Abstract

Background Parkinson's disease is a neurodegenerative condition with both physical and mental consequences that affect many aspects of everyday life. Persons with Parkinson's disease and their care partners want guidance from healthcare services in order to develop skills to adjust to life with a long-term condition. The Swedish National Parkinson School is a dyadic self-management programme to support both persons with Parkinson's disease and care partners. Objective To assess the outcomes of the Swedish National Parkinson School as reported by participants. Design A quasi-experimental case-control study in clinical care using self-reported questionnaires. Participants. Swedish National Parkinson School was offered by health care professionals working in clinical care. Participants in the programme were also asked to participate in the study. A matched control group was recruited for a comparison of findings. In total, 92 persons with Parkinson's disease and 55 care partners were included. Settings. Five Swedish geriatric and neurologic outpatient clinics. Method Data were collected during 2015–2017, before and after participation in the National Parkinson School or before and after seven weeks of standard care. Outcomes were assessed using generic and Parkinson's specific questionnaires. Descriptive statistics were used to describe baseline characteristics. Mann–Whitney U and Chi2 tests were used to test for between-group differences and within-group differences were tested by the Wilcoxon signed-ranks test. Results Improvements regarding health status, constructive attitudes and approaches, and skill and technique acquisition were found after the intervention among persons with Parkinson's disease. No changes were found among care partners. Conclusion The findings indicate that the Swedish National Parkinson School may improve health status and self-management among persons with Parkinson's disease, but further studies are needed to better understand the effects of the programme.

Highlights

  • Parkinson’s disease (PD) is a long-term neurodegenerative condition affecting about 1% of the population over 60 years old

  • We extended the heiQProgramme with two questions specific to the National Parkinson School (NPS), asking the participants whether their expectations of the program had been met and whether it had improved their understanding of PD

  • Our findings revealed improved perceived PD related as well as general health status among persons with PD (PwPD) following NPS participation. is is in line with previous results reported for the PEPP [34, 35], suggesting that benefits associated with the PEPP were retained despite the contextual adaptations that were made when developing the NPS

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Summary

Background

Parkinson’s disease is a neurodegenerative condition with both physical and mental consequences that affect many aspects of everyday life. Persons with Parkinson’s disease and their care partners want guidance from healthcare services in order to develop skills to adjust to life with a long-term condition. E Swedish National Parkinson School is a dyadic self-management programme to support both persons with Parkinson’s disease and care partners. To assess the outcomes of the Swedish National Parkinson School as reported by participants. Swedish National Parkinson School was offered by health care professionals working in clinical care. 92 persons with Parkinson’s disease and 55 care partners were included. Data were collected during 2015–2017, before and after participation in the National Parkinson School or before and after seven weeks of standard care. E findings indicate that the Swedish National Parkinson School may improve health status and self-management among persons with Parkinson’s disease, but further studies are needed to better understand the effects of the programme Conclusion. e findings indicate that the Swedish National Parkinson School may improve health status and self-management among persons with Parkinson’s disease, but further studies are needed to better understand the effects of the programme

Introduction
Materials and Methods
44 PwPD 25 care partners
Results
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