Parkinson DiseaseActivPARKNCT06901869
Physical Activity in Persons With Parkinson's Disease
An observational study of Parkinson Disease and Physical Inactivity, run by Karolinska Institutet at 1 site in Sweden.
Trial summary
Parkinson's disease (PD) is a leading neurodegenerative health condition in Sweden and a public health concern. Although no cure exists, functional independence and participation in society remain top priorities, and can be achieved through targeted physical activity (PA) interventions. Read more about this study
- Who is it for?
- Any age
- Conditions the study is for
- Parkinson Disease, Physical Inactivity
- How many people
- 50 participants
- Where
- 1 siteSweden
- Study dates
- 25 Mar 2025to Dec 2026
- Phase
- Observational
- Are there results?
- Not yet: the study is under way
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 Any age
- All sexes
- No healthy volunteers
- Child, Adult, Older adult
Study population: Parkinson's disease with mild to severe severity (Hoehn \& Yahr 1-4) of all ages
Who may be able to join
- Diagnosed with Parkinson's disease
- Mild to severe disease severity ( Hoehn \& Yahr 1-4).
Who cannot join
- None
Trial locations and contacts
1 site in 1 country. Contact the study team or a site near you to ask about taking part.
Sweden1 site, 1 recruiting
- Recruiting
Karolinska institutet
Stockholm, Solna, 17177
Erika Franzén, PhD, +46852488878, erika.franzen@ki.se
Erika Franzén, PhD
About this study
Official title: ActivPARK - Physical Activity in Persons With Parkinson's Disease- Pilot Study
Parkinson's disease (PD) is a leading neurodegenerative health condition in Sweden and a public health concern. Although no cure exists, functional independence and participation in society remain top priorities, and can be achieved through targeted physical activity (PA) interventions. To date, few longitudinal cohort studies have been conducted, using PA as main outcome in therapy research, partly due to the complex nature of predicting and controlling this phenomenon. To help address this knowledge gap, the overall purpose of the future long-term (ActivPARK) study is to enhance knowledge of the evolution of PA behavior, and how it is influenced beyond the disease characteristics using a broad explanatory model, in persons with PD from a diversity of settings in Sweden with the aim of prescribing tailored and personalized interventions to enhance functioning, health, and wellbeing throughout the disease progression and recommend potential health care pathway modifications.
The investigators have just established an expert group, comprising researchers, healthcare professionals, and PD organisations (including persons with PD) and reached consensus on essential priority clinical therapy research questions on PA and methodological considerations. The next phase entails performing a multicentre feasibility/pilot study, further developing and refining the assessment battery and research questions linked to the improved explanatory model for PA and methodology, to inform the definite larger clinical cohort study.
- Conditions
- Parkinson Disease, Physical Inactivity
- Medical subject headings
- Parkinson Disease, Sedentary Behavior
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| People with Parkinson's disease | No intervention |
What is being measured
The primary outcome is the main question the study is designed to answer.
Feasibility of the assessment battery - length of the clinical examination and questionnaires
The pilot/feasibility study aims to evaluate feasibility of the assessment battery measured the time it takes to complete the examination and questionnaires.
Measured: Baseline
Feasibility of the assessment battery - perception of the clinical examination
Feasibility of the assessment battery will also be evaluated through semi-structured questions regarding fatique, concentration, pain/discomfort to the participants after the clinical examination.
Measured: Baseline
Feasibility of the assessment battery -Compliance to questionnaires sent via REDCap
Compliance will be measured with percentages of completed questionnaires in REDCap.
Measured: Baselline
Feasibility of the assessment battery - Suitability of the primary outcome
Suitability of the accelerometers in the home environment as the primary outcome for the targeted patient group will be assessed by the percentage of participants that are able to wear the accelerometer for at least 4 days days and render valid data.
Measured: Baseline
Physical activity levels
The ActiGraph accelerometer (GT3X+, ActiGraph, Pensacola, FL, US) will be used to measure absolute and relative time spent in sedentary behavior, low intensity physical activity (LIPA) and moderate to vigorous intensity physical activity (MVPA), by total time in bouts.
Measured: Baseline
Secondary outcomes (20)
Physical activity - self rated
Frändin Grimby scale, ranging from 1 to 6, higher score=better.
Measured: Baseline
Disease severity, Parkinson symptoms
Movement Disorders Society- Unified Parkinson's Disease Rating Scale (MDS- UPDRS) parts 1 to 4.
Higher scores = worse/more symptoms
Measured: Baseline
Gait
Gait speed in m/s measured with the 10 meter walking test or through gait analysis.
