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An online dual-task cognitive and motor exercise program for individuals with Parkinson disease (PD3 Move Program) : acceptability study

2022-12Contribution to journal Open access
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datacite.subject.fosCiências Médicas
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorDomingos, Josefa
dc.contributor.authorDean, John
dc.contributor.authorFernandes, Júlio Belo
dc.contributor.authorGodinho, Catarina
dc.date.accessioned2025-10-22T10:57:09Z
dc.date.available2025-10-22T10:57:09Z
dc.date.issued2022-12
dc.description.abstractBackground: Dual-task training is an emerging field used for people with Parkinson disease (PD) to improve their physical and cognitive well-being, but the patients’ acceptability, safety, and adherence to such training in online settings are unknown. Objective: This study aims to evaluate the acceptability of a dual-task cognitive and motor online training program for people with PD as a group online community program. Methods: People with PD were invited to participate in an online program (PD3 Move) consisting of physical and vocal exercises in response to different cognitive challenges displayed as dynamic backgrounds on Zoom. The program ran twice per week for 16 weeks. Patient acceptability was assessed at 4 months by monitoring attendance rates and feedback from an exit questionnaire emailed to all participants assessing satisfaction, perceived benefit, safety, and willingness to continue and recommend to others. Results: The online program was delivered to 15 participants (n=9, 60%, females) with a diagnosis of PD, a mean age of 69.4 (SD 9.3) years, and Hoehn and Yahr (H&Y) stages I-IV. The attendance rate was high, with participants coming to more than 13 (81%) of the sessions. Participants were very satisfied (n=8, 53%) or satisfied (n=7, 47%) with the program. Participants reported that what they most liked were the new cognitive physical challenges. The 3 main facilitators to participating were perceiving the benefits, instructor’s flexibility and engagement, and the social interaction moments with others. The 3 main difficulties were dealing with motor fluctuations (n=3, 20%), difficulties in using technology (n=2, 13%), and difficulty hearing instructions due to hearing loss (n=2, 13%). Patients had favorable perceived benefits of the program, with 14 (93%) considering it very useful for the current management of health and 1 (7%) moderately useful. No adverse events were reported, and all participants said that they were willing to continue the program and recommend it to others. Conclusions: Our findings suggest that the online cognitive and motor program was well received, safe, and perceived to be of benefit to this group of medically stable people with PD in H&Y stages I-IV. Access to specialized care and enhancement of long-term adherence to regular exercise can be achieved with online community group programs.eng
dc.identifier.citationDomingos J, Dean J, Fernandes JB, Godinho C An Online Dual-Task Cognitive and Motor Exercise Program for Individuals With Parkinson Disease (PD3 Move Program): Acceptability Study JMIR Aging 2022;5(4):e40325 doi: 10.2196/40325
dc.identifier.doi10.2196/40325
dc.identifier.issn2561-7605
dc.identifier.urihttp://hdl.handle.net/10400.26/59341
dc.language.isoeng
dc.peerreviewedyes
dc.publisherJMIR Publications
dc.relation.hasversionhttps://doi.org/10.2196/40325
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectParkinson disease
dc.subjectdual-task training
dc.subjectexercise
dc.subjectdigital intervention
dc.subjectonline intervention
dc.subjectphysical activity
dc.subjectphysical therapy
dc.subjectelder
dc.subjectolder adult
dc.subjectgeriatric
dc.subjectneurodegenerative
dc.subjectadherence
dc.subjectacceptability
dc.subjectcommunity based
dc.subjectgroup program
dc.subjectonline program
dc.subjectphysiotherapy
dc.subjectcognitive training online exercise
dc.subjectParkinson's
dc.subjectneuromuscular
dc.subjecttask training
dc.subjectphysiotherapist
dc.subjectmotor
dc.subjectmovement
dc.subjectcognitive
dc.subjectcognition
dc.subjectvocal
dc.subjectvoice
dc.subjectspeech
dc.titleAn online dual-task cognitive and motor exercise program for individuals with Parkinson disease (PD3 Move Program) : acceptability studyeng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue4
oaire.citation.startPagee40325
oaire.citation.titleJMIR Aging
oaire.citation.volume5
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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