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Nature-based Therapy Program for Parkinson's Disease (PARC)

NCT ID: NCT06452043

Last Updated: 2024-12-06

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

11 participants

Study Classification

INTERVENTIONAL

Study Start Date

2024-08-05

Study Completion Date

2024-10-07

Brief Summary

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The goal of this clinical trial is to learn if a nature-based program has positive effects on the physical and psychosocial health in a group of participants with Parkinson's disease. The main questions it aims to answer are:

Will the program improve:

* The physical outcomes such as mobility, strength and balance?
* The psychosocial health outcomes?

Participants will:

* Be assessed before and after the program;
* Participate in one session per week of the intervention.

Detailed Description

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The chronic and neurodegenerative disease of Parkinson's (PD) is often characterized by movement and balance disorders, which are accompanied by an increased risk of falls. Falls are one of the most common problems that can lead to subsequent injuries (e.g., femoral head fracture) and associated mortality rates. Falls are frequent, debilitating, and have deleterious effects on self-confidence and the quality of life of individuals with PD. Additionally, according to Parkinson Canada, a high proportion of individuals living with this disease suffer from depression and/or anxiety. Therefore, it is essential to implement intervention programs aimed at improving the physical and functional capacity as well as the well-being of this population to prevent falls and promote sustainable health.

In recent years, an increasing number of studies have demonstrated the benefits of contact with nature on the physical and mental health of individuals. Specific and positive effects on psychological symptoms (e.g., depression) as well as cognition (memory) in adults have also been shown according to this recent evidence. This stimulates our research team to test the effects of a physical intervention in nature on the physical and mental health of individuals suffering from PD. One of the perspectives of this new intervention in nature is also to evaluate its impact on fall risks in this population. The ultimate goal of this project is to contribute to the sustainable health of the population.

The overall objective of this project, based on a pilot study, is to assess the effects of an 8-week nature-based intervention program on the physical and mental health of individuals with PD. Various physical measures (mobility, strength, and balance) and mental measures (level of depression, stress) will be studied in this project to better understand the effects of this type of intervention.

Conditions

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Chronic Disease Fall Patients Aging Problems Parkinson Disease

Keywords

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Aging Rehabilitation Postural control Falls Biomechanics Well-being Social Mobility Strength Nature-based therapy Shinrin-Yoku Forest bathing Mindfulness Meditation Physical activity

Study Design

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Allocation Method

NA

Intervention Model

SINGLE_GROUP

Clinical trial design
Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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Nature-based intervention

Nature-based group intervention of once a week for 8 weeks

Group Type EXPERIMENTAL

PARC program

Intervention Type OTHER

Activities in nature such as walking, exercises (strengthening, mobility, balance), pedal boat, yoga, dance, mindfulness, meditation, forest bathing or Shinrin-Yoku, interpretation of nature

Interventions

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PARC program

Activities in nature such as walking, exercises (strengthening, mobility, balance), pedal boat, yoga, dance, mindfulness, meditation, forest bathing or Shinrin-Yoku, interpretation of nature

Intervention Type OTHER

Other Intervention Names

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Nature-based therapy

Eligibility Criteria

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Inclusion Criteria

* diagnosed with Parkinson's disease (while medicated: ON);
* capable of walking independently;
* presenting mild to moderate disability symptoms according to the Hoehn and Yahr scale (stages 1-3);
* having a frailty score of less than 2/5 (Fried);
* having a cognitive status ≥26 based on the Mini-Mental State Examination (MMSE) questionnaire.

Exclusion Criteria

* Cancer;
* Red flags (infection, tumor, etc.);
* Severe psychiatric disorders;
* Palliative care;
* Severe systemic syndromes or diseases that may prevent tests and exercises from being performed;
* Stroke - very acute phase (1 week) and this until medial hemodynamic stability.
Minimum Eligible Age

45 Years

Maximum Eligible Age

85 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Réseau Parkinson Québec

UNKNOWN

Sponsor Role collaborator

McGill University

OTHER

Sponsor Role collaborator

Fonds de la Recherche en Santé du Québec

OTHER_GOV

Sponsor Role collaborator

Université du Québec à Chicoutimi

OTHER

Sponsor Role lead

Responsible Party

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Rubens da Silva

Director and professor

Responsibility Role PRINCIPAL_INVESTIGATOR

Principal Investigators

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Rubens da Silva, PhD

Role: PRINCIPAL_INVESTIGATOR

Université du Québec à Chicoutimi

Marie-Ève Langelier, MD

Role: STUDY_CHAIR

Université du Québec à Chicoutimi

Émilie Fortin, PT

Role: STUDY_CHAIR

Université du Québec à Chicoutimi

Mireille Cliche, SW

Role: STUDY_CHAIR

Université du Québec à Chicoutimi

Locations

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Rubens da Silva

Saguenay, Quebec, Canada

Site Status

Countries

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Canada

References

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Shen X, Wong-Yu IS, Mak MK. Effects of Exercise on Falls, Balance, and Gait Ability in Parkinson's Disease: A Meta-analysis. Neurorehabil Neural Repair. 2016 Jul;30(6):512-27. doi: 10.1177/1545968315613447. Epub 2015 Oct 21.

