BACKGROUND:People with Parkinson's disease experience numerous barriers to exercise participation at fitness facilities. Advances in tele-monitoring technologies create alternative channels for managing and supervising exercise programmes in the home. However, the success of these programmes will depend on participants' perceptions of using the technology and their exercise adherence. Thus, this pilot explored the uptake and implementation of two common methods of Internet-exercise training in Parkinson's disease. METHODS:Twenty adults with Parkinson's disease were randomized into either: telecoach-assisted exercise (TAE) or self-regulated exercise (SRE) groups. Both groups received the same eight-week exercise prescription (combined strength and aerobic exercise) and telehealth system that streamed and recorded vital signs and exercise data. TAE participants exercised under a telecoach's supervision via videoconferencing. SRE participants independently managed their exercise training. Quantitative data were described and qualitative data underwent thematic analysis. RESULTS: Quantitative results demonstrated that TAE participants achieved strong attendance (99.2%), whereas SRE participants demonstrated 35.9% lower attendance, 48% less total time exercising, and 74.5% less time exercising at moderate intensity. Qualitatively, TAE participants reported overtly favourable programme experiences and that assistance from a telecoach enhanced their exercise motivation. SRE participants noted several challenges that impeded adherence. CONCLUSION: Findings demonstrate that adults with Parkinson's disease acknowledge benefits of exercising through a telehealth system and are open to utilizing this channel as a means of exercise. However, human-interactive support may be required to overcome unique impediments to participation. Study findings warrant validation in larger trials that can transfer the success of TAE towards more scalable methods of delivery.
RCT Entities:
BACKGROUND:People with Parkinson's disease experience numerous barriers to exercise participation at fitness facilities. Advances in tele-monitoring technologies create alternative channels for managing and supervising exercise programmes in the home. However, the success of these programmes will depend on participants' perceptions of using the technology and their exercise adherence. Thus, this pilot explored the uptake and implementation of two common methods of Internet-exercise training in Parkinson's disease. METHODS: Twenty adults with Parkinson's disease were randomized into either: telecoach-assisted exercise (TAE) or self-regulated exercise (SRE) groups. Both groups received the same eight-week exercise prescription (combined strength and aerobic exercise) and telehealth system that streamed and recorded vital signs and exercise data. TAEparticipants exercised under a telecoach's supervision via videoconferencing. SRE participants independently managed their exercise training. Quantitative data were described and qualitative data underwent thematic analysis. RESULTS: Quantitative results demonstrated that TAEparticipants achieved strong attendance (99.2%), whereas SRE participants demonstrated 35.9% lower attendance, 48% less total time exercising, and 74.5% less time exercising at moderate intensity. Qualitatively, TAEparticipants reported overtly favourable programme experiences and that assistance from a telecoach enhanced their exercise motivation. SRE participants noted several challenges that impeded adherence. CONCLUSION: Findings demonstrate that adults with Parkinson's disease acknowledge benefits of exercising through a telehealth system and are open to utilizing this channel as a means of exercise. However, human-interactive support may be required to overcome unique impediments to participation. Study findings warrant validation in larger trials that can transfer the success of TAE towards more scalable methods of delivery.
Authors: G S Kienle; P Werthmann; B Grotejohann; T Hundhammer; C Schmoor; Ch Stumpe; S Voigt-Radloff; R Huber Journal: BMC Geriatr Date: 2021-05-01 Impact factor: 3.921
Authors: Esther Cubo; Alvaro Garcia-Bustillo; Alvar Arnaiz-Gonzalez; Jose Miguel Ramirez-Sanz; Jose Luis Garrido-Labrador; Florita Valiñas; Marta Allende; Jeronimo Javier Gonzalez-Bernal; Josefa Gonzalez-Santos; José Francisco Diez-Pastor; Maha Jahouh; Jana Arribas; Jose Trejo Journal: PLoS One Date: 2021-12-21 Impact factor: 3.240
Authors: Laura Ketigian; Nicholas Piniella; Kaylie McGivney; Samantha Lui; Austin Dukat; Min-Kyung Jung; Rosemary Gallagher; Adena Leder Journal: Front Public Health Date: 2022-02-02
Authors: Bernice Lau; Isha Sharma; Sukhbir Manku; Julia Kobylianski; Lin Yin Wong; Francisco Ibáñez-Carrasco; Soo Chan Carusone; Kelly K O'Brien Journal: BMJ Open Date: 2022-04-15 Impact factor: 3.006