{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T09:57:10Z","timestamp":1777888630873,"version":"3.51.4"},"reference-count":73,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,7,30]],"date-time":"2024-07-30T00:00:00Z","timestamp":1722297600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Journal of Parkinson\u2019s Disease"],"published-print":{"date-parts":[[2024,9,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>Exercise promotion interventions for people with Parkinson\u2019s disease (PD) are often offered on a face-to-face basis, follow a generic \u201cone-size-fit-all\u201d approach, and are not typically delivered at diagnosis. Considering PD\u2019s heterogenous nature, the existing evidence on the merits of exercise on symptom management and the expressed wishes of people living with PD for access to timely and tailored evidence-based information, there is a demand for interventions that are easily accessible, scalable and co-designed with people living with PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Evaluate the feasibility and acceptability of a co-designed digital intervention promoting exercise and physical activity, in people newly diagnosed with PD.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Thirty people living with PD for less than one year participated in an assessor-blinded randomized feasibility trial from June 2022 to April 2023. The intervention group received the 8-week Knowledge, Exercise Efficacy and Participation (KEEP) intervention comprising 6 interactive digital modules and 4 online live group discussions facilitated by a specialist physiotherapist. Assessments were performed at baseline, post intervention and at 6-month follow up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Thirty participants were recruited to target with a 64% recruitment rate (30\/47). All but one participant completed the 6-month follow-up assessment. There was high retention (97%), module completion (91%), and online discussion attendance (88%). Outcome measure collection was feasible, including accelerometer data with a daily average wear time of 23.9 hours (SD:0.295).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The KEEP intervention was feasible and acceptable in people newly diagnosed with PD. A larger trial is needed to assess intervention efficacy and correlation between knowledge, self-efficacy, and activity levels.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3233\/jpd-240071","type":"journal-article","created":{"date-parts":[[2024,8,2]],"date-time":"2024-08-02T09:40:56Z","timestamp":1722591656000},"page":"1193-1210","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":7,"title":["Digital Intervention Promoting Physical Activity in People Newly Diagnosed with Parkinson\u2019s Disease: Feasibility and Acceptability of the Knowledge, Exercise-Efficacy and Participation (KEEP) Intervention"],"prefix":"10.1177","volume":"14","author":[{"given":"Ledia","family":"Agley","sequence":"first","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Peter","family":"Hartley","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"},{"name":"Department of Physiotherapy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danielle","family":"Duffill","sequence":"additional","affiliation":[{"name":"Department of Neurological Conditions, Cambridgeshire and Peterborough Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arshi","family":"Iqbal","sequence":"additional","affiliation":[{"name":"Department of Physiotherapy, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alistair","family":"Mackett","sequence":"additional","affiliation":[{"name":"Department of Medicine for the Elderly, Cambridge University Hospitals NHS Foundation Trust, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kirsten L.","family":"Rennie","sequence":"additional","affiliation":[{"name":"MRC Epidemiology Unit, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Louise","family":"Lafortune","sequence":"additional","affiliation":[{"name":"Department of Public Health and Primary Care, University of Cambridge, Cambridge, UK"},{"name":"Cambridge Public Health, University of Cambridge, Cambridge, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2024,7,30]]},"reference":[{"key":"ref001","doi-asserted-by":"publisher","DOI":"10.1007\/s12264-022-00934-6"},{"key":"ref002","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2019.22360"},{"key":"ref003","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-012-0289-1"},{"key":"ref004","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph17010031"},{"key":"ref005","doi-asserted-by":"publisher","DOI":"10.4103\/aian.AIAN_169_18"},{"key":"ref006","doi-asserted-by":"publisher","DOI":"10.1016\/j.clinthera.2017.11.004"},{"key":"ref007","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.2010.01338.x"},{"key":"ref008","unstructured":"National Institute for Health and Care Excellence. 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