Reference Type BACKGROUND
PMID: 26493731 (View on PubMed)

Ray S, Agarwal P. Depression and Anxiety in Parkinson Disease. Clin Geriatr Med. 2020 Feb;36(1):93-104. doi: 10.1016/j.cger.2019.09.012. Epub 2019 Sep 10.

Reference Type BACKGROUND
PMID: 31733705 (View on PubMed)

Lee I, Choi H, Bang KS, Kim S, Song M, Lee B. Effects of Forest Therapy on Depressive Symptoms among Adults: A Systematic Review. Int J Environ Res Public Health. 2017 Mar 20;14(3):321. doi: 10.3390/ijerph14030321.

Reference Type BACKGROUND
PMID: 28335541 (View on PubMed)

Frumkin H, Bratman GN, Breslow SJ, Cochran B, Kahn PH Jr, Lawler JJ, Levin PS, Tandon PS, Varanasi U, Wolf KL, Wood SA. Nature Contact and Human Health: A Research Agenda. Environ Health Perspect. 2017 Jul 31;125(7):075001. doi: 10.1289/EHP1663.

Reference Type BACKGROUND
PMID: 28796634 (View on PubMed)

Hvingelby VS, Glud AN, Sorensen JCH, Tai Y, Andersen ASM, Johnsen E, Moro E, Pavese N. Interventions to improve gait in Parkinson's disease: a systematic review of randomized controlled trials and network meta-analysis. J Neurol. 2022 Aug;269(8):4068-4079. doi: 10.1007/s00415-022-11091-1. Epub 2022 Apr 5.

Reference Type BACKGROUND
PMID: 35378605 (View on PubMed)

Sherrington C, Tiedemann A. Physiotherapy in the prevention of falls in older people. J Physiother. 2015 Apr;61(2):54-60. doi: 10.1016/j.jphys.2015.02.011. Epub 2015 Mar 18.

Reference Type BACKGROUND
PMID: 25797882 (View on PubMed)

Han JW, Choi H, Jeon YH, Yoon CH, Woo JM, Kim W. The Effects of Forest Therapy on Coping with Chronic Widespread Pain: Physiological and Psychological Differences between Participants in a Forest Therapy Program and a Control Group. Int J Environ Res Public Health. 2016 Feb 24;13(3):255. doi: 10.3390/ijerph13030255.

Reference Type BACKGROUND
PMID: 26927141 (View on PubMed)

Doll R. Chronic and degenerative disease: major causes of morbidity and death. Am J Clin Nutr. 1995 Dec;62(6 Suppl):1301S-1305S. doi: 10.1093/ajcn/62.6.1301S.

Reference Type BACKGROUND
PMID: 7495224 (View on PubMed)

Song C, Ikei H, Park BJ, Lee J, Kagawa T, Miyazaki Y. Psychological Benefits of Walking through Forest Areas. Int J Environ Res Public Health. 2018 Dec 10;15(12):2804. doi: 10.3390/ijerph15122804.

Reference Type BACKGROUND
PMID: 30544682 (View on PubMed)

Dallaire M, Houde-Thibeault A, Bouchard-Tremblay J, Wotto EA, Cote S, Santos Oliveira C, Ngomo S, da Silva RA. Impact of frailty and sex-related differences on postural control and gait in older adults with Parkinson's Disease. Exp Gerontol. 2024 Feb;186:112360. doi: 10.1016/j.exger.2024.112360. Epub 2024 Jan 13.

Reference Type BACKGROUND
PMID: 38215954 (View on PubMed)

Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, Seeman T, Tracy R, Kop WJ, Burke G, McBurnie MA; Cardiovascular Health Study Collaborative Research Group. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001 Mar;56(3):M146-56. doi: 10.1093/gerona/56.3.m146.

Reference Type BACKGROUND
PMID: 11253156 (View on PubMed)

Terra MB, Da Silva RA, Bueno MEB, Ferraz HB, Smaili SM. Center of pressure-based balance evaluation in individuals with Parkinson's disease: a reliability study. Physiother Theory Pract. 2020 Jul;36(7):826-833. doi: 10.1080/09593985.2018.1508261. Epub 2018 Aug 17.

Reference Type BACKGROUND
PMID: 30118638 (View on PubMed)

Other Identifiers

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2024-1664

Identifier Type: -

Identifier Source: org_study_id