A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson's disease and comorbid depression

Healthy Communities Research Institute, Exercise Science and Exercise Physiology
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  3. A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson's disease and comorbid depression
Author(s)
Abstract

Background: Depression is common in people with Parkinson’s disease (PD), and exercise is known to improve depression and PD. However, lack of motivation and low self-efficacy can make exercise difficult for people with PD and comorbid depression (PD-Dep). A combined group exercise and chronic disease self-management (CDSM) program may improve the likelihood that individuals will engage in exercise and will show a reduction in depression symptoms. The purpose of this study was to compare changes in depression in PD-Dep between individual versus group exercise plus CDSM and to examine participant adherence and perception of the interventions.

Methods: Participants (N=30) were randomized to either Enhanced EXerCisE thErapy for PD (EXCEED; group CDSM and exercise) or self-guided CDSM plus exercise. Outcomes were change in depression assessed with the Montgomery–Asberg Depression Rating Scale (MADRS), cognition, apathy, anxiety, sleep, quality of life, motor function, self-efficacy, and patient satisfaction.

Results: Both groups showed significant improvement in MADRS (P<0.001) with no significant group difference. Individuals in EXCEED group enjoyed the group dynamics but noted difficulty with the fixed-time sessions.

Conclusion: Both group CDSM plus exercise and self-guided CDSM plus exercise can improve depression in PD-Dep. These findings suggest that development of a remotely delivered group-based CDSM format plus manualized exercise program could be useful for this population.
Format
Article
Identifier(s)
10.2147/PPA.S135551
Publication Date
2017-05-19
Publication Title
Patient Preference and Adherence
Publisher
Dove Medical Press
Volume
11
First Page
965
Last Page
973
Keywords
Subject
Rights
http://rightsstatements.org/vocab/InC/1.0/
License
Creative Commons Attribution-Noncommercial 3.0
Community
Healthy Communities Research Institute
Exercise Science and Exercise Physiology
Permalink https://oaks.kent.edu/hcri/randomized-trial-individual-versus-group-format-exercise-and-self-management-individuals
Sajatovic, M., Ridgel, A., Walter, E., Tatsuoka, C., Colón-Zimmermann, K., Ramsey, R., Welter, E., Gunzler, S., Whitney, C., & Walter, B. (2017). A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson’s disease and comorbid depression (1–). Patient Preference and Adherence. https://doi.org/http://dx.doi.org/10.2147/PPA.S135551
Sajatovic, Martha, Angela Ridgel, Ellen Walter, Curtis Tatsuoka, Kari Colón-Zimmermann, Riane Ramsey, Elisabeth Welter, Steven Gunzler, Christina Whitney, and Benjamin Walter. 2017. “A Randomized Trial of Individual Versus Group-Format Exercise and Self-Management in Individuals With Parkinson’s Disease and Comorbid Depression”. Patient Preference and Adherence. https://doi.org/http://dx.doi.org/10.2147/PPA.S135551.
Sajatovic, Martha, et al. A Randomized Trial of Individual Versus Group-Format Exercise and Self-Management in Individuals With Parkinson’s Disease and Comorbid Depression. Patient Preference and Adherence, 19 May 2017, https://doi.org/http://dx.doi.org/10.2147/PPA.S135551.