- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT00748488
Effectiveness of an Active Lifestyle Promotion Program for Patients With Parkinson's Disease (ParkFit)
The ParkFit Study; Effectiveness of an Active Lifestyle Promotion Program for Patients With Parkinson's Disease
Patients with Parkinson's disease (PD) are heavily inclined towards a sedentary lifestyle. This is caused by a combination of physical impairments and cognitive dysfunction. However, regular physical activity in PD is highly desirable, for two reasons. First, physical activity has positive generic effects in preventing complications such as cardiovascular diseases, type II diabetes mellitus, osteoporosis and certain cases of cancer. Secondly, physical activity has additional disease-specific merits in PD such as depression, sleep disturbances and constipation. These effects lead to raised quality of life. Furthermore, animal studies suggest that physical activity could slow down disease progression.
Simply informing patients about the importance of physical activity is not enough to initiate and maintain an adequate level of physical activity. We propose to develop a physical activity promoting program for sedentary patients with PD in order to raise their level of daily physical activity.
Objective: The first aim of the study is to investigate whether a physical activity promotion program will result in an increase in physical activity in sedentary patients with PD.
The second aim is to demonstrate an increase in physical fitness and quality of life.
Study Overview
Status
Conditions
Intervention / Treatment
Detailed Description
Study Type
Enrollment (Actual)
Phase
- Phase 3
Contacts and Locations
Study Locations
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Delft, Netherlands
- Reinier de Graaf Groep
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Deventer, Netherlands
- Deventer Ziekenhuis
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Doetinchem, Netherlands
- Slingeland Ziekenhuis
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Geldrop, Netherlands
- St. Anna Ziekenhuis
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Gouda, Netherlands
- Groene Hart ziekenhuis
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Haarlem, Netherlands
- Kennemer Gasthuis
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Heerlen, Netherlands
- Atrium medisch centrum
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Hoorn, Netherlands
- Westfriesgasthuis
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Maastricht, Netherlands
- Academisch Ziekenhuis Maastricht
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Oss, Netherlands
- Ziekenhuis Bernhoven
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Roermond, Netherlands
- Laurentius Ziekenhuis
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Roosendaal, Netherlands
- Franciscus Ziekenhuis
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Rotterdam, Netherlands
- Maasstad Ziekenhuis
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Rotterdam, Netherlands
- Sint Franciscus Gasthuis
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Rotterdam, Netherlands
- Erasmus Medisch Centrum
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Schiedam, Netherlands
- Vlietland Ziekenhuis
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Sittard, Netherlands
- Orbis Medisch Centrum
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Zoetermeer, Netherlands
- 't Lange Land Ziekenhuis
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Postbus 10016
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Hilversum, Postbus 10016, Netherlands, 1201 DA
- Tergooiziekenhuizen
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Postbus 1101
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Den Bosch, Postbus 1101, Netherlands, 5200 BD
- Jeroen Bosch Ziekenhuis
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Postbus 1350
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Eindhoven, Postbus 1350, Netherlands, 5602 ZA
- Catharina Ziekenhuis
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Postbus 1926
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Venlo, Postbus 1926, Netherlands, 5900 BX
- Vie Curie Medisch Centrum
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Postbus 40551
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Den Haag, Postbus 40551, Netherlands, 2504 LN
- Hagaziekhuis
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Postbus 432
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Den Haag, Postbus 432, Netherlands, 2501 CK
- Medisch Centrum Haaglanden
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Postbus 50
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Alkmaar, Postbus 50, Netherlands, 1800 AM
- Medisch Centrum Alkmaar
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Postbus 5500
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Sittard, Postbus 5500, Netherlands, 6130 MB
- Maaslandziekenhuis
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Postbus 900
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Blaricum, Postbus 900, Netherlands, 1250 CA
- Tergooiziekenhuizen
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Postbus 9014
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Apeldoorn, Postbus 9014, Netherlands, 7300 DS
- Gelreziekenhuizen
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Postbus 90157
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Breda, Postbus 90157, Netherlands, 4800 RL
- Amphia Ziekenhuis
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Postbus 9020
