Parkinson Disease, Multiple Sclerosis
Conditions
Keywords
physical activity, exercise tracking, remote therapeutic monitoring, quality of life, self-efficacy
Brief summary
The purpose of this study is to examine physical activity and exercise behaviors in people with Parkinson's Disease and Multiple Sclerosis over the course of 1-year using a cloud-based remote monitoring platform.
Detailed description
Remote therapeutic monitoring (RTM) is a reimbursable clinical service. Pilot investigation conducted by our lab demonstrated promise that this service is feasible to add to clinical care. It is unclear still if RTM is able to provide clinical benefit to patients including improving and sustaining physical activity (PA) and exercise behaviors over a longer period of time (\>1 year). Our central hypothesis is that the addition of RTM to physical activity, both in a skilled rehabilitation program and within a home program, will improve long term outcomes related to physical activity including self-efficacy for exercise, consistent participation in home exercise recommendations, and quality of life in people living with PD and MS. Thus the specific aims of this study are as follows: 1. To assess PA and exercise behaviors over 1-year period using a remote therapeutic monitoring platform a. We will track steps per day, minutes of aerobic activity per week, and frequency of workouts including flexibility, balance, and resistance training. 2. To understand how engagement with RTM for PA tracking affects overall self-efficacy for exercise, readiness for exercise behavior change, and quality of life. 1. Assessed through monthly self-report of usability survey for RTM and self-efficacy for exercise survey.
Interventions
DEVICEActivity Monitoring
Tracking participants step activity, workout frequency, minutes in target heart rate zone, and type of exercises completed over 1 year period. Goals will be set and customized by a research physical therapist to participants based on best practice recommendations.
Sponsors
Shirley Ryan AbilityLab
Study design
Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
SUPPORTIVE_CARE
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 89 Years
Healthy volunteers
No
Inclusion criteria
* Are ambulatory as their primary means of mobility without an assistive device except for single point cane or walking sticks in community * Have a diagnosis of Parkinson's disease (Hoehn and Yahr 1-3), Parkinsonism, or Multiple Sclerosis * Personal goal and willingness to address physical activity * Have a smart phone (Datos Health app is compatible with any Smart phone device) * Willing to accept Datos' Terms and Conditions
Exclusion criteria
* Individuals with cognitive or communication disorders (including dementia) which would limit their ability to interact with the RTM
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Physical Activity Metric 1 | Daily, through study completion, average 1 year | steps per day |
| Physical Activity Metric 2 | Daily, through study completion, average 1 year | Minutes of aerobic physical activity per day (moderate to vigorous physical activity) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Exercise Self Efficacy | Completed every other month, through study completion, average of 1 year | sums of 9 items with total scores ranging from 0-90; higher scores indicating higher self-efficacy. |
| Quality of Life from PROMIS 10-b | Completed every 3 months, through study completion, average of 1 year | PROMIS 10-b short form which is 10 items measuring mobility difficulty, scores are summed and then translated to t-score. |
| Quality of Life from PROMIS-29 | Completed every 3 months, through study completion, average of 1 year | PROMIS-29 measures seven health domains (physical function, fatigue, pain interference, depressive symptoms, anxiety, ability to participate in social roles and sleep disturbance). |
Countries
United States
Contacts
Primary ContactMiriam Rafferty, PT, PhD
Backup ContactHannah Redd, PT, DPT
Outcome results
None listed