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
  1. Open Access Kent State
  2. Healthy Communities Research Institute (HCRI) scholarly publications
  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
Permalinkhttps://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, M., A. Ridgel, E. Walter, C. Tatsuoka, K. Colón-Zimmermann, R. Ramsey, E. Welter, S. Gunzler, C. Whitney, and B. 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://oaks.kent.edu/node/18522.
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.