M11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease.
Journal article
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2016. M11 A randomised controlled feasibility trial of a physical activity behaviour change intervention compared to social interaction in huntington’s disease. Journal of Neurology, Neurosurgery & Psychiatry. https://doi.org/10.1136/jnnp-2016-314597.296
| Authors | Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza |
|---|---|
| Abstract | Background Regular physical activity has health benefits for people with Huntington’s disease (HD), however consistent engagement is challenging. We report the results of a single blind, multi-site, randomised controlled feasibility trial of a physical activity intervention in HD. Methods Participants were randomly assigned to physical activity or social contact control interventions. The primary outcome was feasibility. Short-term benefit was assessed with the Physical Performance Test (PPT), a measure of functional ability. A range of exploratory outcomes including home and community mobility (Life Space), self-efficacy (Lorig), physical activity (International Physical Activity Questionnaire (IPAQ)), as well as disease-specific measures of motor and cognitive function were evaluated. Intervention fidelity and delivery costs were established. The trial was registered (ISRCTN 65378754 (13/03/2014)). Results We recruited 46 people with HD; 22 were randomised to the physical intervention (n = 16 analysed); 24 to social contact (n = 22 analysed). Retention, fidelity and adherence met pre-determined criteria. IPAQ scores in the physical intervention group were 142% higher (1.42; 95% CI: [−22%%, 653%]); and self-efficacy for exercise (1.6; 95% CI: [0.6, 2.7]) was also higher. Life Space scores were 12 points different between groups; 95% CI: [−2, 27]. Cognitive function was better in the physical intervention group with 2·9 more correct responses (95% CI: [0.01, 5.9]) on the Symbol Digit Modality test. There were no differences in other exploratory outcome measures and in particular no between-group differences in the PPT (treatment effect: 0.3, 95% CI: [−2.1, 2.7]). Mean (SD) physical intervention per session cost was £56.97 (£34.72). Conclusion A physical activity coaching intervention is feasible, can improve self-efficacy, physical activity behaviours and cognitive function in people with HD and represents excellent value for money in a devastating disease. |
Background Regular physical activity has health benefits for people with Huntington’s disease (HD), however consistent engagement is challenging. We report the results of a single blind, multi-site, randomised controlled feasibility trial of a physical activity intervention in HD. Methods Participants were randomly assigned to physical activity or social contact control interventions. The primary outcome was feasibility. Short-term benefit was assessed with the Physical Performance Test (PPT), a measure of functional ability. A range of exploratory outcomes including home and community mobility (Life Space), self-efficacy (Lorig), physical activity (International Physical Activity Questionnaire (IPAQ)), as well as disease-specific measures of motor and cognitive function were evaluated. Intervention fidelity and delivery costs were established. The trial was registered (ISRCTN 65378754 (13/03/2014)). Results We recruited 46 people with HD; 22 were randomised to the physical intervention (n = 16 analysed); 24 to social contact (n = 22 analysed). Retention, fidelity and adherence met pre-determined criteria. IPAQ scores in the physical intervention group were 142% higher (1.42; 95% CI: [−22%%, 653%]); and self-efficacy for exercise (1.6; 95% CI: [0.6, 2.7]) was also higher. Life Space scores were 12 points different between groups; 95% CI: [−2, 27]. Cognitive function was better in the physical intervention group with 2·9 more correct responses (95% CI: [0.01, 5.9]) on the Symbol Digit Modality test. There were no differences in other exploratory outcome measures and in particular no between-group differences in the PPT (treatment effect: 0.3, 95% CI: [−2.1, 2.7]). Mean (SD) physical intervention per session cost was £56.97 (£34.72). Conclusion A physical activity coaching intervention is feasible, can improve self-efficacy, physical activity behaviours and cognitive function in people with HD and represents excellent value for money in a devastating disease. | |
| Keywords | Physical activity; Huntington’s disease |
| Year | 2016 |
| Journal | Journal of Neurology, Neurosurgery & Psychiatry |
| Publisher | BMJ Publishing Group Ltd. |
| ISSN | 00223050 |
| 1468330X | |
| Digital Object Identifier (DOI) | https://doi.org/10.1136/jnnp-2016-314597.296 |
| Web address (URL) | http://hdl.handle.net/10545/622846 |
| hdl:10545/622846 | |
| Publication dates | 13 Sep 2016 |
| Publication process dates | |
| Deposited | 27 Jul 2018, 15:24 |
| Rights | Archived with thanks to Journal of Neurology, Neurosurgery & Psychiatry |
| Contributors | Cardiff University and Oxford Brookes University |
| File | File Access Level Open |
| File | File Access Level Open |
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McEwan, Kirsten, Gilbert, Paul and Duarte, Joana 2011. An exploration of competitiveness and caring in relation to psychopathology. British Journal of Clinical Psychology. https://doi.org/10.1111/j.2044-8260.2011.02010.xAn exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team.
