Abstract
Context: People with Parkinson's (PwP) have a higher tendency to engage in sedentary lifestyle behaviours and have lower physical activity levels compared to their healthy peers. Previous research has indicated that personal factors including poor outcome expectation and low self-efficacy are stronger predictors of exercise adherence than disease severity. Objectives: The purpose of this review is to synthesize the best available evidence on interventions that encompass self-management strategies to overcome barriers to exercise and improve self-efficacy and exercise adherence among PwP. Methods: The following databases will be searched using a comprehensive search strategy: EBSCO, Medline, Cinhal, Web of Science, PubMed, Embase, Scopus, Google Scholar and Cochrane Library from database inception to 2020. The title, abstract and full-text screening will be conducted by two independent reviewers. The Joanne Briggs Institute Checklist will be used to assess the quality of each included study. The quality of evidence will be reviewed using the GRADE criteria. Data will be extracted by two independent reviewers. The outcomes of interest will be self-efficacy outcomes and measures of exercise adherence. A systematic narrative synthesis will be conducted using a framework analysis, applying the Theoretical Domains Framework and Behaviour Change Wheel, producing findings focusing on practice-orientated outcomes. Presentation of data will include tables and text summarizing the characteristics and findings of the eligible studies. Discussion: The review will synthesize the best available evidence on interventions to enhance self-efficacy, improve quality of life, physical function, and ultimately improve exercise adherence among PwP and provide invaluable information for healthcare professionals. The findings of this review will be disseminated through publication in a peer-reviewed journal and presented at relevant conference proceedings. This review will make recommendations for appropriate self-management strategies for maximum effect and may have implications for policy and practice regarding enhancing self-efficacy and long-term exercise adherence among PwP.
Highlights
Parkinson’s is the second most common neurological condition globally
People with Parkinson’s (PwP) have a higher tendence to adopt sedentary lifestyle behaviours and have lower levels of physical activity compared to their healthy peers[4,5]
Do behavioural change interventions improve exercise adherence/increase levels of physical activity among people with Parkinson (PwP)?. This protocol was designed in line with the methodological framework provided by the Joanna Briggs Institute (JBI)
Summary
Parkinson’s is the second most common neurological condition globally. This neurodegenerative condition effects the basal ganglia, leading to progressive movement disorders which with time become more disabling[1]. Key motor features associated with Parkinson’s are tremor, rigidity (muscle stiffness), akinesia (difficulty initiating movement), bradykinesia (slow movements) and postural instability[2]. There are many non-motor features associated with Parkinson’s including apathy, depression, pain, fatigue, sleep disorders, cognitive impairment, and autonomic dysfunction[3]. The combination of these motor and non-motor features can result in reduced mobility, reduction in quality of life and loss of function[4]. People with Parkinson’s (PwP) have a higher tendence to adopt sedentary lifestyle behaviours and have lower levels of physical activity compared to their healthy peers[4,5]
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