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Updated: Mar 8, 2026

Walk with Me Hybrid Virtual/In-Person Walking for Older Adults with Neurodegenerative Disease
Published on: June 16, 2023
A pilot study of a minimally supervised home exercise and walking program for people with Parkinson's disease in
Hanan Khalil1, Monica Busse2, Lori Quinn3
1Faculty of Applied Medical Sciences, Department of Rehabilitation Sciences, Jordan University of Science & Technology, Irbid, Jordan.
Aim:
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.
Conclusion:
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.
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