Landing wise program: feasibility study protocol for Parkinson’s disease

Frontiers in Medicine

Medicine

Isabel Santos¹  Natacha Sousa²  Joana Afonso³  Cátia Santos⁴  Inês Costa⁵  Lúcia Matos⁵  Diana Santana⁵  Solange Marques⁵  Tânia Santos⁵  Francisco Gregório⁶  Josefa Domingos⁷  Catarina Ramos⁸  Carlos Família⁹  Júlio Belo Fernandes^1,10  Sónia Fernandes^1,10  Catarina Godinho^1,10 

[1] ARS LVT, ACES Arrábida, UCC Palmela, Palmela, Portugal;ARS LVT, ACES Lisboa Norte, UCC Integrar na Saúde - ECCI Benfica, Lisbon, Portugal;Careceiver and NOVA Medical School (MS) & NOVA School of Business and Economics (SBE), Lisbon, Portugal;Department of Nursing, Centro Hospitalar de Setúbal, Setúbal, Portugal;Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal;Department of NursingClínica Cuf Almada (CUF), Caparica, Portugal;Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal;Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal;LabPSI, Almada, Portugal;Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal;Molecular Pathology and Forensic Biochemistry Laboratory, Caparica, Portugal;Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal;Nurs* Lab, Almada, Portugal;

关键词: Parkinson’s disease;    accidental falls;    accident prevention;    exercise movement techniques;    cognitive behavioral therapy;    safe landing;    rehabilitation;    physiotherapy;   

DOI  :  10.3389/fmed.2023.1247660

 received in 2023-06-26, accepted in 2023-10-06,  发布年份 2023

来源: Frontiers

【 摘 要 】

Regardless of the benefits of fall prevention programs, people with Parkinson’s disease (PD) will still fall. Therefore, it is crucial to explore novel therapeutic approaches that are well-accepted and effective for addressing fall risk and the fear of falls among this population. The present study aims to assess the feasibility of the Landing Wise program as a therapeutic intervention for reducing the fear of falling in people with PD. A mixed-methods study will be conducted using convenience sampling to recruit 20 people with PD with a moderate concern of falling from a Parkinson’s Patients Association. In addition to usual care, participants will attend 2 days per week, 90 min group sessions for 8 weeks. The intervention combines group cognitive behavioral intervention with the training of safe landing strategies. Feasibility will be assessed by six key domains (recruitment strategy and rates, enrollment, retention, acceptability, reasons for decline/withdrawal, and adverse events). Quantitative data will be analyzed using descriptive statistics to characterize the sample, followed by inferential statistics to evaluate differences in the Short Falls Efficacy Scale-International Scale, Movement Disorder Society Unified Parkinson’s Disease Rating Scale, Timed Up Go, 6-Minutes Walking Distance, and fall frequency and severity scores between baseline and final assessment. Qualitative data will be analyzed using an inductive thematic analysis process. There is a growing interest in developing new effective therapeutic approaches for people with PD. If proven program feasibility, this study precedes a randomized controlled trial to establish the effectiveness of the Landing Wise program.

【 授权许可】

Unknown   
Copyright © 2023 Fernandes, Domingos, Família, Santos, Santana, Gregório, Costa, Afonso, Matos, Marques, Santos, Fernandes, Santos, Sousa, Ramos and Godinho.