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Zutphen, Postbus 9020, Netherlands, 7200 GZ
- De Gelreziekenhuizen
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Postbus 9025
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Ede, Postbus 9025, Netherlands, 6710 HN
- Ziekenhuis Gelderse Vallei
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Postbus 98
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Helmond, Postbus 98, Netherlands, 5700 AB
- Elkerliek Ziekenhuis
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Idiopathic PD
- Hoehn and Yahr stage I-III
- Between 40 and 75 years old
- Not meeting the norm for healthy physical activity: the latter being defined according to international standards as either five days a week 30 minutes of moderate-intensity physical activity, or 3 days a week 20 minutes of vigorous-intensity physical activity
Exclusion Criteria:
- Wheel chair bounded
- Severe co-morbidity (e.g. orthopaedic disorders or chronic hart failure)
- Severe cognitive decline, defined as Mini Mental State Examination < 24
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Quadruple
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
|---|---|
|
Experimental: A
Physical Therapy aimed to promote the level of physical activity
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Physical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease combined with a coaching program aimed to promote the level of physical activity Duration program: 2 years Maximum number of sessions: 35 per year Duration of sessions: 30 minutes
|
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Active Comparator: B
Physical Therapy aimed to move safely
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Physical Therapy according to the Dutch guidelines for Physical Therapy in Parkinson's Disease solely focused on safety of movement. Duration program: 2 years Maximum number of sessions: 35 per year Duration sessions: 30 minutes |
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Level of Physical Activity based on the LAPAQ questionnaire
Time Frame: Average of 6, 12, 18 and 24 months
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Average of 6, 12, 18 and 24 months
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Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
One week diary of physical activity
Time Frame: Average of 6, 12, 18 and 24 months
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Average of 6, 12, 18 and 24 months
|
|
Level of Physical Activity based on an activity monitor
Time Frame: continuous during 24 months
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continuous during 24 months
|
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Physical Fitness (Six Minute Walk Test & Astrand bicycle test)
Time Frame: 12 and 24 months
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12 and 24 months
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Quality of Life (PDQ-39)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
|
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Mood and Depression (HADS)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
|
|
Cognition (CANTAB)
Time Frame: 12 and 24 months
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12 and 24 months
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disease severity ( Nine Hole Peg test, UPDRS)
Time Frame: 12 and 24 months
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12 and 24 months
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Safety(Falls)
Time Frame: monthly
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monthly
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Mobility (Timed up and go test)
Time Frame: 12 and 24 months
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12 and 24 months
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Fatigue (FSS)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
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Medication (questionnaire)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
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Medical Costs (questionnaire)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
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Quality of Sleep (SCOPA-sleep)
Time Frame: 6, 12, 18 and 24 months
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6, 12, 18 and 24 months
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Collaborators and Investigators
Collaborators
Investigators
- Principal Investigator: Marten Munneke, Dr., UMC St Radboud
Publications and helpful links
General Publications
- van Nimwegen M, Speelman AD, Overeem S, van de Warrenburg BP, Smulders K, Dontje ML, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Promotion of physical activity and fitness in sedentary patients with Parkinson's disease: randomised controlled trial. BMJ. 2013 Mar 1;346:f576. doi: 10.1136/bmj.f576.
- van Nimwegen M, Speelman AD, Smulders K, Overeem S, Borm GF, Backx FJ, Bloem BR, Munneke M; ParkFit Study Group. Design and baseline characteristics of the ParkFit study, a randomized controlled trial evaluating the effectiveness of a multifaceted behavioral program to increase physical activity in Parkinson patients. BMC Neurol. 2010 Aug 19;10:70. doi: 10.1186/1471-2377-10-70.
Study record dates
Study Major Dates
Study Start
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimate)
Study Record Updates
Last Update Posted (Estimate)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
- 50-50310-98-034
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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