A Smartphone Based, Titrated Exercise Solution for Patients With Parkinson's Disease in Daily Life: Pilot Study
STEPWISE
STEPWISE Parkinson: A Smartphone Based, Titrated Exercise Solution for Patients With Parkinson's Disease in Daily Life - Pilot Study
1 other identifier
interventional
30
1 country
1
Brief Summary
The aim of this pilot randomized controlled trial is to test whether it's feasible to increase participants' step counts within four weeks with a developed motivational smartphone application. If this is feasible, then we can proceed to test the app in a large, long-term randomized clinical trial.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at below P25 for not_applicable
Started Nov 2020
Shorter than P25 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
July 3, 2020
CompletedStudy Start
First participant enrolled
November 2, 2020
CompletedPrimary Completion
Last participant's last visit for primary outcome
April 1, 2021
CompletedStudy Completion
Last participant's last visit for all outcomes
April 1, 2021
CompletedFirst Posted
Study publicly available on registry
November 18, 2024
CompletedNovember 18, 2024
November 1, 2024
5 months
July 3, 2020
November 14, 2024
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Change from baseline to the last week of the intervention in step count
Step counts measured continuously with patients' own smartphone
Change from baseline to the last week of the intervention (week 4)
Secondary Outcomes (16)
Change in PD motor symptoms
Change from baseline to the post-intervention visit in the first week after week 4 (week 5)
Change in Motor functioning in daily life
Change from baseline to the post-intervention visit in the first week after week 4 (week 5)
Change in Physical fitness
Change from baseline to the post-intervention visit in the first week after week 4 (week 5)
Change in Mobility
Change from baseline to the post-intervention visit in the first week after week 4 (week 5)
Change in Balance
Change from baseline to the post-intervention visit in the first week after week 4 (week 5)
- +11 more secondary outcomes
Other Outcomes (1)
System Usability (SUS)
After the post-intervention visit in the first week after week 4 (week 5)
Study Arms (3)
Active control group
ACTIVE COMPARATORTen people will be encouraged to increase their physical activity level, measured in step counts on the patients' own smartphone, with 10% compared to their own baseline level.
Step count increase 50%
EXPERIMENTALTen people will be encouraged to increase their physical activity level, measured in step counts on the patients' own smartphone, with 50% compared to their own baseline level.
Step count increase 100%
EXPERIMENTALTen people will be encouraged to increase their physical activity level, measured in step counts on the patients' own smartphone, with 100% compared to their own baseline level.
Interventions
The motivational app will encourage people to increase their physical activity for a short period of time (one month). Different treatment arms will receive different physical activity goals. People will get feedback and be motivated based on their own baseline level and actual activity level.
Eligibility Criteria
You may qualify if:
- idiopathic PD
- Hoehn and Yahr 1-3
- able to understand the Dutch language
- able to walk independently
- less than 30 minutes of sports/outdoor activities per day (LASA Physical Activity Questionnaire, LAPAQ)
- less than 7,000 steps/day during 1-week baseline
You may not qualify if:
- weekly falls in the previous 3 months
- medical conditions that hamper mobility
- living in a nursing home
- cognitive impairments that hamper use of the motivational app on the smartphone (Montreal Cognitive Assessment, MoCA \<26)
- not in the possession of a suitable smartphone (Iphone 5S or newer with iOS 10 or higher or Android 4.1 or newer)
Contact the study team to confirm eligibility.
Sponsors & Collaborators
Study Sites (1)
Radboud university medical center
Nijmegen, Gelderland, 6500 HB, Netherlands
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- QUADRUPLE
- Who Masked
- PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
July 3, 2020
First Posted
November 18, 2024
Study Start
November 2, 2020
Primary Completion
April 1, 2021
Study Completion
April 1, 2021
Last Updated
November 18, 2024
Record last verified: 2024-11