Implementation of the HiBalance training program for Parkinson’s disease in clinical settings: A feasibility study

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dc.contributor.authorJoseph, Conran
dc.contributor.authorLeavy, Breiffni
dc.contributor.authorMattsson, Sara
dc.contributor.authorFalk, Lynn
dc.contributor.authorFranzén, Erika
dc.date.accessioned2018-06-26T06:55:51Z
dc.date.available2018-06-26T06:55:51Z
dc.date.issued2018
dc.description.abstractBACKGROUND: Translating evidence into practice requires adaptation to facilitate the implementation of efficacious interventions. A novel highly challenging balance training program (HiBalance) was found to improve gait, balance, and physical activity in persons with Parkinson’s disease (PD) in an earlier randomized controlled trial. This study aimed to describe the adaptation process and feasibility of implementing the HiBalance program for PD within primary healthcare settings. METHOD: Feasibility was assessed in terms of study processes and scientific evaluation. Nine persons with mild–moderate PD were enrolled in this pre–post feasibility study. The dose of the original program was adapted by reducing therapist-led training sessions from three to two times weekly. Outcome measures were substituted with ones more clinically feasible. One group (n = 5) received HiBalance training three times weekly for 10 weeks while another (n = 4) trained twice weekly plus a once weekly home exercise program (HEP). Balance performance was the primary outcome, while secondary outcomes (e.g., gait speed, physical activity level, concerns of falling, and health-related quality of life) were also evaluated. RESULTS: Regarding process feasibility, attendance was high (approximately 90%) in both groups, and experiences of the group and home training were positive. Newly selected outcome measures were feasible. The scientific evaluation revealed few adverse events and no serious injuries occurred. Concerning outcomes per group, the average change in balance performance and gait speed was equal to, or exceeded, the minimally worthwhile treatment effect commonly used in PD. CONCLUSION: The findings support the feasibility, in terms of process and scientific evaluation, of the adapted HiBalance program for implementation within clinical settings. A sufficiently powered study is required to ascertain whether the newly proposed program offers similar short and long-term effects as the original program.en_US
dc.identifier.citationJospeh, C. et al. (2018). Implementation of the HiBalance training program for Parkinson’s disease in clinical settings: A feasibility study. Brain and Behavior, e01021. en_US
dc.identifier.issn2162-3279
dc.identifier.urihttps://doi.org/10.1002/brb3.1021
dc.identifier.urihttp://hdl.handle.net/10566/3833
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherWiley Open Accessen_US
dc.rightsThis is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. © 2018 The Authors. Brain and Behavior published by Wiley Periodicals, Inc.
dc.status.ispeerreviewedTRUE
dc.subjectBalance trainingen_US
dc.subjectFeasibilityen_US
dc.subjectImplementationen_US
dc.subjectParkinson’s diseaseen_US
dc.titleImplementation of the HiBalance training program for Parkinson’s disease in clinical settings: A feasibility studyen_US
dc.typeArticleen_US

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