Occupational Therapy Led Social Prescription for People With Parkinson Disease

NCT06447207 | Recruiting

• 2 other identifiers: 5561AOTFIR24Swink
• Study Type: interventional
• Target: 40
• Locations: 1 country
• Sites: 1

Brief Summary

Loneliness is an epidemic that the U.S. Surgeon General implored must be addressed by society as a whole. Increased loneliness (i.e., distressing feelings of isolation) in people with Parkinson's disease (PD) has a pervasive impact and is associated with worsened motor and non-motor symptoms, and quality of life. The investigators expect that individuals participating socially in the community would experience less loneliness. However, for individuals with PD participating in community-based group exercise programs, the investigators have found that over one third still report being lonely. Therefore, an evidence-based program needs to be added to address a significant problem of loneliness for people with PD-and occupational therapy is the leading discipline to add the intervention because social participation is one of eight occupations that an occupational therapist is focused on optimizing. The chief executive officer at the Parkinson Association of the Rockies (PAR), members of the Colorado State University Occupational Therapy Department, and members of the University of Colorado's Parkinson's Exercise Research Consortium have teamed up to address pervasive loneliness. Social prescription is a prime evidence-based intervention to add to existing PD community-based exercise classes because it has been shown to reduce loneliness. For this project, the investigators detect participants in the 'lonely' range through a standardized assessment. The investigators will work with PAR staff who will refer individuals identifying as 'lonely' to an occupational therapist, who will complete an individualized occupational profile and write the appropriate social prescription from 11 different interventions (examples include: intergenerational intervention, animal companions, physical activity, occupational therapy) from established community resources recommended for social prescription. The proposed project is designed with three primary goals: (1) determine the reach of the social prescription program, (2) evaluate the effectiveness of the program at one site, and (3) determine implementation strategies for scalability.

Conditions

Parkinson Disease

Keywords

Loneliness; Social Prescription

Outcome Measures

Primary Outcomes (1)

• The Three-Item Loneliness Scale

  The Three-Item Loneliness Scale is an assessment of loneliness scored 3-9 with higher scores indicating greater (worse) loneliness.

  baseline, pre-intervention and immediately after the intervention

Secondary Outcomes (3)

• Study Reach

  during the intervention

• Social Participation and Social Activities

  baseline, pre-intervention and immediately after the intervention

• Health-related Quality of Life with Social Satisfaction Focus

  baseline, pre-intervention and immediately after the intervention

Study Arms (1)

Occupational Therapy Led Social Prescription

EXPERIMENTAL

(1) A baseline occupational therapy assessment including a social prescription, (2) Six monthly occupational therapy follow-up sessions focused on behavior-change techniques to encourage participation in the social prescription, and include: review of the social prescription, self-monitoring strategies, facilitators review, barriers review, problem-solving, provision of feedback, action planning, and rating confidence with the action plan, and (3) Post Occupational Therapy Assessment

Behavioral: Occupational Therapy Led Social Prescription

Interventions

Occupational Therapy Led Social Prescription BEHAVIORAL

The intervention includes encouragement to participate in the co-designed social prescription with 6 monthly sessions with an occupational therapist or occupational therapy doctoral student.

Occupational Therapy Led Social Prescription

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• At least 18 years old
• Have a diagnosis of Parkinson Disease
• Have participated in at least one exercise class or support group in the last year
• Scored ≥5/9 on the UCLA 3-item Loneliness Scale during pre-screening
• Agree to participate in a 6-month program including a social prescription and six visits with an occupational therapist or occupational therapy doctoral student

You may not qualify if:

• Have ever been diagnosed with dementia
• Not fluent in English

Sponsors & Collaborators

• Colorado State University: lead
• American Occupational Therapy Foundation: collaborator

Study Sites (1)

Colorado State University

Fort Collins, Colorado, 80523, United States

RECRUITING

MeSH Terms

Conditions

Parkinson Disease

Condition Hierarchy (Ancestors)

Parkinsonian Disorders; Basal Ganglia Diseases; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Movement Disorders; Synucleinopathies; Neurodegenerative Diseases

Study Officials

• Laura A Swink, PhD

  Colorado State University

  PRINCIPAL INVESTIGATOR

Central Study Contacts

Laura A Swink, PhD

CONTACT

9704917915; laura.swink@colostate.edu

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: single group trial of occupational therapy led social prescription program for people with Parkinson disease

Study Record Dates

• First Submitted: May 21, 2024
• First Posted: June 7, 2024
• Study Start: August 13, 2024
• Primary Completion (Estimated): June 30, 2026
• Study Completion (Estimated): June 30, 2026
• Last Updated: May 22, 2025

Record last verified: 2025-05

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)