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Improvement in quality of life following a multidisciplinary rehabilitation program for patients with Parkinson’s disease
Authors Ritter VC, Bonsaksen T
Received 24 January 2019
Accepted for publication 22 February 2019
Published 20 March 2019 Volume 2019:12 Pages 219—227
DOI https://doi.org/10.2147/JMDH.S202827
Checked for plagiarism Yes
Review by Single anonymous peer review
Peer reviewer comments 2
Editor who approved publication: Dr Scott Fraser
Victoria C Ritter,1 Tore Bonsaksen1,2
1Faculty of Health Sciences, Department of Occupational Therapy, Prosthetics and Orthotics, OsloMet – Oslo Metropolitan University, Oslo, Norway; 2Faculty of Health Studies, VID Specialized University, Sandnes, Norway
Background: Parkinson’s disease follows a chronic course, and therefore quality of life is important to assess in relation to rehabilitation programs for persons with the disease.
Aim: To examine whether a brief rehabilitation program can promote positive changes in functional status, general self-efficacy, and quality of life and to examine factors associated with changes in quality of life.
Methods: Patients with Parkinson’s disease (n=83) completed the General Self-Efficacy Scale and the Parkinson’s Disease Questionnaire at the beginning of a rehabilitation program and at three weeks follow-up. Within-person changes were analyzed with paired t-tests. A hierarchical linear regression was conducted to assess the independent associations between the independent variables and changes in quality of life during the three weeks program, while adjusting for the covariance between the independent variables.
Results: Patients reported higher functional status (d=0.37, p<0.001), general self-efficacy (d =0.28, p<0.01), and quality of life (d=0.32, p<0.001) at three weeks follow-up, compared to their baseline scores. The regression analysis showed that having a better initial functional status (β =−0.26, p<0.05) and lower quality of life (β =0.51, p<0.001) were associated with more improvements in quality of life.
Conclusion: The study suggests that actual functioning in persons with Parkinson’s disease is a better predictor of improved quality of life than self-efficacy beliefs and that those who have lower levels of initial quality of life benefit more from rehabilitation.
Keywords: functional status Parkinson’s disease, multidisciplinary rehabilitation program, self-efficacy, quality of life
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