would make exercise unsafe according to their physician
  • Patients who are currently receiving physical therapy or received physical therapy one month prior to study enrollment
  • Cognitive impairment as defined by inability to provide informed consent and to self-report feelings and behaviors
  • Montreal Cognition Scale (MOCA): rating of less than 24, indicative of cognitive dysfunction
  • Patients who indicate it is not recommended they participate in increased physical activity as indicated by the Physical Activity Restriction Questionnaire (PAR-Q)
  • Patients who are in other studies that monitor fitness or physical activity

Trial locations and contacts

2 sites in 1 country.

United States2 sites
  • Northwestern Medicine

    Chicago, Illinois, 60611

  • Shirley Ryan Abilitylab

    Chicago, Illinois, 60611

Other trials in United States

About this study

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.

Read the detailed description

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.

Being tested
Motivational Interviewing, Web-based application
Keywords
Parkinson's Disease, Parkinson's, Motivational Interviewing, Exercise, Motivation
Medical subject headings
Parkinson Disease, Motor Activity

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Motivational InterviewingBehavioural

    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.

  • Web-based applicationBehavioural

    Web-based application participants will be asked to log activity at least on a daily basis.

Study groups in NCT03329833
Study groupRoleWhat they receive
Motivational InterviewingExperimentalParticipants will talk to a coach on the phone who will employ Motivational Interviewing as a coaching style.
Receives: Behavioral: Motivational Interviewing
Web-Based ApplicationExperimentalParticipants will use a Web-Based Application to track their daily physical activity.
Receives: Behavioral: Web-based application
Combination MI and AppExperimentalParticipants 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.
Receives: Behavioral: Motivational Interviewing; Behavioral: Web-based application
Educational ProgramNo interventionParticipants will get to use a website that contains information relevant to patients with Parkinson's Disease.

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

  2. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

Secondary outcomes (5)
  1. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

  2. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

  3. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

  4. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

  5. 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.

    Measured: Assessment will occur at baseline, 3 months, 6 months and 9 months.

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted6 Nov 2017
  2. Study start20 Nov 2017
  3. Primary completion30 Apr 2021 (estimated)
  4. Study completion30 Apr 2021 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Interventional
Phase
Phase N/A
Primary purpose
Other
Allocation
Randomised
Intervention model
Factorial
Model description
This study examines how a web-based application and/or motivational interviewing impact a participant's exercise routine compared to an educational control group.
Masking
Double blind
Who is masked
Care provider, Outcomes assessor
Enrolment
44 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT03329833
Sponsor's protocol ID
90IF0093
Status last verified
Oct 2020
First submitted
16 Oct 2017
Last updated
14 Oct 2020
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • 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.

    PubMed 20057213
  • 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.

    PubMed 15809561
  • Ahlskog JE. Does vigorous exercise have a neuroprotective effect in Parkinson disease? Neurology. 2011 Jul 19;77(3):288-94. doi: 10.1212/WNL.0b013e318225ab66.

    PubMed 21768599
  • Alberts JL, Linder SM, Penko AL, Lowe MJ, Phillips M. It is not about the bike, it is about the pedaling: forced exercise and Parkinson's disease. Exerc Sport Sci Rev. 2011 Oct;39(4):177-86. doi: 10.1097/JES.0b013e31822cc71a.

    PubMed 21799425
  • Angevaren M, Aufdemkampe G, Verhaar HJ, Aleman A, Vanhees L. Physical activity and enhanced fitness to improve cognitive function in older people without known cognitive impairment. Cochrane Database Syst Rev. 2008 Jul 16;(3):CD005381. doi: 10.1002/14651858.CD005381.pub3.

    PubMed 18646126
  • Bezard E, Yue Z, Kirik D, Spillantini MG. Animal models of Parkinson's disease: limits and relevance to neuroprotection studies. Mov Disord. 2013 Jan;28(1):61-70. doi: 10.1002/mds.25108. Epub 2012 Jul 2.

    PubMed 22753348
  • Chen H, Zhang SM, Schwarzschild MA, Hernan MA, Ascherio A. Physical activity and the risk of Parkinson disease. Neurology. 2005 Feb 22;64(4):664-9. doi: 10.1212/01.WNL.0000151960.28687.93.

    PubMed 15728289
  • Cruise KE, Bucks RS, Loftus AM, Newton RU, Pegoraro R, Thomas MG. Exercise and Parkinson's: benefits for cognition and quality of life. Acta Neurol Scand. 2011 Jan;123(1):13-9. doi: 10.1111/j.1600-0404.2010.01338.x.

    PubMed 20199518
  • van Nimwegen M, Speelman AD, Hofman-van Rossum EJ, Overeem S, Deeg DJ, Borm GF, van der Horst MH, Bloem BR, Munneke M. Physical inactivity in Parkinson's disease. J Neurol. 2011 Dec;258(12):2214-21. doi: 10.1007/s00415-011-6097-7. Epub 2011 May 26.

    PubMed 21614433
  • Ellis T, Boudreau JK, DeAngelis TR, Brown LE, Cavanaugh JT, Earhart GM, Ford MP, Foreman KB, Dibble LE. Barriers to exercise in people with Parkinson disease. Phys Ther. 2013 May;93(5):628-36. doi: 10.2522/ptj.20120279. Epub 2013 Jan 3.

    PubMed 23288910
  • Ravesloot C. Changing stage of readiness for physical activity in Medicaid beneficiaries with physical impairments. Health Promot Pract. 2009 Jan;10(1):49-57. doi: 10.1177/1524839906292182. Epub 2008 Mar 4.

    PubMed 18319446
  • Harland J, White M, Drinkwater C, Chinn D, Farr L, Howel D. The Newcastle exercise project: a randomised controlled trial of methods to promote physical activity in primary care. BMJ. 1999 Sep 25;319(7213):828-32. doi: 10.1136/bmj.319.7213.828.

    PubMed 10496829
  • Ehrlich-Jones L, Mallinson T, Fischer H, Bateman J, Semanik PA, Spring B, Ruderman E, Chang RW. Increasing physical activity in patients with arthritis: a tailored health promotion program. Chronic Illn. 2010 Dec;6(4):272-81. doi: 10.1177/1742395309351243. Epub 2010 Aug 9.

    PubMed 20696695
  • Brodie DA, Inoue A, Shaw DG. Motivational interviewing to change quality of life for people with chronic heart failure: a randomised controlled trial. Int J Nurs Stud. 2008 Apr;45(4):489-500. doi: 10.1016/j.ijnurstu.2006.11.009. Epub 2007 Jan 26.

    PubMed 17258218
  • Tse MM, Vong SK, Tang SK. Motivational interviewing and exercise programme for community-dwelling older persons with chronic pain: a randomised controlled study. J Clin Nurs. 2013 Jul;22(13-14):1843-56. doi: 10.1111/j.1365-2702.2012.04317.x. Epub 2013 Jan 2.

    PubMed 23279630

Questions about this trial

What is this clinical trial studying?

A study testing Motivational Interviewing and Web-based application in people with Parkinson Disease, run by Shirley Ryan AbilityLab at 2 sites in United States.

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 8 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 14 Oct 2020. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 2 sites in United States. Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

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. (time frame: Assessment will occur at baseline, 3 months, 6 months and 9 months.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT03329833, which also lists 48 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 14 Oct 2020.

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