A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial
Abstract Background Parkinson’s disease (PD) is a neurodegenerative disorder with debilitating motor and non-motor symptoms which affect participation in meaningful occupations. Occupation-based interventions can improve participation in people with PD. Evidence for incorporating structured and inte...
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| Format: | Article |
| Language: | English |
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BMC
2023-09-01
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| Series: | Trials |
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| Online Access: | https://doi.org/10.1186/s13063-023-07526-3 |
| _version_ | 1797556658958761984 |
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| author | Mahsa Meimandi Akram Azad Jafar Haj Ghani Fatemeh HojabriFard Philip von Rosen Naeeme Haji Alizadeh Ghorban Taghizadeh |
| author_facet | Mahsa Meimandi Akram Azad Jafar Haj Ghani Fatemeh HojabriFard Philip von Rosen Naeeme Haji Alizadeh Ghorban Taghizadeh |
| author_sort | Mahsa Meimandi |
| collection | DOAJ |
| description | Abstract Background Parkinson’s disease (PD) is a neurodegenerative disorder with debilitating motor and non-motor symptoms which affect participation in meaningful occupations. Occupation-based interventions can improve participation in people with PD. Evidence for incorporating structured and intensive occupational therapy by considering the concept of responsibility is lacking for this population. This trial will compare the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic PD. Methods A total of 45 people with PD, between 35 and 85 years old and Hoehn and Yahr stages between I to III, will be recruited from movement disorder centers for this three-armed study. Participants will be randomized into three groups (occupation-based interventions with responsibility feedback, occupation-based interventions without responsibility feedback, and conventional interventions). All participants will receive intervention for 24 sessions during a period of 12 weeks (2 sessions per week). The primary outcome measure will be participation satisfaction. Participation frequency and restriction, self-perceived performance, performance satisfaction, motivation, volition, sense of agency, responsibility, physical activity, community integration, activities of daily living (ADL), instrumental ADL, upper extremity function, balance, fatigue, and quality of life will be measured as secondary outcome measures. All outcomes will be measured at baseline, session 9, session 17, post-intervention (week 13), and follow-up (week 25). Discussion This home-based high-intensity, structured, client-centered, and occupation-based intervention will be conducted by utilizing the concept of responsibility. This proposed trial may result in enhanced participation that would benefit other motor and non-motor symptoms in people living with PD. Findings from this proposed study are expected to expand the knowledge of clinicians and help them in evidence-based decision-making processes. Trial registration Iranian Registry of Clinical Trials IRCT20140304016830N13. Registered on August 19, 2022 |
| first_indexed | 2024-03-10T17:05:59Z |
| format | Article |
| id | doaj.art-7b72028c9ec6446c8dc5520fb742312f |
| institution | Directory Open Access Journal |
| issn | 1745-6215 |
| language | English |
| last_indexed | 2024-03-10T17:05:59Z |
| publishDate | 2023-09-01 |
| publisher | BMC |
| record_format | Article |
| series | Trials |
| spelling | doaj.art-7b72028c9ec6446c8dc5520fb742312f2023-11-20T10:49:15ZengBMCTrials1745-62152023-09-0124111110.1186/s13063-023-07526-3A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trialMahsa Meimandi0Akram Azad1Jafar Haj Ghani2Fatemeh HojabriFard3Philip von Rosen4Naeeme Haji Alizadeh5Ghorban Taghizadeh6Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical SciencesRehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical SciencesRehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical SciencesDepartment of Occupational Therapy, School of Rehabilitation, Shahid Beheshti University of Medical SciencesDivision of Physiotherapy, Department of Neurobiology, Care Sciences, and Society (NVS), Karolinska InstitutetDepartment of Neuroscience, School of Advanced Technology in Medicine, Iran University of Medical Sciences (IUMS)Rehabilitation Research Center, Department of Occupational Therapy, School of Rehabilitation Sciences, Iran University of Medical SciencesAbstract Background Parkinson’s disease (PD) is a neurodegenerative disorder with debilitating motor and non-motor symptoms which affect participation in meaningful occupations. Occupation-based interventions can improve participation in people with PD. Evidence for incorporating structured and intensive occupational therapy by considering the concept of responsibility is lacking for this population. This trial will compare the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic PD. Methods A total of 45 people with PD, between 35 and 85 years old and Hoehn and Yahr stages between I to III, will be recruited from movement disorder centers for this three-armed study. Participants will be randomized into three groups (occupation-based interventions with responsibility feedback, occupation-based interventions without responsibility feedback, and conventional interventions). All participants will receive intervention for 24 sessions during a period of 12 weeks (2 sessions per week). The primary outcome measure will be participation satisfaction. Participation frequency and restriction, self-perceived performance, performance satisfaction, motivation, volition, sense of agency, responsibility, physical activity, community integration, activities of daily living (ADL), instrumental ADL, upper extremity function, balance, fatigue, and quality of life will be measured as secondary outcome measures. All outcomes will be measured at baseline, session 9, session 17, post-intervention (week 13), and follow-up (week 25). Discussion This home-based high-intensity, structured, client-centered, and occupation-based intervention will be conducted by utilizing the concept of responsibility. This proposed trial may result in enhanced participation that would benefit other motor and non-motor symptoms in people living with PD. Findings from this proposed study are expected to expand the knowledge of clinicians and help them in evidence-based decision-making processes. Trial registration Iranian Registry of Clinical Trials IRCT20140304016830N13. Registered on August 19, 2022https://doi.org/10.1186/s13063-023-07526-3OccupationsOccupational therapyParkinson’s diseaseParticipationRehabilitation |
| spellingShingle | Mahsa Meimandi Akram Azad Jafar Haj Ghani Fatemeh HojabriFard Philip von Rosen Naeeme Haji Alizadeh Ghorban Taghizadeh A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial Trials Occupations Occupational therapy Parkinson’s disease Participation Rehabilitation |
| title | A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial |
| title_full | A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial |
| title_fullStr | A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial |
| title_full_unstemmed | A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial |
| title_short | A comparison of the effects of occupation-based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic Parkinson’s disease: study protocol for a randomized controlled trial |
| title_sort | comparison of the effects of occupation based interventions with and without responsibility feedback and conventional interventions on participation in people with idiopathic parkinson s disease study protocol for a randomized controlled trial |
| topic | Occupations Occupational therapy Parkinson’s disease Participation Rehabilitation |
| url | https://doi.org/10.1186/s13063-023-07526-3 |
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