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. 2022 Oct;27(4):e1959.
doi: 10.1002/pri.1959. Epub 2022 May 28.

Adherence rate, barriers to attend, safety and overall experience of a physical exercise program via telemonitoring during COVID-19 pandemic for individuals with Parkinson's disease: A feasibility study

Camila Torriani-Pasin  1 , Vitoria Leite Domingues  1 , Tatiana Beline de Freitas  1 , Thaina Alves da Silva  2 , Marcelo Figueiredo Caldeira  2 , Ricardo Pereira Alcantaro Júnior  2 , Audrea Regina Ferro Lara  2 , Beatriz de Araujo Antonio  2 , Gisele Carla Dos Santos Palma  1 , Marina Portugal Makhoul  1 , Luis Mochizuki  2
Affiliations

Adherence rate, barriers to attend, safety and overall experience of a physical exercise program via telemonitoring during COVID-19 pandemic for individuals with Parkinson's disease: A feasibility study

Camila Torriani-Pasin et al. Physiother Res Int. 2022 Oct.

Abstract

Background: Telemonitoring can maintain daily exercise routine during the COVID-19 pandemic of individuals with Parkinson's disease (PD). However, there are barriers to adherence and attendance with remote physical rehabilitation. The main objective of this study was to evaluate adherence rate, barriers to attendance, and safety of a telemonitoring program for individuals with PD; and secondarily to evaluate the individual and their family members perceived overall experience when performing the telemonitoring physical exercise program.

Methods: This was a phase 1 of a clinical trial, engaging 19 individuals with idiopathic PD of an in-person community rehabilitation program. For 24 weeks an asynchronous telemonitoring physical exercise program delivered two sessions per week by video including warm-up, balance, aerobic and resistance exercises, and cool-down. During the remote program were verified: adherence rate at entrance, attendance rate, barriers to attend, safety, and overall experience of the program.

Results and conclusion: Only one participant did not perform any session and 18 participants completed between 2 and 34 sessions. Participants with a caregiver showed higher attendance rates. The most frequently cited barriers to attend the program were: pain; lack of motor skills; and reduced physical fitness. In relation to safety of the program, the most frequently reported was fear of falling. Although participants reported the telemonitoring program induced health benefits and they had positive experiences for themselves and for their families, most of participants prefer an in-person program. In this sense, the asynchronous telemonitoring physical exercise program was safe, showed moderate adherence, with attendance rate depending on the presence of a companion.

Keywords: COVID-19; Parkinson's disease; barriers; physical activity; physical exercise; sedentary behavior; social isolation; telemonitoring; telerehabilitation.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

FIGURE 1
FIGURE 1
Study's flowchart
FIGURE 2
FIGURE 2
Radar plot showing the relative frequency distribution of perceived barriers. These barriers are depicted from the highest to the lowest
FIGURE 3
FIGURE 3
Negative cycle is established with low participation in a physical exercise program
See this image and copyright information in PMC

References

    1. Afshari, M. , Yang, A. , & Bega, D. (2017). Motivators and barriers to exercise in Parkinson’s disease. Journal of Parkinson's Disease, 7(4), 703–711. 10.3233/JPD-171173 - DOI - PubMed
    1. Antonini, A. , Berardelli, A. L. , Defazio, G. , & Martín, P. M. (2018). Pain in Parkinson disease: Facts and uncertainties. European Journal of Neurology, 25(7), 917–920. 10.1111/ene.13624 - DOI - PubMed
    1. Appleby, E. , Gill, S. T. , Hayes, L. K. , Walker, T. L. , Walsh, M. , & Kumar, S. (2019). Effectiveness of telerehabilitation in the management of adults with stroke: A systematic review. PLoS One, 14(11), 1–18. 10.1371/journal.pone.0225150 - DOI - PMC - PubMed
    1. Bandura, A. (1977). Self‐efficacy toward a unifying theory of behavioral change. Journal of Psychological Review, 84(2), 101–215. - PubMed
    1. Blanchet, P. J. , & Brefel‐courbon, C. (2017). Chronic pain and pain processing in Parkinson’s disease. Progress in Neuropsychopharmacology & Biological Psychiatry, 87(B), 200–206. 10.1016/j.pnpbp.2017.10.010 - DOI - PubMed