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A novel highly challenging balance training program (HiBalance) was found to improve gait, balance, and physical activity in persons with Parkinson\u2019s disease (<jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>) in an earlier randomized controlled trial. This study aimed to describe the adaptation process and feasibility of implementing the HiBalance program for <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> within primary healthcare settings.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Feasibility was assessed in terms of study processes and scientific evaluation. Nine persons with mild\u2013moderate <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content> were enrolled in this pre\u2013post feasibility study. The dose of the original program was adapted by reducing therapist\u2010led training sessions from three to two times weekly. Outcome measures were substituted with ones more clinically feasible. One group (<jats:italic>n<\/jats:italic>\u00a0=\u00a05) received HiBalance training three times weekly for 10\u00a0weeks while another (<jats:italic>n<\/jats:italic>\u00a0=\u00a04) trained twice weekly plus a once weekly home exercise program (<jats:styled-content style=\"fixed-case\">HEP<\/jats:styled-content>). Balance performance was the primary outcome, while secondary outcomes (e.g., gait speed, physical activity level, concerns of falling, and health\u2010related quality of life) were also evaluated.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>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 <jats:styled-content style=\"fixed-case\">PD<\/jats:styled-content>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>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\u2010term effects as the original program.<\/jats:p><\/jats:sec>","DOI":"10.1002\/brb3.1021","type":"journal-article","created":{"date-parts":[[2018,6,22]],"date-time":"2018-06-22T04:10:51Z","timestamp":1529640651000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Implementation of the HiBalance training program for Parkinson\u2019s disease in clinical settings: A feasibility study"],"prefix":"10.1002","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3121-2685","authenticated-orcid":false,"given":"Conran","family":"Joseph","sequence":"first","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Physiotherapy Karolinska Institutet  Stockholm Sweden"},{"name":"Faculty of Community and Health Sciences Physiotherapy Department University of the Western Cape  Cape Town South Africa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9469-6410","authenticated-orcid":false,"given":"Breiffni","family":"Leavy","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Physiotherapy Karolinska Institutet  Stockholm Sweden"},{"name":"Unit of Research and Development Stockholms Sjukhem Foundation  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sara","family":"Mattsson","sequence":"additional","affiliation":[{"name":"Rehabilitation and Primary care Stockholms Sjukhem Foundation  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lynn","family":"Falk","sequence":"additional","affiliation":[{"name":"Rehabilitation and Primary care Stockholms Sjukhem Foundation  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"Department of Neurobiology, Care Sciences and Society Division of Physiotherapy Karolinska Institutet  Stockholm Sweden"},{"name":"Unit of Research and Development Stockholms Sjukhem Foundation  Stockholm Sweden"},{"name":"Allied Health Professionals Function Karolinska University Hospital  Stockholm Sweden"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,6,21]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1007\/s004150170047"},{"key":"e_1_2_7_3_1","first-page":"1","article-title":"Translating research into practice: Speeding the adoption of innovative health care programs","volume":"724","author":"Bradley E. 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