Consultative physical therapy: a physical activity and exercise implementation strategy in parkinson's

Active Project Grant Awarded Last action

Award ID
R01HD110668
Recipient
Awarding agency
Obligated
$3,778,789

Award facts

Completion date 68% complete
Place of performance
Chicago, IL 60611, USA

Award details come from USAspending.gov.

Description

As the agency reported it.

Abstract
Exercise is a subset of physical activity that is structured and planned, with a goal to increase fitness. Regular exercise is associated with slower declines in parkinson's-related mobility outcomes and quality of life. However, fewer than half of people with parkinson's disease (PWP) achieve recommended levels of exercise. Exercise barriers include lowknowledge and expectations of the benefits, mobility concerns, and lack of time or convenient exercise options. Research is needed to determine how to facilitate exercise initiation, progression, and maintenance in PWP and those with other disabilities or chronic conditions. Physical therapy (PT) is a healthcare service that can help PWP and other conditions to address personal and environmental barriers to exercise. We have successfully piloted a consultative PT program to help PWP to increase and maintain their exercise and physical function. We distinguish consultative PT from traditional PT by using fewer, less frequent visits. Additionally, consultative PT focuses on exercise promotion in the presence of minimal or stable functional deficits, rather than brief but intense episodes of PT for functional gains. However, referral to consultative PT challenges traditional perceptions of PT as a treatment for mobility problems. The proposed effectiveness-implementation hybrid type II study will systematically evaluate consultative PT in two dissimilar contexts to inform effective sustainment, equitable spread to other parkinson's programs, and future scaling to other populations that can benefit from exercise monitoring and maintenance. First, we will use mixed effects regression models to evaluate differences in 12-month physical activity trajectories between individuals enrolled during periods of (1) standard care, (2) written exercise guidance from neurologists, and (3) consultativept (AIM1). We will enroll 96 PWP per group. We hypothesize that consultative PT will help PWP improve and maintain exercise participation, controlling for disease-specific factors and social determinants of health. Second, we will contrast consultative PT implementation determinants, strategies, outcomes, and sustainment between organizations in two dissimilar communities (aim 2). We will study determinants at the individual, interpersonal, organizational, and community levels. We hypothesize that facilitated implementation will lead to similar fidelity, adoption, acceptability, and appropriateness between organizations, but that the lower-resourced community will experience challenges to reach and sustainment. This proposal is responsive to the national institutes of health notice of special interest on developing and testing multilevel physical activity interventions (not-OD-21-087). Additionally, the proposed project addresses the eunice kennedy shriver national institute on child health and human development's research theme to advance safe and effective therapeutic interventions for people with disabilities. Targeting two dissimilar communities will facilitate the equity of the current and future work to help US optimize abilities for all.

Transactions

Action Obligated Date
Amendment $496,801
Amendment $490,671
Amendment $490,671
Amendment $441,747
Amendment $441,747
Amendment $0
Amendment $0
Amendment $472,384
Amendment $472,384
Original award $472,384

Subawards

Subrecipient Amount Awarded
Chicago Association For Research & Education In Science Sandra Kletzel, PhD is a Researcher at the Edward Hines Jr. VA Hospital who leads research efforts related to Parkinson’s disease in collaboration with Dr.… $76,469
Northwestern University Consultative Physical Therapy: A Physical Activity and Exercise Implementation Strategy in Parkinson's $13,789
The University Of Chicago Tao Xie, MD, PhD is a Professor in the Department of Neurology in the Biological Sciences Division at the University of Chicago. He is a board certified… $228,080
Northwestern University Discuss weekly progress, questions, and concerns at weekly BRIDGES team meetings. Serving as the senior implementation science methodologist. $6,789
Northwestern Lake Forest Hospital Dr. Avram Fraint, a Lake Forest Hospital (Northwestern Medicine) board certified neurologist and fellowship trained movement disorder specialist who continues… $28,790
The University Of Chicago Tao Xie, MD, PhD is a Professor in the Department of Neurology in the Biological Sciences Division at the University of Chicago and is a board certified… $76,027
Northwestern University The scope of work for this project for Northwestern and Dr. Brown: Discuss weekly progress, questions, and concerns with Dr. Rafferty at weekly BRIDGES team… $3,480

Quick answers

Who received award R01HD110668?

R01HD110668 was awarded to Rehabilitation Institute Of Chicago by National Institute of Child Health and Human Development (National Institutes of Health) on June 13, 2023.

How much is award R01HD110668 worth?

$3,778,789 has been obligated on R01HD110668.

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