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Khalil, Hanan; Busse-Morris, Monica; Quinn, Lori; Nazzal, Mohammad; Batyha, Waleed; Khazaaleh, Shada; Alomari, Mahmoud (2017)
Publisher: Future Medicine
Languages: English
Types: Article
Subjects: RA0421
Purpose: This study aimed to evaluate the feasibility and cultural considerations of a minimally-supervised, home-based exercise program in Jordan.\ud Methods: Quantitative and qualitative approaches were used. Thirtyparticipants were randomly allocated to either an 8 week intervention group (n=16), or a standard care group(n=14).The intervention incorporated the home use of an exercise DVD, walking program, and initial instructional sessions and weekly phone calls provided by a physiotherapist. Interviews were used to explore feasibility. Unified Parkinson's disease Rating Scale (UPDRS-III); balance and walking speed were assessed. \ud Results: The retention rate was 86.7% and mean adherence rate was77%. Personal and socio-cultural barriers of adherence to the exercise program were identified. UPDRS-III at follow up was lower in the intervention group.\ud Conclusions: A home exercise program was feasible. Socio-cultural barriers specific to Arabic culture may affect the uptake of such an intervention in PD in these countries.\ud \ud Key words: Parkinson's disease, DVD, social support, adherence
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