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Group-based music intervention in Parkinson's disease - findings from a mixed-methods study.

ABSTRACT: OBJECTIVE:To evaluate a group-based music intervention in patients with Parkinson's disease. DESIGN:Parallel group randomized controlled trial with qualitative triangulation. SETTING:Neurorehabilitation in primary care. SUBJECTS:Forty-six patients with Parkinson's disease were randomized into intervention group (n?=?26), which received training with the music-based intervention, and control group (n?=?20) without training. INTERVENTIONS:The intervention was delivered twice weekly for 12?weeks. MAIN MEASURES:Primary outcome was Timed-Up-and-Go subtracting serial 7's (dual-task ability). Secondary outcomes were cognition, balance, concerns about falling, freezing of gait, and quality of life. All outcomes were evaluated at baseline, post-intervention, and three months post-intervention. Focus groups and individual interviews were conducted with the intervention group and with the delivering physiotherapists. RESULTS:No between-group differences were observed for dual-task ability. Between-group differences were observed for Falls Efficacy Scale (mean difference (MD)?=?6.5 points; 95% confidence interval (CI)?=?3.0 to 10.0, P?=?0.001) and for Parkinson Disease Questionnaire-39 items (MD?=?8.3; 95% CI?=?2.7 to 13.8, P?=?0.005) when compared to the control group post-intervention, but these were not maintained at three months post-intervention. Three themes were derived from the interviews: Expectations versus Results, Perspectives on Treatment Contents, and Key Factors for Success. CONCLUSION:Patient-reported outcomes and interviews suggest that the group-based music intervention adds value to mood, alertness, and quality of life in patients with Parkinson's disease. The study does not support the efficacy in producing immediate or lasting gains in dual-tasking, cognition, balance, or freezing of gait.

SUBMITTER: Pohl P

PROVIDER: S-EPMC7132435 | biostudies-literature | 2020 Apr

REPOSITORIES: biostudies-literature

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Group-based music intervention in Parkinson's disease - findings from a mixed-methods study.

Pohl Petra P Wressle Ewa E Lundin Fredrik F Enthoven Paul P Dizdar Nil N

Clinical rehabilitation 20200219 4

<h4>Objective</h4>To evaluate a group-based music intervention in patients with Parkinson's disease.<h4>Design</h4>Parallel group randomized controlled trial with qualitative triangulation.<h4>Setting</h4>Neurorehabilitation in primary care.<h4>Subjects</h4>Forty-six patients with Parkinson's disease were randomized into intervention group (<i>n</i> = 26), which received training with the music-based intervention, and control group (<i>n</i> = 20) without training.<h4>Interventions</h4>The inter ...[more]

PMID: 32070122

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Project description:BACKGROUND:eHealth interventions show stronger effects when informed by solid behavioral change theories; for example, self-regulation models supporting people in translating vague intentions to specific actions have shown to be effective in altering health behaviors. Although these theories inform developers about which behavioral change techniques should be included, they provide limited information about how these techniques can be engagingly implemented in Web-based interventions. Considering the high levels of attrition in eHealth, investigating users' experience about the implementation of behavior change techniques might be a fruitful avenue. OBJECTIVE:The objective of our study was to investigate how users experience the implementation of self-regulation techniques in a Web-based intervention targeting physical activity and sedentary behavior in the general population. METHODS:In this study, 20 adults from the general population used the intervention for 5 weeks. Users' website data were explored, and semistructured interviews with each of the users were performed. A directed content analysis was performed using NVivo Software. RESULTS:The techniques "providing feedback on performance," "action planning," and "prompting review of behavioral goals" were appreciated by users. However, the implementation of "barrier identification/problem solving" appeared to frustrate users; this was also reflected by the users' website data-many coping plans were of poor quality. Most users were well aware of the benefits of adopting a more active way of living and stated not to have learned novel information. However, they appreciated the provided information because it reminded them about the importance of having an active lifestyle. Furthermore, prompting users to self-monitor their behavioral change was not sufficiently stimulating to make users actually monitor their behavior. CONCLUSIONS:Iteratively involving potential end users offers guidance to optimally adapt the implementation of various behavior change techniques to the target population. We recommend creating short interventions with a straightforward layout that support users in creating and evaluating specific plans for action.

Dataset Information

Group-based music intervention in Parkinson's disease - findings from a mixed-methods study.

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Group-based music intervention in Parkinson's disease - findings from a mixed-methods study.

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