Judge, Lorna, Cleghorn, Ailish, McEwan, Kirsten and Gilbert, Paul 2012. An exploration of group-based compassion focused therapy for a heterogeneous range of clients presenting to a community mental health team. International Journal of Cognitive Therapy. https://doi.org/10.1521/ijct.2012.5.4.420Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism.
Gilbert, Paul, McEwan, Kirsten, Gibbons, L., Duarte, Joana and Matos, Marcela 2011. Fears of compassion and happiness in relation to alexithymia, mindfulness, and self-criticism. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/j.2044-8341.2011.02046.xOptimising mobility outcome measures in Huntington's disease.
Busse, Monica, Quinn, Lori, Khalil, Hanan and McEwan, Kirsten 2014. Optimising mobility outcome measures in Huntington's disease. Journal of Huntington's Disease. https://doi.org/10.3233/JHD-140091Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial.
Busse, Monica, Quinn, Lori, Drew, Cheney, Kelson, Mark, Trubey, Rob, McEwan, Kirsten, Jones, Carys, Townson, Julia, Dawes, Helen, Tudor-Edwards, Rhiannon, Rosser, Anne and Hood, Kerenza 2017. Physical activity self-management and coaching compared to social interaction in huntington disease: results from the ENGAGE-HD randomized, controlled, pilot feasibility trial. Physical Therapy. https://doi.org/10.1093/ptj/pzx031Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study.
Ludd-Widger, Fiona V., Cannings-John, Rebecca, Channon, Sue, Fitzsimmons, Deborah, Hood, Kerenza, Jones, Kerina H., Kemp, Alison, Kenkre, Joyce, Longo, Mirella, McEwan, Kirsten, Moody, Gwenllian, Owen-Jones, Eleri, Sanders, Julia, Segrott, Jeremy and Robling, Mike 2017. Assessing the medium-term impact of a home-visiting programme on child maltreatment in England: protocol for a routine data linkage study. BMJ Open. https://doi.org/10.1136/bmjopen-2016-015728Availability of breastfeeding peer-support in the UK: a cross-sectional survey.
Grant, Aimee, McEwan, Kirsten, Tedstone, Sally, Greene, Giles, Copeland, Lauren, Hunter, Billie, Sanders, Julia, Phillips, Rhiannon, Brown, Amy, Robling, Mike and Paranjothy, Shantini 2017. Availability of breastfeeding peer-support in the UK: a cross-sectional survey. Maternal and Child Nutrition. https://doi.org/10.1111/mcn.12476Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition.
Hales, Charlotte, Taylor, Peter N., Channon, Sue, Paradice, Ruth, McEwan, Kirsten, Zhang, Lei, Gyedu, Michael, Bakhsh, Ameen, Okosieme, Onyebuchi, Muller, Ilaria, Draman, Mohd S., Gregory, John W., Dayan, Colin, Lazarus, John H., Rees, D Aled and Ludgate, Marian 2018. Controlled antenatal thyroid screening II: Effect of treating maternal suboptimal thyroid function on child cognition. The Journal of clinical endocrinology and metabolism. https://doi.org/10.1210/jc.2017-02378Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety.
McEwan, Kirsten, Elander, James and Gilbert, Paul 2018. Evaluation of a web-based self-compassion intervention to reduce student assessment anxiety. Interdisciplinary Education and Psychology.Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample.
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca, Baião, Rita and Palmeira, Lara 2013. Fears of happiness and compassion in relationship with depression, alexithymia, and attachment security in a depressed sample. British Journal of Clinical Psychology. https://doi.org/10.1111/bjc.12037A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm.