Measured: Baseline
Balance performance
Assessed with the Mini-BESTest. Mini-Balance Evaluation Systems Test a rating scale for dynamic balance incorporating 14 different balance and gait items that were assessed by a physical therapist on a scale from 0-2. Maximum points 28. 0-28 points with higher scores indicating better balance control
Measured: Baseline
Anxiety and depression
Assessed with Hospital Anxiety and Depression Scale (HADS), 0-24 on the depression and anxiety part respectively. Lower score=better
Measured: Baseline
Cognitive performance
Assessed with the Montreal Cognitive Assessment (MoCA), 0-25, higher score = better
Measured: Baseline and 3 year follow-up
Self assessed cognitive function
Assessed with Executive function questionnaire (DEX), 20 items scored 1 to 4, max 80, more scores= worse.
Measured: Baseline
Non-Motor Symptoms
Non-Motor Symptoms Questionnaire (NMSQ), 30 questions with yes/no answer. More yes answers = more non-motor symptoms
Measured: Baseline
Walking ability- self assessed
WALK-12G questionnaire, 0 and 42 points, with higher scores reflecting greater perceived walking difficulties (higher=worse)
Measured: Baseline
Freezing of gait - self-assessed
Freezing of gait questionnaire (FOGQsa), 6 questions/items, scored 1 to 5 (higher=worse)
Measured: Baseline
Balance confidence
Activities specific balance confidence (ABC scale), 16 items which is scored 1 to 10 and then divided by 16. 0-100%, higher % = better
Measured: Baseline
Motivation
Behavioural Regulation in Exercise Questionnaire (BREQ 4), 28 items score 1 to 7 and divided into subcomponents: Amotivation, External regulation, Introjected avoidance, Introjected approach, Identified regulation, Integrated regulation, Intrinsic regulation
Measured: Baseline
Fatigue
Parkinson's Fatigue Scale (PFS-16), 16 items scored 1 to 5 from strongly disagree to strongly agree . more points/score= worse.
Measured: Baseline
Disability
World health organization (WHO) disability assessment schedule (Whodas 2.0), 12 self-assessed questions (12 to 60) more points=worse
Measured: Baseline
Self-efficacy
Self-efficacy of exercise/PA (ESES), 10 questions, scored 1-4. higher=better
Measured: Baseline
Sleep
Scales for Outcomes in Parkinson's disease - Sleep (SCOPA-SLEEP), 4 parts, A-2 questions, B-5 questions , C-1 question and D- 6 questions. Higher= worse
Measured: Baseline
Self rated pain
Assessed with visual analog scale, VAS from 0 to 100
Measured: Baseline
Health related quality of life
Parkinson's Disease Questionnaire (PDQ39). The Parkinson's Disease Questionnaire (PDQ-39) assesses how often people with Parkinson's experience difficulties across 8 dimensions of daily living (mobility, activities of daily living, emotional well-being, stigma, social support, cognitions, communications and bodily discomfort). The sum score is as a percentage score ranging between 0 and 100. Higher is better
Measured: Baseline
Wellbeing
The WHO- Five Well-Being Index (WHO-5), 5 questions ranging from 0 to 5, 0-25, higher=better
Measured: Baseline
Nutrition
Mini Nutritional Assessment, max 14. higher = better
Measured: Baseline
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted30 Mar 2025
- Study start25 Mar 2025
- Primary completionDec 2026 (estimated)
- Study completionDec 2026 (estimated)
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Other trials for Parkinson DiseaseStudies of the same condition, open and under way.
- More trials run by Karolinska InstitutetThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Cohort
- Time perspective
- Prospective
- Enrolment
- 50 participants (estimated)
Sponsor and investigators
- Lead sponsor
- Karolinska Institutet
- Sponsor type
- University, hospital or other
- Collaborators
- Lund University, Göteborg University, Umeå University, Region Stockholm, Vastra Gotaland Region, Region Skane, Region Västerbotten
- Responsible party
- Principal investigator, Erika Franzén, Karolinska Institutet
- Investigators
- Erika Franzén, Principal investigator, Karolinska Institutet
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06901869
- Sponsor's protocol ID
- 2024-07526-01
- Other IDs
- 2024-06332
- Acronym
- ActivPARK
- Status last verified
- Apr 2025
- First submitted
- 17 Mar 2025
- Last updated
- 4 Apr 2025
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: The datasets generated during and/or analysed during the current study are not publicly available due to Swedish and EU personal data legislation but are available from the principal investigator on reasonable request. Any sharing of data will be regulated via a data transfer and user agreement with the recipient, provided that the recipient has an approved ethics application.
