{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:29:18Z","timestamp":1777534158763,"version":"3.51.4"},"reference-count":16,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,5,3]],"date-time":"2020-05-03T00:00:00Z","timestamp":1588464000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"V\u00e5rdalstifelsen"},{"DOI":"10.13039\/501100004047","name":"Karolinska Institutet","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004047","id-type":"DOI","asserted-by":"publisher"}]},{"name":"The Swedish Research council for Health, Working life and Welfare"},{"DOI":"10.13039\/501100004359","name":"Vetenskapsr\u00e5det","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004359","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2020,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>(1) To determine associated factors of improved balance performance after a 10-week HiBalance intervention period, and (2) to determine effects of the programme on modifiable factors found above, considering both groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Pre-posttest substudy founded on the outcomes evaluation of an effectiveness-implementation trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants:<\/jats:title>\n                    <jats:p>Sixty-one participants were allocated the HiBalance training, while 56 were controls.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Intervention:<\/jats:title>\n                    <jats:p>Participants received a 10-week, two times weekly, progressive balance training, that is, HiBalance intervention, led by physical therapists. The intervention was group based and gradually incorporated dual-tasking over the training period. Participants also performed, unsupervised, a 1\u00d7\/week home exercise programme.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main outcome:<\/jats:title>\n                    <jats:p>The Mini-Balance Evaluation Systems Test (Mini-BESTest) assessed balance performance, and those having improved by\u2009\u2a7e2 points were classified as positive responders. Balance confidence was the secondary outcome.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Fifty-three (87%) participants completed the intervention and 32 (60%) improved their balance scores by\u2009\u2a7e2 points in the intervention group, with 11 (24%) in the control group. The multivariable logistic regression analysis revealed two independently associated factors of improved balance, which included balance confidence (odds ratio (OR)\u2009=\u20090.95; 95% confidence interval (CI)\u2009=\u20090.90\u20130.99) and attendance of\u2009\u2a7e80% of training sessions (OR\u2009=\u200910.10; 95% CI\u2009=\u20091.71\u201359.60). The final model demonstrated good fit and acceptable discrimination (area under the curve\u2009=\u20090.84). Secondary analysis revealed a fair relationship (Rho\u2009=\u20090.30; P\u2009=\u20090.044) between improvements in balance confidence and balance performance in the intervention but not control group.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Two personal factors were significantly associated with a higher likelihood of improvement in clinically measured balance performance. The HiBalance intervention appears to benefit those with lower balance confidence.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520917199","type":"journal-article","created":{"date-parts":[[2020,5,4]],"date-time":"2020-05-04T00:33:35Z","timestamp":1588552415000},"page":"837-844","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Predictors of improved balance performance in persons with Parkinson\u2019s disease following a training intervention: analysis of data from an effectiveness-implementation trial"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3121-2685","authenticated-orcid":false,"given":"Conran","family":"Joseph","sequence":"first","affiliation":[{"name":"Division of Physiotherapy, Department of Health and Rehabilitation Sciences, Stellenbosch University, Cape Town, South Africa"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Breiffni","family":"Leavy","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Flemingsberg, Sweden"},{"name":"Stockholms Sjukhem Foundation, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5520-544X","authenticated-orcid":false,"given":"Erika","family":"Franz\u00e9n","sequence":"additional","affiliation":[{"name":"Division of Physiotherapy, Department of Neurobiology, Care Sciences and Society, Karolinska Institutet, Flemingsberg, Sweden"},{"name":"Stockholms Sjukhem Foundation, Stockholm, Sweden"},{"name":"Function Area Occupational Therapy & Physiotherapy, Allied Health Professionals Function, Karolinska University Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,3]]},"reference":[{"key":"bibr1-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1016\/j.neubiorev.2016.07.010"},{"key":"bibr2-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-017-0809-2"},{"key":"bibr3-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1016\/0197-4580(89)90010-9"},{"key":"bibr4-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1177\/1545968314567150"},{"key":"bibr5-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000246"},{"key":"bibr6-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1097\/NPT.0000000000000298"},{"key":"bibr7-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1186\/s12883-014-0235-7"},{"issue":"12","key":"bibr8-0269215520917199","first-page":"614","volume":"44","author":"Chan YH","year":"2003","journal-title":"Singapore Med J"},{"key":"bibr9-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2016.02.015"},{"key":"bibr10-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1093\/ageing\/afr037"},{"key":"bibr11-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1037\/0033-295X.84.2.191"},{"key":"bibr12-0269215520917199","doi-asserted-by":"publisher","DOI":"10.2165\/11531930-000000000-00000"},{"key":"bibr13-0269215520917199","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-160826"},{"key":"bibr14-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1002\/brb3.1081"},{"key":"bibr15-0269215520917199","doi-asserted-by":"publisher","DOI":"10.3109\/21679169.2016.1156156"},{"key":"bibr16-0269215520917199","doi-asserted-by":"publisher","DOI":"10.1080\/10833196.2017.1314687"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215520917199","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215520917199","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215520917199","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:54:47Z","timestamp":1777395287000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215520917199"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,3]]},"references-count":16,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2020,6]]}},"alternative-id":["10.1177\/0269215520917199"],"URL":"https:\/\/doi.org\/10.1177\/0269215520917199","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,3]]}}}