Evidence map›Paper›PMID 28579759›Full record

ArticlePatient preference and adherence2017

A randomized trial of individual versus group-format exercise and self-management in individuals with Parkinson's disease and comorbid depression.

Martha Sajatovic, Angela L Ridgel, Ellen M Walter, Curtis M Tatsuoka, Kari Colón-Zimmermann, Riane K Ramsey, Elisabeth Welter, Steven A Gunzler, Christina M Whitney, Benjamin L Walter

Open access · goldAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Patient preference and adherence, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed, 9 pooled it
3.7field-weighted citation impact, top 7% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 9 syntheses or guidelines pooled it, 57 citations in OpenAlex.

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  10. Review
  11. Intensive multidisciplinary rehabilitation modulates serumFrontiers in cellular neuroscience · 2026
    Article
  12. Article
  13. Review
  14. Neuropsychiatric disorders in Parkinson's disease.Therapeutic advances in neurological disorders · 2025
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Martha SajatovicDepartment of Neurology, Case Western Reserve University School of Medicine.
Angela L RidgelDepartment of Exercise Physiology, Kent State University, Kent.
Ellen M WalterDepartment of Neurology, Case Western Reserve University School of Medicine.
Curtis M TatsuokaDepartment of Neurology, Case Western Reserve University School of Medicine.
Kari Colón-ZimmermannNeurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland.
Riane K RamseyNeurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland.
Elisabeth WelterNeurological and Behavioral Outcomes Center, University Hospitals Cleveland Medical Center, Cleveland.
Steven A GunzlerDepartment of Neurology, Case Western Reserve University School of Medicine.
Christina M WhitneyDepartment of Neurology, Case Western Reserve University School of Medicine.
Benjamin L WalterDepartment of Neurology, Case Western Reserve University School of Medicine.
University Hospitals of Cleveland · USKent State University · US

Funding

CTSA INFRASTRUCTURE FOR PEDIATRIC RESEARCHUL1RR024989 · NCRR · CASE WESTERN RESERVE UNIVERSITY · PI DAVIS, PAMELA B · 2007 to 2011
$53.7M
NCRR NIH HHS UL1 RR024989
6 · The paper itself

Abstract

backgroundDepression is common in people with Parkinson's disease (PD), and exercise is known to improve depression and PD. However, lack of motivation and low self-efficacy can make exercise difficult for people with PD and comorbid depression (PD-Dep). A combined group exercise and chronic disease self-management (CDSM) program may improve the likeli-hood that individuals will engage in exercise and will show a reduction in depression symptoms. The purpose of this study was to compare changes in depression in PD-Dep between individual versus group exercise plus CDSM and to examine participant adherence and perception of the interventions.

methodsParticipants (N=30) were randomized to either Enhanced EXerCisE thErapy for PD (EXCEED; group CDSM and exercise) or self-guided CDSM plus exercise. Outcomes were change in depression assessed with the Montgomery-Asberg Depression Rating Scale (MADRS), cognition, apathy, anxiety, sleep, quality of life, motor function, self-efficacy, and patient satisfaction.

resultsBoth groups showed significant improvement in MADRS (

conclusionBoth group CDSM plus exercise and self-guided CDSM plus exercise can improve depression in PD-Dep. These findings suggest that development of a remotely delivered group-based CDSM format plus manualized exercise program could be useful for this population.

Indexed as

community-based researchmental healthphysical activityrehabilitation

Identifiers

PMID28579759
PMCPMC5449131
OpenAlexW2616676287

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.