Study at a glance
From the registry record, last updated by the sponsor on 4 Apr 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- ActivPARK - Physical Activity in Persons With Parkinson's Disease- Pilot Study
- ClinicalTrials.gov ID
- NCT06901869
- Acronym / sponsor ID
- ActivPARK / 2024-07526-01
- Conditions
- Parkinson Disease, Physical Inactivity
- Study type
- Observational
- Recruitment status
- Recruiting
- Enrolment
- 50 participants (estimated)
- Lead sponsor
- Karolinska InstitutetUniversity, hospital or other
- Collaborators
- Lund University, Göteborg University, Umeå University, Region Stockholm, Vastra Gotaland Region, Region Skane, Region Västerbotten
- Study start
- 25 Mar 2025 (actual)
- Primary completion
- Dec 2026 (estimated)
- Study completion
- Dec 2026 (estimated)
- First posted
- 30 Mar 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
Parkinson's disease (PD) is a leading neurodegenerative health condition in Sweden and a public health concern. Although no cure exists, functional independence and participation in society remain top priorities, and can be achieved through targeted physical activity (PA) interventions. To date, few longitudinal cohort studies have been conducted, using PA as main outcome in therapy research, partly due to the complex nature of predicting and controlling this phenomenon. To help address this knowledge gap, the overall purpose of the future long-term (ActivPARK) study is to enhance knowledge of the evolution of PA behavior, and how it is influenced beyond the disease characteristics using a broad explanatory model, in persons with PD from a diversity of settings in Sweden with the aim of prescribing tailored and personalized interventions to enhance functioning, health, and wellbeing throughout the disease progression and recommend potential health care pathway modifications.
The investigators have just established an expert group, comprising researchers, healthcare professionals, and PD organisations (including persons with PD) and reached consensus on essential priority clinical therapy research questions on PA and methodological considerations. The next phase entails performing a multicentre feasibility/pilot study, further developing and refining the assessment battery and research questions linked to the improved explanatory model for PA and methodology, to inform the definite larger clinical cohort study.
Study design
- Observational model
- Cohort
- Time perspective
- Prospective
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| People with Parkinson's disease | – | –No intervention |
Who may qualify
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Parkinson's disease with mild to severe severity (Hoehn \& Yahr 1-4) of all ages
Key inclusion criteria (2 listed)
- Diagnosed with Parkinson's disease
- Mild to severe disease severity ( Hoehn \& Yahr 1-4).
Key exclusion criteria (1 listed)
- None
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Feasibility of the assessment battery - length of the clinical examination and questionnaires
Time frame: Baseline
The pilot/feasibility study aims to evaluate feasibility of the assessment battery measured the time it takes to complete the examination and questionnaires.
Feasibility of the assessment battery - perception of the clinical examination
Time frame: Baseline
Feasibility of the assessment battery will also be evaluated through semi-structured questions regarding fatique, concentration, pain/discomfort to the participants after the clinical examination.
Feasibility of the assessment battery -Compliance to questionnaires sent via REDCap
Time frame: Baselline
Compliance will be measured with percentages of completed questionnaires in REDCap.
Feasibility of the assessment battery - Suitability of the primary outcome
Time frame: Baseline
Suitability of the accelerometers in the home environment as the primary outcome for the targeted patient group will be assessed by the percentage of participants that are able to wear the accelerometer for at least 4 days days and render valid data.
Physical activity levels
Time frame: Baseline
The ActiGraph accelerometer (GT3X+, ActiGraph, Pensacola, FL, US) will be used to measure absolute and relative time spent in sedentary behavior, low intensity physical activity (LIPA) and moderate to vigorous intensity physical activity (MVPA), by total time in bouts.
20 secondary outcomes
Physical activity - self rated
Time frame: Baseline
Disease severity, Parkinson symptoms
Time frame: Baseline
Gait
Time frame: Baseline
Balance performance
Time frame: Baseline
Anxiety and depression
Time frame: Baseline
Cognitive performance
Time frame: Baseline and 3 year follow-up
Self assessed cognitive function
Time frame: Baseline
Non-Motor Symptoms
Time frame: Baseline
Walking ability- self assessed
Time frame: Baseline
Freezing of gait - self-assessed
Time frame: Baseline
Balance confidence
Time frame: Baseline
Motivation
Time frame: Baseline
Fatigue
Time frame: Baseline
Disability
Time frame: Baseline
Self-efficacy
Time frame: Baseline
Sleep
Time frame: Baseline
Self rated pain
Time frame: Baseline
Health related quality of life
Time frame: Baseline
Wellbeing
Time frame: Baseline
Nutrition
Time frame: Baseline
Results and safety
This study is still under way. Results are not available in the source record yet.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 4 Apr 2025.
- Individual participant dataSharing planned: Yes. The datasets generated during and/or analysed during the current study are not publicly available due to Swedish and EU personal data legislation but are available from the principal investigator on reasonable request. Any sharing of data will be regulated via a data transfer and user agreement with the recipient, provided that the recipient has an approved ethics application.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part.
Erika Franzén principal investigator
Karolinska Institutet
1 site in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Parkinson Disease and Physical Inactivity, run by Karolinska Institutet at 1 site in Sweden.
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: looking for participants now, as of the sponsor's last update on 4 Apr 2025. 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 Sweden. 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?
This study is still under way. Results are not available in the source record yet.
How can a doctor refer a patient or contact the research team?
Contact Compliance Office Karolinska Insitutet (+46852480000, compliance@ki.se), or a site near the patient. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Feasibility of the assessment battery - length of the clinical examination and questionnaires (time frame: Baseline). The study lists 5 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 4 Apr 2025.