Trial Outcomes & Findings for Poised for Parkinson's - an Intervention to Increase Embodied Agency in People With Parkinson's Disease and Their Carers (NCT NCT04726709)

NCT ID: NCT04726709

Last Updated: 2023-12-29

Results Overview

Physical Performance Test (7 items). Score can vary from 0-28. Higher score is better.

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

32 participants

Primary outcome timeframe

Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Results posted on

2023-12-29

Participant Flow

Recruited through emails to support group leaders, church leaders, offices of aging, and in-person connections from attendance at pre-COVID Parkinson's events.

We did not exclude any enrolled participants. One dyad (two participants) dropped out before initial data collection due to discomfort with technology. Numbers in table refer to participants, not dyads.

Participant milestones

Participant milestones
Measure
Poised for Parkinson's - Patients
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Poised for Parkinson's - Care Partners
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners.
Overall Study
STARTED
16
14
Overall Study
COMPLETED
14
12
Overall Study
NOT COMPLETED
2
2

Reasons for withdrawal

Reasons for withdrawal
Measure
Poised for Parkinson's - Patients
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Poised for Parkinson's - Care Partners
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners.
Overall Study
Withdrawal by Subject
2
2

Baseline Characteristics

Poised for Parkinson's - an Intervention to Increase Embodied Agency in People With Parkinson's Disease and Their Carers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Poised for Parkinson's - Patients
n=16 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment. Outcome measures specific to patients include surveys of symptom self-management and objective assessments of physical performance and balance.
Poised for Parkinson's - Care Partners
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment. Outcome measures specific to care partners include surveys of care recipient symptom self-management.
Total
n=30 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Age, Categorical
Between 18 and 65 years
4 Participants
n=5 Participants
5 Participants
n=7 Participants
9 Participants
n=5 Participants
Age, Categorical
>=65 years
12 Participants
n=5 Participants
9 Participants
n=7 Participants
21 Participants
n=5 Participants
Age, Continuous
69 years
STANDARD_DEVIATION 8.4 • n=5 Participants
67.6 years
STANDARD_DEVIATION 6.7 • n=7 Participants
68.3 years
STANDARD_DEVIATION 7.6 • n=5 Participants
Sex: Female, Male
Female
5 Participants
n=5 Participants
9 Participants
n=7 Participants
14 Participants
n=5 Participants
Sex: Female, Male
Male
11 Participants
n=5 Participants
5 Participants
n=7 Participants
16 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants
n=5 Participants
14 Participants
n=7 Participants
30 Participants
n=5 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
1 Participants
n=5 Participants
1 Participants
n=7 Participants
2 Participants
n=5 Participants
Race (NIH/OMB)
White
14 Participants
n=5 Participants
13 Participants
n=7 Participants
27 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Region of Enrollment
United States
16 participants
n=5 Participants
14 participants
n=7 Participants
30 participants
n=5 Participants

PRIMARY outcome

Timeframe: Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Population: Participants included people with PD and their care partners. Only people with PD were assessed with objective measures.

Physical Performance Test (7 items). Score can vary from 0-28. Higher score is better.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Motor Function - Objective
0.93 score on a scale
Standard Deviation 2.16

PRIMARY outcome

Timeframe: Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Population: Only participants with PD are included in this assessment.

Due to COVID, we only assessed the subset of brief Bestest that can be scored online: standing on each foot, gait stability, and forward reach. Possible scores: 0-12. Higher score is better. Positive number indicates improvement.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Balance - Objective
0.43 score on a scale
Standard Deviation 1.65

PRIMARY outcome

Timeframe: Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Population: Only people with PD were assessed with this measure.

Activities Balance Confidence scale. Possible score from 0-100. Higher score is better.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Balance: Self-report
2.9 score on a scale
Standard Deviation 11.9

PRIMARY outcome

Timeframe: Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Population: Only participants with PD were assessed.

Assessed by photo in sagittal plane. Positive numbers indicate a more upright posture.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Posture - Objective
2.0 degrees
Standard Deviation 6.7

SECONDARY outcome

Timeframe: Attendance will be tracked at every class session, weeks 2-10.

Population: people with Parkinson's disease

Course attendance (out of 16)

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Feasibility - Attendance
14.2 number of classes attended
Standard Deviation 3.8

SECONDARY outcome

Timeframe: assessed after the intervention (week 11)

Population: both participants with PD and care partners

Study retention: number of participants who completed the study

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=16 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
n=14 Participants
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Feasibility - Retention
14 Participants
12 Participants

SECONDARY outcome

Timeframe: Assessed the week before the intervention (week 1) and the week after the intervention (week 11). Difference is reported. Positive number indicates improvement.

Population: self-report from people with PD

Survey administered by phone, with 29 Likert scale questions on a scale of 0-5 asking how well the person with Parkinson's disease is able to manage typical Parkinson's symptoms, including bradykinesia, tremor, stooped posture, freezing of gait, anxiety, fatigue, and so on. Higher scores indicate better symptom management. The scores were summed, with a possible range of 0-145.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=14 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Symptom Management
10.14 units on a scale
Standard Deviation 12.20

SECONDARY outcome

Timeframe: Assessed after the intervention (week 11)

Population: Only care partners were asked this question.

Anonymous course evaluation survey filled out and mailed in. Question reported: I feel I am better prepared for the present and future daily challenges of being my partner's care partner. Rate from 1-10 with 10 being high.

Outcome measures

Outcome measures
Measure
Poised for Parkinson's - Patients
n=12 Participants
Alexander-technique-based online course to increase embodied agency in people with Parkinson's disease and their care partners. Poised for Parkinson's: Lecture, demonstration, activities, and supplemental materials designed to improve self-awareness, situational awareness, and ability to make good choices for physical and emotional self-care, moment-to-moment.
Care Partners
People living with Parkinson's disease and their care partners normally attend class together, but it is possible that one might complete the class and the other might not.
Care-partner Self-management Skill
8.7 units on a scale
Standard Deviation 1.9

Adverse Events

Poised for Parkinson's - Patients

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Poised for Parkinson's - Care Partners

Serious events: 0 serious events
Other events: 0 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Dr. Rajal Cohen

University of Idaho

Phone: 2088856324

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place