Table 1.
Program feature | HiBalance-RCT (Efficacy phase) | HiBalance-clinical setting (Effectiveness/Implementation phase) |
---|---|---|
Inclusion criteria | Idiopathic Parkinson’s disease | Idiopathic Parkinson’s disease |
Hoehn & Yahr score of 2 or 3 | Hoehn & Yahr score of 2 or 3 | |
Able to walk independently indoors without an aid | Able to walk independently indoors without an aid | |
Mini-Mental State examination score > 24 points | Cognitively capable of following instructions in a group setting | |
Age ≥60 years | All Ages | |
Core components | Individually adapted, highly challenging and progressive balance training in 3 blocks with progressively integrated dual-task training | Individually adapted, highly challenging and progressive balance training in 3 blocks with progressively integrated dual-task training |
Dose | 30 h of group training (3 x 1 h sessions/week x 10 weeks) |
20 h of group training (2 x 1 h sessions/week x 10 weeks) 10 h home exercise program (1 h/week x 10 weeks) |
Providers | Physical therapist PhD students (site responsible) and clinicians | Physical therapist clinicians |
Sites | 2 sites, one university hospital | 4–6 clinical sites/primary care clinics |
Outcome evaluation | ||
Performance-based | ||
Balance performance | Mini-BESTest score | Mini-BESTest score |
Modified figure of eight test | ||
Physical activity level | Steps per day measured by accelerometer | Steps per day measured by accelerometer |
Self-reported | ||
Fear of falling/balance confidence | Falls Efficacy Scale-International (FES-I) (A measure of concerns about falling) |
Activities-specific balance confidence scale (ABC scale) (A measure of balance confidence) |
Activities of daily living | Unified Parkinson’s Disease Rating Scale (UPDRS)- ADL component | |
Self-rated health Walking Evaluation method |
SF-36/PDQ-39 PDQ-39 Randomized controlled trial |
EQ-5D-3 L Walking impact scale (Walk 12G) Non-randomized controlled design |