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mHealth-assisted expiratory muscle strength training in Parkinson's disease patients: A proof-of-concept study

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F00064165%3A_____%2F24%3A10496941" target="_blank" >RIV/00064165:_____/24:10496941 - isvavai.cz</a>

  • Alternative codes found

    RIV/68407700:21460/24:00390075 RIV/00216208:11110/24:10496941

  • Result on the web

    <a href="https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=gXwvq72KLD" target="_blank" >https://verso.is.cuni.cz/pub/verso.fpl?fname=obd_publikace_handle&handle=gXwvq72KLD</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1177/1877718X241296013" target="_blank" >10.1177/1877718X241296013</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    mHealth-assisted expiratory muscle strength training in Parkinson's disease patients: A proof-of-concept study

  • Original language description

    Background: Expiratory muscle strength training (EMST) is acknowledged for its therapeutic benefits in Parkinson&apos;s disease (PD), yet long-term adherence remains a challenge. Objective: The primary aim of this study was to assess the preliminary effects of EMST coupled with a mobile health app (SpiroGym) on self-efficacy and exercise adherence in PD patients. The secondary aim was to assess the usability of the SpiroGym app. Methods: This single-group, multicenter, multinational proof-of-concept study involved 63 PD patients across four tertiary PD centers. Participants were enrolled in either a 1-week (n = 35) or 24-week (n = 28) EMST program coupled with SpiroGym app. Self-efficacy was assessed using the Self-Efficacy for Home Exercise Program scale (SEHEPS) and exercise adherence was monitored by SpiroGym app. Usability was evaluated using the System Usability Scale. Results: Post-intervention, significant improvements in SEHEPS were observed in 1-week group (d = 0.48; p = 0.02) and 24-week group (d = 0.57; p = 0.002). Adherence rates in the 24-week PD patient group were high throughout the course of the study. Post-training SEHEPS was found to correlate (rho = 0.55; adjusted p = 0.016) with adherence to EMST during the non-supervised maintenance phase. The SpiroGym app exhibited high usability (&gt;85th percentile score), with no significant differences noted between short-term and long-term use, indicating sustained user satisfaction. Conclusions: The results of our study suggest a promising role for SpiroGym app in supporting adherence to home-based EMST in PD patients. Nevertheless, future comparative studies are required to confirm SpiroGym&apos;s effectiveness.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30103 - Neurosciences (including psychophysiology)

Result continuities

  • Project

    Result was created during the realization of more than one project. More information in the Projects tab.

  • Continuities

    I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Others

  • Publication year

    2024

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Journal of Parkinson&apos;s Disease

  • ISSN

    1877-7171

  • e-ISSN

    1877-718X

  • Volume of the periodical

    14

  • Issue of the periodical within the volume

    8

  • Country of publishing house

    NL - THE KINGDOM OF THE NETHERLANDS

  • Number of pages

    8

  • Pages from-to

    1623-1630

  • UT code for WoS article

    001461098100015

  • EID of the result in the Scopus database

    2-s2.0-85218926766