Parkinson's Disease
Conditions
Keywords
Parkinson's Disease
Brief summary
Scientific Abstract: The investigators propose a study to examine the impact of a Mindfulness Based Intervention (MBI) on the quality of life and Non-Motor Symptoms (NMS) of persons with Parkinson's disease (PD). NMS add significantly to the disease burden and negatively impact the quality of life in PD (1,2). In a previous study the investigators confirmed the high prevalence of NMS in PD patients with either early- or late-onset of disease (3). Despite currently available treatments, PD leads to worsening disability and there remains a need for new approaches. A Mindfulness Based Intervention may provide an important adjuvant therapy in the treatment of PD in relation to NMS and quality of life. A minimum of 100 patients will be randomly assigned to the MBI or 'Treatment As Usual' (TAU) groups. Clinical assessments (motor and non-motor scores) will be performed in both groups. The TAU group will be offered MBI after completion of the study. To the best of our knowledge, this is the first large scale study using MBI in this indication.
Detailed description
The investigators propose a study to examine the impact of a Mindfulness Based Intervention (MBI) on the quality of life and Non-Motor Symptoms (NMS) of persons with Parkinson's disease (PD). NMS add significantly to the disease burden and negatively impact the quality of life in PD (1,2). In a previous study the investigators confirmed the high prevalence of NMS in PD patients with either early- or late-onset of disease (3). Despite currently available treatments, PD leads to worsening disability and there remains a need for new approaches. A Mindfulness Based Intervention may provide an important adjuvant therapy in the treatment of PD in relation to NMS and quality of life. A minimum of 100 patients will be randomly assigned to the MBI or 'Treatment As Usual' (TAU) groups. Clinical assessments (motor and non-motor scores) will be performed in both groups. The TAU group will be offered MBI after completion of the study. To the best of our knowledge, this is the first large scale study using MBI in this indication.
Interventions
BEHAVIORALMindfulness Training
Mindfulness Training
Sponsors
University Hospital, Antwerp
Study design
Allocation
RANDOMIZED
Intervention model
CROSSOVER
Primary purpose
SUPPORTIVE_CARE
Masking
SINGLE (Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Diagnosis of PD according to the UK Brain Bank Criteria; * Patients in Hoehn & Yahr stage 1-3; * Lack of features suggestive of atypical Parkinsonism; * No history of neuroleptics or other drugs that induce parkinsonism in the last 60 days; * Currently optimally treated with medication and unlikely to be requiring anti-PD medication adjustments in the next 4 months; * On a stable dose of all medications for 30 days; * Lack of cognitive dysfunction as based on the MoCA (score ≥ 26).
Exclusion criteria
* Cognitive dysfunction based on the MoCA (score \< 26); * Patients with Hoehn & Yahr stage 4 and above when in 'on' stage; * Unstable, major psychiatric or life threatening concomitant disease.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Health Related Quality of Life (PDQ-39) | 2 years |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hamilton Depression Scale (Ham-D) | 2 years | — |
| MRI | 2 years | Structural and functional MRI pre- and post-MBI |
Countries
Belgium
Outcome results
None listed