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Parkinson's DiseaseNCT04164043

Efficacy of a Recreation Therapy Wellness Recovery Program for Individuals With Parkinson's Disease

A study testing Wellness Recovery Program in people with Parkinson's Disease, run by Wake Forest University Health Sciences at 1 site in United States.

Terminated

Stopped early. The study ended before it was planned to and will not resume.

Official record
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Trial summary

The Recreation Therapy Wellness Recovery Program conducts group classes which provide repetitive training of foundational skills designed specifically for those with Parkinson's Disease. Read more about this study

Who is it for?
Ages 45 years and older
Conditions the study is for
Parkinson's Disease
What is being tested?
Wellness Recovery Program
Could I receive a placebo?
No, everyone receives an active treatment
How many people
3 participants
Where
1 siteUnited States
Study dates
6 Mar 2018to 5 Feb 2019
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 45 years and older
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Who may be able to join

  • Potential subjects in this study will have a diagnosis of Parkinson's disease.
  • Potential subjects in this study are able to tolerate a 60-minute exercise program; participants complete the Parkinson Power Moves Class Application which requires a release form and a physician's signature that identifies any limitations or precautions to be taken in the program.

Who cannot join

  • Individuals who do not have a diagnosis of Parkinson's disease or those with PD who are not medically cleared to participate in the program will be excluded.

Trial locations and contacts

1 site in 1 country.

United States1 site
  • Wake Forest University Health Sciences

    Winston-Salem, North Carolina, 27157

Other trials in United States

About this study

Official title: Efficacy of a Recreation Therapy Community Based Wellness Recovery Program for Individuals With Parkinson's Disease

The Recreation Therapy Wellness Recovery Program conducts group classes which provide repetitive training of foundational skills designed specifically for those with Parkinson's Disease. The course will encourage bigger and faster movements (adapted from the Parkinson Wellness Recovery, PWR!Moves ® program) and education on optimal function.

Read the detailed description

The purpose of this project is to evaluate a currently active community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (PD) to determine the efficacy of the treatment intervention. Since PD is a progressive, degenerative neurological disease, it is critical that individuals with this diagnosis remain as active as possible to slow down the progression of the disease, improve balance and strength, and increase health-related quality of life. The overall goal of this project is to determine the efficacy of a neuroplasticity physical activity program in terms of improving balance, improving health-related quality of life, reducing stress, and increasing satisfaction in exercise including social connectedness of group exercise. There is evidence that the neuroplasticity model may be a more effective type of intervention than traditional exercise programs in improving symptoms of PD. The neuroplasticity approach requires repetition of complex tasks that are high intensity and present a novel challenge. This type of intervention has been shown to improve motor and cognitive behaviors which are critical areas of decline for those with PD. The WRP program uses a comprehensive neuroplasticity-principled program that integrates exercise and wellness. The PI, Julie Bradwell, LRT/CTRS is a Certified Instructor for Parkinson Wellness Recovery Power Moves. The RT Wellness Recovery program at Wake Forest Baptist Health is modeled on the Parkinson Wellness Recovery Power Moves. Components within the program include the Parkinson Power Moves and the exercise 4 Brain Change. This study will be a 14-week study with the first two weeks of collecting baseline data and immediately following with a 12-week intervention program to increase balance, health-related quality of life, and satisfaction in exercise in individuals with PD as well as reduce stress. Most research on RT interventions for this population are in traditional settings (inpatient or rehabilitation settings). When discharged from these settings, many individuals become less active, have few social interactions and lose the benefits of exercise and physical therapy they gained while in these programs once they are home. The WRP community-based program at Wake Forest Baptist Health has the potential to prevent secondary complications as well as slow down the progression of the disease for participants. If the outcomes of this project suggest this type of intervention will improve the functional skills, quality of life, and/or satisfaction in exercise for individuals with PD and reduce stress, it will provide the RT discipline with evidenced based practice intervention for this population

Being tested
Wellness Recovery Program
Keywords
Recreation Therapy, Community Based, Movement Disorder, Wellness Recovery Program
Medical subject headings
Parkinson Disease, Movement Disorders

What participants receive

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

  • Wellness Recovery ProgramBehavioural

    Also called WRP

    12-week community-based recreation therapy

Study groups in NCT04164043
Study groupRoleWhat they receive
Recreational Therapy Wellness Recovery Program GroupExperimentalAll participants will enter a baseline data collection period for two weeks. They will then participate in a 12-week community-based Recreational Therapy (RT) Wellness Recovery Program (WRP) for individuals with Parkinson's disease (WRP).
Receives: Behavioral: Wellness Recovery Program

What is being measured

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

  1. Sit to Stand Test

    Measures functional muscle strength in the lower limbs. This test is reported in seconds.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  2. Sit to Stand Test

    Measures functional muscle strength in the lower limbs. This test is reported in seconds.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  3. Sit to Stand Test

    Measures functional muscle strength in the lower limbs. This test is reported in seconds.

    Measured: Week 4 post baseline period

  4. Sit to Stand Test

    Measures functional muscle strength in the lower limbs. This test is reported in seconds.

    Measured: Week 8 post baseline period

  5. Sit to Stand Test

    Measures functional muscle strength in the lower limbs. This test is reported in seconds.

    Measured: Week 12 post baseline period

  6. Timed Floor Transfer Test

    Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  7. Timed Floor Transfer Test

    Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  8. Timed Floor Transfer Test

    Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.

    Measured: Week 4 post baseline period

  9. Timed Floor Transfer Test

    Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.

