https://doi.org/10.1177/0269215520976265 Clinical Rehabilitation 1–12 © The Author(s) 2020 Article reuse guidelines: sagepub.com/journals-permissions DOI: 10.1177/0269215520976265 journals.sagepub.com/home/cre CLINICAL REHABILITATION Home-based exercise monitored with telehealth is feasible and acceptable compared to centre-based exercise in Parkinson’s disease: A randomised pilot study Allyson Flynn 1,2 , Elisabeth Preston 2 , Sarah Dennis 1,3,4 , Colleen G Canning 1 and Natalie E Allen 1 Abstract Objectives: To investigate the feasibility and acceptability of a home-based exercise program monitored using telehealth for people with Parkinson’s disease. Design: Pilot randomised control trial. Setting: University physiotherapy clinic, participants’ homes. Participants: Forty people with mild to moderate Parkinson’s disease, mean age 72 (6.9). Intervention: In Block 1 (5 weeks) all participants completed predominantly centre-based exercise plus a self-management program. Participants were then randomised to continue the centre-based exercise (n = 20) or to a home-based program with telehealth (n = 20) for Block 2 (5 weeks). The exercises targeted balance and gait. Outcomes: The primary outcomes were the feasibility and acceptability of the intervention. Secondary outcomes were balance, gait speed and freezing of gait. Results: Adherence was high in Block 1 (93%), and Block 2 (centre-based group = 93%, home-based group = 84%). In Block 2, the physiotherapist spent 6.4 hours providing telehealth to the home-based group (mean 10 (4) minutes per participant) and 32.5 hours delivering the centre-based exercise classes (98 minutes per participant). Participants reported that exercise was helpful, they could follow the home program and they would recommend exercising at home or in a group. However, exercising at home 1 Discipline of Physiotherapy, Sydney School of Health Sciences, Faculty of Medicine and Health, The University of Sydney, NSW, Australia 2 Discipline of Physiotherapy, Faculty of Health, University of Canberra, Bruce, ACT, Australia 3 South Western Sydney Local Health District, Liverpool, NSW, Australia 4 Ingham Institute of Applied Medical Research, Liverpool, NSW, Australia Corresponding author: Allyson Flynn, Discipline of Physiotherapy, Faculty of Health, Office 11, Clinical Education and Research Centre, University of Canberra Hospital, 20 Guraguma Street, Bruce, ACT 2617, Australia. Email: Allyson.Flynn@canberra.edu.au 976265CRE 0 0 10.1177/0269215520976265Clinical RehabilitationFlynn et al. research-article 2020 Original Article