We tell everyone to exercise in Parkinson's, however we all know how hard it is to stick w/ exercise even if you don't have Parkinson's? What do we need? A Knowledge, Exercise-Efficacy and Participation (KEEP) intervention. Check out this KEEP digital intervention by Agley @journal_PD. Key Points: - The authors point out we tell virtually everyone 'face-to-face to follow a generic one-size-fit-all exercise approach.' - They wanted to rise up and meet the demand for 'interventions that are easily accessible, scalable and co-designed with people living with Parkinson's. - They examined 30 folks in an assessor-blinded randomized feasibility trial. - 64% recruitment rate. - All but one participant completed the 6-month follow-up. - Accelerometer data with a daily average wear time of 23.9 hours. My take: The authors are tackling an under-appreciated and critically important challenge in Parkinson's disease. We have an intervention that works, but many people don't use it or stick with it. Knowledge, exercise-efficacy and participation to the rescue. Though this may not work for everyone, we need to galvanize the community to figure out how to scale up exercise us in Parkinson's, and we need to stop assuming that because we tell everyone to exercise that they do it. BRAVO to Agley and colleagues for persisting to aut viam inveniam aut faciam – I will either find a way or make one. content.iospress.com/articles/journ… #parkinson @ParkinsonDotOrg