    Measured: Week 8 post baseline period

  10. Timed Floor Transfer Test

    Measures vestibular balance and functional mobility to determine risk of falling. This test is reported in seconds.

    Measured: Week 12 post baseline period

  11. Timed Up and Go (TUG) test

    Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  12. Timed Up and Go (TUG) test

    Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  13. Timed Up and Go (TUG) test

    Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.

    Measured: Week 4 post baseline period

  14. Timed Up and Go (TUG) test

    Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.

    Measured: Week 8 post baseline period

  15. Timed Up and Go (TUG) test

    Test involves a series of transitional movements including sit to stand, walking, turning and sit to stand. The test is reported in seconds.

    Measured: Week 12 post baseline period

  16. The Blue Foam (stand) with Trek Poles Test

    Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  17. The Blue Foam (stand) with Trek Poles Test

    Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  18. The Blue Foam (stand) with Trek Poles Test

    Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.

    Measured: Week 4 post baseline period

  19. The Blue Foam (stand) with Trek Poles Test

    Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.

    Measured: Week 8 post baseline period

  20. The Blue Foam (stand) with Trek Poles Test

    Test involves lateral moves and front and back moves with or without assistance. measures level of assistance needed: supervision or modified assistance.

    Measured: Week 12 post baseline period

  21. Parkinson's Disease Questionnaire Short Form (PDQ8)

    This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  22. Parkinson's Disease Questionnaire Short Form (PDQ8)

    This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  23. Parkinson's Disease Questionnaire Short Form (PDQ8)

    This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease

    Measured: Week 4 post baseline period

  24. Parkinson's Disease Questionnaire Short Form (PDQ8)

    This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease

    Measured: Week 8 post baseline period

  25. Parkinson's Disease Questionnaire Short Form (PDQ8)

    This is a spcific health related quality of life instrument created for individuals with Parkinson's Disease. Likert scale (0 - 4), higher the score the greater the functioning. Overall score ranges from 0 -32. Higher scores indicate greater impact of the disease

    Measured: Week 12 post baseline period

  26. Psychological Need Satisfaction in Exercise Scale (PNSES)

    Total range 1-6. Lower scores denotes worse outcome.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  27. Psychological Need Satisfaction in Exercise Scale (PNSES)

    Total range 1-6. Lower scores denotes worse outcome.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  28. Psychological Need Satisfaction in Exercise Scale (PNSES)

    Total range 1-6. Lower scores denotes worse outcome.

    Measured: Week 4 post baseline period

  29. Psychological Need Satisfaction in Exercise Scale (PNSES)

    Total range 1-6. Lower scores denotes worse outcome.

    Measured: Week 8 post baseline period

  30. Psychological Need Satisfaction in Exercise Scale (PNSES)

    Total range 1-6. Lower scores denotes worse outcome.

    Measured: Week 12 post baseline period

  31. Perceived Stress Scale (PSS-10)

    Total range 0-4. Lower scores denotes worse/better outcome.

    Measured: Baseline Measure 1 performed at day 1 after signing consent

  32. Perceived Stress Scale (PSS-10)

    Total range 0-4. Lower scores denotes worse/better outcome.

    Measured: Baseline Measure 2 performed at day 2 after signing consent

  33. Perceived Stress Scale (PSS-10)

    Total range 0-4. Lower scores denotes worse/better outcome.

    Measured: Week 4 post baseline period

  34. Perceived Stress Scale (PSS-10)

    Total range 0-4. Lower scores denotes worse/better outcome.

    Measured: Week 8 post baseline period

  35. Perceived Stress Scale (PSS-10)

    Total range 0-4. Lower scores denotes worse/better outcome.

    Measured: Week 12 post baseline period

  36. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 3 after signing consent

  37. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 4 after signing consent

  38. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 5 after signing consent

  39. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 6 after signing consent

  40. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 7 after signing consent

  41. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 8 after signing consent

  42. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 9 after signing consent

  43. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 10 after signing consent

  44. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 11 after signing consent

  45. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 12 after signing consent

  46. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 13 after signing consent

  47. Pain Rating Scale

    10 point rating scale, low score indicates less pain.

    Measured: completed week 14 after signing consent

Timeline

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

  1. First posted15 Nov 2019
  2. Study start6 Mar 2018
  3. Primary completion5 Feb 2019
  4. Study completion5 Feb 2019

Why it stopped: Decision made on 8/16/2021 due to difficult enrollment because of limited access for enrollees during the pandemic and changes in staff

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
Supportive care
Allocation
Not applicable
Intervention model
Single group
Model description
All participants will enter a 14 week baseline data collection period followed by a 12-week Wellness Recovery Program
Masking
None (open label)
Enrolment
3 participants (actual)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04164043
Sponsor's protocol ID
IRB00040793
Status last verified
Sep 2021
First submitted
11 Nov 2019
Last updated
22 Mar 2023
Results posted
No
Data monitoring committee
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Questions about this trial

What is this clinical trial studying?

A study testing Wellness Recovery Program in people with Parkinson's Disease, run by Wake Forest University Health Sciences at 1 site 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 2 inclusion and 1 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: stopped early, as of the sponsor's last update on 22 Mar 2023. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site 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?

The study was stopped early (reason given: Decision made on 8/16/2021 due to difficult enrollment because of limited access for enrollees during the pandemic and changes in staff). 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?

Sit to Stand Test (time frame: Baseline Measure 1 performed at day 1 after signing consent). The study lists 47 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?
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 22 Mar 2023.

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