We previously showed that laboratory-based, high-intensity resistance exercise improves sleep efficiency in individuals with PD in a randomized, controlled, clinical trial. We aim to adapt this protocol for remote delivery and to evaluate the usability of a remote sleep-monitoring device in people with Parkinson’s Disease (PwP). Guided by the IDEAS framework for digital health intervention design, we will modify the exercise protocol to ensure safety, accessibility, and fidelity in a home setting. Specific aims include: (1) assessing the adaptability of the HIRE protocol for remote implementation through participant acceptability ratings, adherence, exertion levels, and safety outcomes, (2) evaluating the usability of the Waveband sleep monitoring headband and adherence to night wear schedules, and 3) gather qualitative feedback through semi-structured interviews to understand participant perspectives on protocol design, session completion, and safety. Participants will complete three exercise sessions and wear a sleep headband and a mobility sensor for five days. The exercise sessions will be completed via the University-based HIPAA-compliant Zoom account. A link to the exercises, with descriptions and videos, will be provided to participants immediately before the first session via MedBridge, an online platform for home exercise programs. During the first session, participants will also be instructed on donning, doffing, and overall management of the sleep headband and the Axivity sensor. A neurologic physical therapist (PI) will virtually supervise the first and third exercise sessions, with the participant completing the second session independently to assess carryover and exercise completion, as documented in an exercise log. For safety reasons, participants must have a caregiver or family member present during the sessions and report any symptoms, including dizziness, lightheadedness, or pain. Before and after each exercise session, individuals will be asked about any adverse effects related to the intervention, including anticipated adverse events like muscle soreness or exercise-related injury or falls, as well as any unanticipated adverse events. After completing the exercise sessions, participants will fill out a questionnaire and participate in a semi-structured interview.

Who can Participate

Diagnosed with Parkinson's Disease, access to video and internet

Study ID