Acceptability and feasibility randomised controlled trial of a digital mental health intervention for people with Parkinson's (PACT): trial protocol

被引：1

作者：

Pinto, Cathryn ^{[1
]}

Brown, Jennie ^{[1
]}

Hurt, Catherine ^{[1
]}

Cubi-Molla, Patricia ^{[2
]}

Chowdhury, Sulayman ^{[2
]}

Mccracken, Lance ^{[3
]}

Norton, Sam ^{[4
]}

Volpato, Ricardo ^{[5
]}

Stumpf, Simone ^{[5
]}

Bogosian, Angeliki ^{[1
]}

机构：

[1] City St Georges Univ London, Northampton Sq, London EC1V 0HB, England

[2] Off Hlth Econ, London, England

[3] Uppsala Univ, Uppsala, Sweden

[4] Kings Coll London, London, England

[5] Univ Glasgow, Glasgow City, Scotland

来源：

PILOT AND FEASIBILITY STUDIES | 2025年 / 11卷 / 01期

关键词：

Parkinson's disease; Psychological intervention; App; Randomised controlled trial; Acceptance and commitment therapy; COGNITIVE-BEHAVIORAL THERAPY; COMMITMENT THERAPY; PSYCHOLOGICAL FLEXIBILITY; PSYCHOMETRIC PROPERTIES; COMMITTED ACTION; DEPRESSION; DISEASE; QUESTIONNAIRE; ACCEPTANCE; ANXIETY;

D O I：

10.1186/s40814-025-01594-9

中图分类号：

R-3 [医学研究方法]; R3 [基础医学];

学科分类号：

1001 ;

摘要：

BackgroundPeople with Parkinson's disease can experience psychological distress and have difficulties accessing face-to-face psychological support due to symptom burden and limited availability of psychological services. Digital options for psychological support can bridge this gap. We have developed an app based on acceptance and commitment therapy (ACT) to support people with Parkinson's to improve psychological wellbeing.AimTo assess the acceptability of the app and the feasibility of conducting a randomised controlled trial (RCT) to evaluate the effectiveness of using the app to improve wellbeing for people with Parkinson's.MethodsWe will conduct a parallel-group randomised controlled feasibility trial comparing a digital app based on ACT (intervention group) to usual care (waitlist control group). We will recruit 60 people with Parkinson's, 40 to the intervention group and 20 to the control group. Primary feasibility outcomes include recruitment and retention rate, intervention engagement and satisfaction. Secondary outcomes include measures of clinical effectiveness (anxiety and depression), quality of life and cost-effectiveness. Interviews will be conducted to assess acceptability of the app. Primary feasibility outcome data will be analysed descriptively and compared against pre-defined feasibility criteria. Secondary outcomes will be analysed based on an intention-to-treat principle, and a cost-consequence analysis will be used to estimate cost-effectiveness. Interviews will be analysed using a deductive thematic analysis based on the Theoretical Framework of Acceptability.DiscussionThis trial will provide data on the feasibility of conducting a full-scale RCT of the effectiveness and cost-effectiveness of the app to improve psychological wellbeing for people with Parkinson's disease.

引用

页数：12

共 39 条

[1] Acceptability and Feasibility of a Mindfulness Intervention Delivered via Videoconferencing for People With Parkinson's [J].

Bogosian, Angeliki ;

Hurt, Catherine S. ;

Hindle, John, V ;

McCracken, Lance M. ;

Vasconcelos e Sa, Debora A. ;

Axell, Sandra ;

Tapper, Katy ;

Stevens, Jemima ;

Hirani, P. Shashi ;

Salhab, Marya ;

Ye, Wenrong ;

Cubi-Molla, Patricia .

JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 2022, 35 (01) :155-167

[2]

Bond FW, 2011, BEHAV THER, V42, P676, DOI 10.1016/j.beth.2011.03.007

[3] Co-Designing Smart Home Technology with People with Dementia or Parkinson's Disease [J].

Bourazeri, Aikaterini ;

Stumpf, Simone .

NORDICHI'18: PROCEEDINGS OF THE 10TH NORDIC CONFERENCE ON HUMAN-COMPUTER INTERACTION, 2018, :609-621

[4] Evaluation of PDQ-8 and its relationship with PDQ-39 in China: a three-year longitudinal study [J].

Chen, Kui ;

Yang, Yu-Jie ;

Liu, Feng-Tao ;

Li, Da-Ke ;

Bu, Lu-Lu ;

Yang, Ke ;

Wang, Ying ;

Shen, Bo ;

Guan, Rong-Yuan ;

Song, Jie ;

Wang, Jian ;

Wu, Jian-Jun .

HEALTH AND QUALITY OF LIFE OUTCOMES, 2017, 15

[5] Mapping the eight-item Parkinson's Disease Questionnaire (PDQ-8) to the EQ-5D utility index [J].

Cheung, Y. B. ;

Tan, L. C. S. ;

Lau, P. N. ;

Au, W. L. ;

Luo, N. .

QUALITY OF LIFE RESEARCH, 2008, 17 (09) :1173-1181

[6] Clinical effectiveness and cost-effectiveness of physiotherapy and occupational therapy versus no therapy in mild to moderate Parkinson's disease: a large pragmatic randomised controlled trial (PD REHAB) [J].

Clarke, Carl E. ;

Patel, Smitaa ;

Ives, Natalie ;

Rick, Caroline E. ;

Woolley, Rebecca ;

Wheatley, Keith ;

Walker, Marion F. ;

Zhu, Shihua ;

Kandiyali, Rebecca ;

Yao, Guiqing ;

Sackley, Catherine M. .

HEALTH TECHNOLOGY ASSESSMENT, 2016, 20 (63) :1-+

[7] The Clinical Spectrum of Anxiety in Parkinson's Disease [J].

Dissanayaka, Nadeeka N. N. W. ;

White, Elizabeth ;

O'Sullivan, John D. ;

Marsh, Rodney ;

Pachana, Nancy A. ;

Byrne, Gerard J. .

MOVEMENT DISORDERS, 2014, 29 (08) :967-975

[8] Telephone-based cognitive behavioral therapy for depression in Parkinson disease A randomized controlled trial [J].

Dobkin, Roseanne D. ;

Mann, Sarah L. ;

Gara, Michael A. ;

Interian, Alejandro ;

Rodriguez, Kailyn M. ;

Menza, Matthew .

NEUROLOGY, 2020, 94 (16) :E1764-E1773

[9] Digital Therapeutics in Parkinson's Disease: Practical Applications and Future Potential [J].

Ellis, Terry D. ;

Earhart, Gammon M. .

JOURNAL OF PARKINSONS DISEASE, 2021, 11 :S95-S101

[10] Initial psychometric properties of the Experiences Questionnaire: Validation of a self-report measure of decentering [J].

Fresco, David M. ;

Moore, Michael T. ;

van Dulmen, Manfred H. M. ;

Segal, Zindel V. ;

Ma, S. Helen ;

Teasdale, John D. ;

Williams, J. Mark G. .

BEHAVIOR THERAPY, 2007, 38 (03) :234-246

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