Motivational Interviewing and Physical Activity Change in Parkinson's Disease

Shirley Ryan AbilityLab

Status: Unknown

Conditions: Parkinson Disease

Treatments: Behavioral: Motivational Interviewing; Behavioral: Web-based application

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT03329833

90IF0093

Details and patient eligibility

About

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.

Full 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.

Enrollment: 44 patients

Sex: All

Ages: 18+ years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• 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

Exclusion criteria

• 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 design

Primary purpose: Other

Allocation: Randomized

Interventional model: Factorial Assignment

Masking: Double Blind

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44 participants in 4 patient groups

Motivational Interviewing

Experimental group

Description:

Participants will talk to a coach on the phone who will employ Motivational Interviewing as a coaching style.

Treatment:

Behavioral: Motivational Interviewing

Web-Based Application

Experimental group

Description:

Participants will use a Web-Based Application to track their daily physical activity.

Treatment:

Behavioral: Web-based application

Combination MI and App

Experimental group

Description:

Participants 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.

Treatment:

Behavioral: Web-based application

Behavioral: Motivational Interviewing

Educational Program

No Intervention group

Description:

Participants will get to use a website that contains information relevant to patients with Parkinson's Disease.