title: A pilot study of a minimally supervised home exercise and walking program for people with Parkinson's disease in Jordan.
abstract: OBJECTIVE
  This study aimed to evaluate the feasibility and cultural considerations of a minimally supervised, home-based exercise program in Jordan.
  
  
  METHODS
  Quantitative and qualitative approaches were used. Thirty participants were randomly allocated to either an 8-week intervention group (n = 16), or a standard care group (n = 14). The intervention incorporated the home use of an exercise DVD, walking program and initial instructional sessions and weekly phone calls provided by a physiotherapist. Interviews were used to explore feasibility. Unified Parkinson's disease rating scale (UPDRS-III); balance and walking speed were assessed.
  
  
  RESULTS
  The retention rate was 86.7% and mean adherence rate was 77%. Personal and sociocultural barriers of adherence to the exercise program were identified. UPDRS-III at follow-up was lower in the intervention group.
  
  
  CONCLUSIONS
  A home exercise program was feasible. Sociocultural barriers specific to Arabic culture may affect the uptake of such an intervention in Parkinson's disease in these countries.
authors.affiliation: Faculty of Applied Medical Sciences, Department of Rehabilitation Sciences, Jordan University of Science & Technology, Irbid, Jordan.
authors.forename: Hanan
authors.initials: H
authors.lastname: Khalil
authors.affiliation: Cardiff University, Centre for Trials Research, Cardiff, UK.
authors.forename: Monica
authors.initials: M
authors.lastname: Busse
authors.affiliation: Teachers College, Columbia University, Department of Biobehavioral Sciences, New York, NY, USA.
authors.forename: Lori
authors.initials: L
authors.lastname: Quinn
authors.affiliation: Faculty of Applied Medical Sciences, Department of Rehabilitation Sciences, Jordan University of Science & Technology, Irbid, Jordan.
authors.forename: Mohammad
authors.initials: M
authors.lastname: Nazzal
authors.affiliation: Neurology Department, Princess Basma Hospital, Irbid, Jordan.
authors.forename: Waleed
authors.initials: W
authors.lastname: Batyha
authors.affiliation: Faculty of Applied Medical Sciences, Department of Rehabilitation Sciences, Jordan University of Science & Technology, Irbid, Jordan.
authors.forename: Shatha
authors.initials: S
authors.lastname: Alkhazaleh
authors.affiliation: Division of Physical Therapy, Department of Rehabilitation Sciences, Jordan University of Science and Technology, Irbid, Jordan.
authors.forename: Mahmoud A
authors.initials: MA
authors.lastname: Alomari
mesh_terms: D000328:Adult; D003466:Cultural Characteristics; D005081:Exercise Therapy; D005240:Feasibility Studies; D006801:Humans; D007597:Jordan; D008875:Middle Aged; D010300:Parkinson Disease / Q000534:rehabilitation*; D010349:Patient Compliance; D010865:Pilot Projects; D016138:Walking; D000072797:Walking Speed
keywords: DVD; Parkinson's disease; adherence; social support