Assessing The Feasibility Of Behavioural Activation Programme Enhanced By A Virtual Reality Exercise Programme to support people with Parkinson’s (BAPP-VR)

Introduction Parkinson’s is a neurological condition with the fastest growing prevalence globally. Approximately 50% of people with Parkinson’s display symptoms of anxiety and depression. Early intervention through regular exercise has been acknowledged to support physical symptoms, and evidence-based talking therapy has been shown to support non-motor symptoms.

Methods A feasibility and mixed method research design to test the potential benefits and acceptability of a 6-week Behavioural Activation (BA) intervention to support people with Parkinson’s enhanced by a Virtual Reality exercise programme. Three phases have been scheduled from June-November 2023. Data is being collected using a range of quantitative questionnaires including pre and post measures (GAD-7/PHQ-9) and the Berg Balance Scale (BBS). Semi-structured interviews are being used to gather participant experiences.

Results Preliminary findings have been collected and indicate some improvement in depression scores. PHQ-9 scores improved pre (Mean = 11, SD = 4.36) to post (Mean = 8.75, SD = 1.5) BAPP-VR intervention. Improvements to BBS have also been recorded. Initial analysis of the qualitative interviews from phase one of the study state that the BA element of the intervention ‘is a simple way to analyse and change things that help me to push...’ with another participant stating that the BA intervention ‘lifted the mood, lifted the anxiety and gave me purpose.’ A further participant commented that, ‘[VR] is a different world, escapism... I felt like my tremor was not as bad.’

Conclusion Initial data shows potential feasibility and acceptability of the BAPP-VR intervention which needs to be confirmed in a phase III randomised controlled trial.

Impact Patients have had the opportunity to engage in a two-armed intervention supporting motor and non-motor symptoms. Carers and healthcare staff have had the opportunity to offer feedback regarding patient involvement and support which will aid and inform future practice.