An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial
BackgroundDance for Parkinson’s Disease (DfPD) is a dance program for individuals with Parkinson disease (PD). There is a lack of knowledge about the effect of this program on frailty and sarcopenia experienced by patients with PD. In addition, no randomized controlled trial...
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JMIR Publications
2025-05-01
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| author | Michail Elpidoforou Irene Grimani Marianna Papadopoulou Nikolaos Papagiannakis Anastasia Bougea Athina-Maria Simitsi Evangelos Sfikas Ioanna Alexandratou Ioanna Alefanti Roubina Antonelou Christos Koros Ioanna Mavroyianni Chrysa Chrysovitsanou Leonidas Stefanis Daphne Bakalidou |
| author_facet | Michail Elpidoforou Irene Grimani Marianna Papadopoulou Nikolaos Papagiannakis Anastasia Bougea Athina-Maria Simitsi Evangelos Sfikas Ioanna Alexandratou Ioanna Alefanti Roubina Antonelou Christos Koros Ioanna Mavroyianni Chrysa Chrysovitsanou Leonidas Stefanis Daphne Bakalidou |
| author_sort | Michail Elpidoforou |
| collection | DOAJ |
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BackgroundDance for Parkinson’s Disease (DfPD) is a dance program for individuals with Parkinson disease (PD). There is a lack of knowledge about the effect of this program on frailty and sarcopenia experienced by patients with PD. In addition, no randomized controlled trial to date has investigated either the possible differential effects of in-person versus online DfPD or the possible effects of DfPD on clinical parameters in Greek patients with PD.
ObjectiveWe aimed to assess the efficacy, safety, and feasibility of a culturally tailored and patient-centered DfPD program offered both in-person and online to Greek patients with early- to midstage PD.
MethodsThis is a 3-arm crossover randomized controlled trial (in-person DfPD vs online DfPD vs control) of UPGRADE-PD (Upbeating Greek Application of Dance in Parkinson’s Disease). The experimental period will be 10 months, including three 2-month interventional periods of two 60-minute dance classes per week for each group (in-person DfPD vs online DfPD) versus a control group (nonintervention group), and two 2-month washout periods between each group for 40 Greek patients with early- to midstage PD. Assessments will be performed face-to-face at baseline and at the end of each study period and will include quality of life, fatigue, depressive symptoms, stress, anxiety, sarcopenia, frailty, balance, cognitive functions, movement and nonmovement PD symptoms, and BMI. Safety, feasibility, and patient satisfaction for each dance intervention (in-person DfPD vs online DfPD) will be assessed as well.
ResultsThe study protocol was approved by the Medical Ethics Committee of the Eginition University Hospital in September 2022 and the Research and Ethics Committee of the University of West Attica in October 2023 and funded in September 2023. The first participant was enrolled in April 2023, and the trial is currently ongoing and will conclude in September 2024.
ConclusionsThe results of this study are expected to show the possible differential effect of a patient-centered and culturally tailored in-person vs online DfPD intervention on several movement and nonmovement symptoms, as well as on quality of life, sarcopenia, and frailty in people living with PD in Greece.
Trial RegistrationClinicalTrials.gov NCT06220084; https://clinicaltrials.gov/study/NCT06220084
International Registered Report Identifier (IRRID)DERR1-10.2196/65490 |
| format | Article |
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| publishDate | 2025-05-01 |
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| spelling | doaj-art-739f8d3bae3a4b8b98709f8c9cee8cef2025-08-20T02:13:53ZengJMIR PublicationsJMIR Research Protocols1929-07482025-05-0114e6549010.2196/65490An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover TrialMichail Elpidoforouhttps://orcid.org/0000-0003-4750-6247Irene Grimanihttps://orcid.org/0009-0004-0816-1148Marianna Papadopoulouhttps://orcid.org/0000-0002-0163-7455Nikolaos Papagiannakishttps://orcid.org/0000-0002-8401-8472Anastasia Bougeahttps://orcid.org/0000-0003-3006-8711Athina-Maria Simitsihttps://orcid.org/0000-0002-7130-6256Evangelos Sfikashttps://orcid.org/0000-0003-2655-1145Ioanna Alexandratouhttps://orcid.org/0000-0003-4128-3038Ioanna Alefantihttps://orcid.org/0009-0009-8790-4486Roubina Antonelouhttps://orcid.org/0000-0003-1485-3496Christos Koroshttps://orcid.org/0000-0001-5806-0717Ioanna Mavroyiannihttps://orcid.org/0009-0001-5969-0056Chrysa Chrysovitsanouhttps://orcid.org/0009-0004-8409-6675Leonidas Stefanishttps://orcid.org/0000-0003-3569-8990Daphne Bakalidouhttps://orcid.org/0000-0003-3914-600X BackgroundDance for Parkinson’s Disease (DfPD) is a dance program for individuals with Parkinson disease (PD). There is a lack of knowledge about the effect of this program on frailty and sarcopenia experienced by patients with PD. In addition, no randomized controlled trial to date has investigated either the possible differential effects of in-person versus online DfPD or the possible effects of DfPD on clinical parameters in Greek patients with PD. ObjectiveWe aimed to assess the efficacy, safety, and feasibility of a culturally tailored and patient-centered DfPD program offered both in-person and online to Greek patients with early- to midstage PD. MethodsThis is a 3-arm crossover randomized controlled trial (in-person DfPD vs online DfPD vs control) of UPGRADE-PD (Upbeating Greek Application of Dance in Parkinson’s Disease). The experimental period will be 10 months, including three 2-month interventional periods of two 60-minute dance classes per week for each group (in-person DfPD vs online DfPD) versus a control group (nonintervention group), and two 2-month washout periods between each group for 40 Greek patients with early- to midstage PD. Assessments will be performed face-to-face at baseline and at the end of each study period and will include quality of life, fatigue, depressive symptoms, stress, anxiety, sarcopenia, frailty, balance, cognitive functions, movement and nonmovement PD symptoms, and BMI. Safety, feasibility, and patient satisfaction for each dance intervention (in-person DfPD vs online DfPD) will be assessed as well. ResultsThe study protocol was approved by the Medical Ethics Committee of the Eginition University Hospital in September 2022 and the Research and Ethics Committee of the University of West Attica in October 2023 and funded in September 2023. The first participant was enrolled in April 2023, and the trial is currently ongoing and will conclude in September 2024. ConclusionsThe results of this study are expected to show the possible differential effect of a patient-centered and culturally tailored in-person vs online DfPD intervention on several movement and nonmovement symptoms, as well as on quality of life, sarcopenia, and frailty in people living with PD in Greece. Trial RegistrationClinicalTrials.gov NCT06220084; https://clinicaltrials.gov/study/NCT06220084 International Registered Report Identifier (IRRID)DERR1-10.2196/65490https://www.researchprotocols.org/2025/1/e65490 |
| spellingShingle | Michail Elpidoforou Irene Grimani Marianna Papadopoulou Nikolaos Papagiannakis Anastasia Bougea Athina-Maria Simitsi Evangelos Sfikas Ioanna Alexandratou Ioanna Alefanti Roubina Antonelou Christos Koros Ioanna Mavroyianni Chrysa Chrysovitsanou Leonidas Stefanis Daphne Bakalidou An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial JMIR Research Protocols |
| title | An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial |
| title_full | An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial |
| title_fullStr | An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial |
| title_full_unstemmed | An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial |
| title_short | An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial |
| title_sort | in person and online intervention for parkinson disease upgrade pd protocol for a patient centered and culturally tailored 3 arm crossover trial |
| url | https://www.researchprotocols.org/2025/1/e65490 |
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