Clarke, Martin, McEwan, Kirsten, Ness, Jennifer, Waters, Keith, Basran, Jaskaran and Gilbert, Paul 2016. A descriptive study of feelings of arrested escape (entrapment) and arrested anger in people presenting to an emergency department following an episode of self-harm. Frontiers in Psychiatry. https://doi.org/10.3389/fpsyt.2016.00155A pilot study mapping citizens' interaction with urban nature
Ferrara, E., Liotta, A., Erhan, L., Ndubuaku, M., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A pilot study mapping citizens' interaction with urban nature. IEEE International Symposium on Dependable, Autonomic and Secure Computing. Athens, Greece 12 - 15 Aug 2018 IEEE. https://doi.org/10.1109/dasc/picom/datacom/cyberscitec.2018.00-21A Demographic Analysis of Urban Nature Utilization
Ferrara, E., Liotta, A., Ndubuaku, M., Erhan, L., Giusto, D., Richardson, M., Sheffield, D. and McEwan, K. 2018. A Demographic Analysis of Urban Nature Utilization. 10th Computer Science and Electronic Engineering Conference. 19 - 21 Sep 2018 IEEE Xplore. https://doi.org/10.1109/ceec.2018.8674206Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol.
Nollett, Claire, Lewis, Catrin, Kitchiner, Neil, Roberts, Neil, Addison, Katy, Brookes-Howell, Lucy, Cosgrove, Sarah, Cullen, Katherine, Ehlers, Anke, Heke, Sarah, Kelson, Mark, Lovell, Karina, Madden, Kim, McEwan, Kirsten, McNamara, Rachel, Philips, Ceri, Pickles, Timothy, Simon, Natalie and Bisson, Jonathan 2018. Pragmatic Randomised controlled trial of a trauma-focused guided self-help Programme versus InDividual trauma-focused cognitive behavioural therapy for post-traumatic stress disorder (RAPID): trial protocol. BMC Psychiatry. 18 (77), pp. 1-14. https://doi.org/10.1186/s12888-018-1665-3A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population
McEwan, Kirsten and Gilbert, Paul 2015. A pilot feasibility study exploring the practising of compassionate imagery exercises in a nonclinical population. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12078Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress
Catarino, Francisca, Gilbert, Paul, McEwan, Kirsten and Baião, Rita 2014. Compassion motivations: Distinguishing submissive compassion from genuine compassion and its association with shame, submissive behavior, depression, anxiety and stress. Journal of Social and Clinical Psychology. https://doi.org/10.1521/jscp.2014.33.5.399Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study
Baião, Rita, Gilbert, Paul, McEwan, Kirsten and Carvalho, Sérgio 2014. Forms of self-criticising/attacking & self-reassuring scale: Psychometric properties and normative study. Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12049Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of negative emotions in relation to fears of happiness, compassion, alexithymia and psychopathology in a depressed population: A preliminary study. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-004Fears of compassion in a depressed population: Implication for psychotherapy
Gilbert, Paul, McEwan, Kirsten, Catarino, Francisca and Baião, Rita 2014. Fears of compassion in a depressed population: Implication for psychotherapy. Journal of Depression and Anxiety. https://doi.org/10.4172/2167-1044.S2-003The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics
Maratos, Frances A., Duarte, Joana, Barnes, Christopher, McEwan, Kirsten, Sheffield, David and Gilbert, Paul 2017. The physiological and emotional effects of touch: Assessing a hand-massage intervention with high self-critics. Psychiatry Research. 250, pp. 221-227. https://doi.org/10.1016/j.psychres.2017.01.066Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature
Richardson, Miles, McEwan, Kirsten, Maratos, Frances A. and Sheffield, David 2016. Joy and calm: how an evolutionary functional model of affect regulation informs positive emotions in nature. Evolutionary Psychological Science. https://doi.org/10.1007/s40806-016-0065-5Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics?
Duarte, Joana, McEwan, Kirsten, Barnes, Christopher, Gilbert, Paul and Maratos, Frances A. 2015. Do therapeutic imagery practices affect physiological and emotional indicators of threat in high self-critics? Psychology and Psychotherapy: Theory, Research and Practice. https://doi.org/10.1111/papt.12043Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set
McEwan, Kirsten, Gilbert, Paul, Dandeneau, Stephane, Lipka, Sigrid, Maratos, Frances A., Paterson, Kevin B. and Baldwin, Mark 2014. Facial expressions depicting compassionate and critical emotions: the development and validation of a new emotional face stimulus set. PLos ONE. https://doi.org/10.1371/journal.pone.0088783