Evidence map›Paper›PMID 40314994›Full record

ArticleJMIR research protocols2025

An In-Person and Online Intervention for Parkinson Disease (UPGRADE-PD): Protocol for a Patient-Centered and Culturally Tailored 3-Arm Crossover Trial.

Michail Elpidoforou, Irene Grimani, Marianna Papadopoulou, Nikolaos Papagiannakis, Anastasia Bougea, Athina-Maria Simitsi, Evangelos Sfikas, Ioanna Alexandratou, Ioanna Alefanti, Roubina Antonelou and 5 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06220084 (Therapeutic Dance in Parkinson's Disease), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

NCT06220084 naunknown statusnot on this map

Therapeutic Dance in Parkinson's Disease: The UPbeating GReek Application of DancE in Parkinson's Disease (UPGRADE-PD) Clinical Trial

TypeinterventionalSponsorUniversity of West AtticaRan2023 to 2024Enrolled40ConditionsParkinson DiseaseArmsDance for PD®
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
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

15 authors.

Michail ElpidoforouLaboratory of Neuromuscular and Cardiovascular Study of Motion - LANECASM, Department of Physiotherapy, University of West Attica, Athens, Greece.ORCID 0000-0003-4750-6247
Irene GrimaniDepartment of Health Data Processing, Digital Governance Service, Greek Ministry of Health, Athens, Greece.ORCID 0009-0004-0816-1148
Marianna PapadopoulouLaboratory of Neuromuscular and Cardiovascular Study of Motion - LANECASM, Department of Physiotherapy, University of West Attica, Athens, Greece.ORCID 0000-0002-0163-7455
Nikolaos Papagiannakis1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-8401-8472
Anastasia Bougea1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-3006-8711
Athina-Maria Simitsi1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0002-7130-6256
Evangelos Sfikas1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-2655-1145
Ioanna Alexandratou1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-4128-3038
Ioanna Alefanti1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0009-0009-8790-4486
Roubina Antonelou1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-1485-3496
Christos Koros1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0001-5806-0717
Ioanna Mavroyianni1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0009-0001-5969-0056
Chrysa Chrysovitsanou1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0009-0004-8409-6675
Leonidas Stefanis1st Department of Neurology, Eginition Hospital, Medical School, National and Kapodistrian University of Athens, Athens, Greece.ORCID 0000-0003-3569-8990
Daphne BakalidouLaboratory of Neuromuscular and Cardiovascular Study of Motion - LANECASM, Department of Physiotherapy, University of West Attica, Athens, Greece.ORCID 0000-0003-3914-600X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDance for Parkinson's Disease (DfPD) is a dance program for individuals with Parkinson disease (PD). There is a lack of knowledge about the effect of this program on frailty and sarcopenia experienced by patients with PD. In addition, no randomized controlled trial to date has investigated either the possible differential effects of in-person versus online DfPD or the possible effects of DfPD on clinical parameters in Greek patients with PD.

objectiveWe aimed to assess the efficacy, safety, and feasibility of a culturally tailored and patient-centered DfPD program offered both in-person and online to Greek patients with early- to midstage PD.

methodsThis is a 3-arm crossover randomized controlled trial (in-person DfPD vs online DfPD vs control) of UPGRADE-PD (Upbeating Greek Application of Dance in Parkinson's Disease). The experimental period will be 10 months, including three 2-month interventional periods of two 60-minute dance classes per week for each group (in-person DfPD vs online DfPD) versus a control group (nonintervention group), and two 2-month washout periods between each group for 40 Greek patients with early- to midstage PD. Assessments will be performed face-to-face at baseline and at the end of each study period and will include quality of life, fatigue, depressive symptoms, stress, anxiety, sarcopenia, frailty, balance, cognitive functions, movement and nonmovement PD symptoms, and BMI. Safety, feasibility, and patient satisfaction for each dance intervention (in-person DfPD vs online DfPD) will be assessed as well.

resultsThe study protocol was approved by the Medical Ethics Committee of the Eginition University Hospital in September 2022 and the Research and Ethics Committee of the University of West Attica in October 2023 and funded in September 2023. The first participant was enrolled in April 2023, and the trial is currently ongoing and will conclude in September 2024.

conclusionsThe results of this study are expected to show the possible differential effect of a patient-centered and culturally tailored in-person vs online DfPD intervention on several movement and nonmovement symptoms, as well as on quality of life, sarcopenia, and frailty in people living with PD in Greece.

trial registrationClinicalTrials.gov NCT06220084; https://clinicaltrials.gov/study/NCT06220084. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/65490.

Indexed as

Dance TherapyParkinson DiseaseAgedCross-Over StudiesFemaleGreeceHumansMaleMiddle AgedPatient-Centered CareQuality of LifeRandomized Controlled Trials as Topiccultural tailoringdancefrailtyParkinson diseasepatient-centerednessquality of lifesarcopenia

Identifiers

PMID40314994
PMCPMC12084774

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Registered trials

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.