Objective:
To examine the content of education interventions that promote physical activity (PA) behavior in PwP, and to assess their effectiveness on physical and psychosocial outcomes.

Background:
Education interventions promoting the role of PA aim to address knowledge, poor exercise self-efficacy and low outcome expectations, which are well-researched barriers to PA participation in healthy and people with chronic conditions. However, little is known about the effectiveness of education interventions in addressing these barriers in people with Parkinson’s (PwP) in regard to content, mode of delivery and duration.

Method:
An electronic search of MEDLINE, EMBASE, CINAHL, PubMed PsycINFO, the Web of Science and the Cochrane Library was conducted from 1990 to 2021. Education interventions, alone or combined with other strategies, promoting PA in PwP were included. Quality was assessed using the Johanna Briggs Institute and National Institute of Health quality assessment tools. A narrative synthesis was performed.
​​​​​​​

Results:
Six studies were identified. Five interventions included an education component and an exercise session component. One intervention utilized education, coaching and motivational interviewing without an exercise component. Improvement in physical and psychosocial outcomes were suggested but delineating the exact impact of education was impeded due to lack of education component evaluation in five studies.
​​​​​​​

Conclusion: In light of the building evidence on the role of PA in the management of Parkinson’s, it is important to design interventions that translate findings and implement them at diagnosis. Evidence-led education interventions can improve sense of control over the condition, keep hope and drive motivation in PwP. This systematic review highlighted the limited numbers of existing interventions that provide knowledge, and skills promoting PA participation. Even fewer are addressed towards newly diagnosed PwP. There is lack of assessment over the effectiveness of education as a tool to facilitate PA participation. Lack of assessment poses the risk of potentially disregarding effective interventions or adopting ineffective approaches without the evidence. Further interventions are required to assess the model of relationship between education and self-efficacy and PA participation in PwP.

References: Schootemeijer S, van der Kolk NM, Ellis T, Mirelman A, Nieuwboer A, Nieuwhof F, Schwarzschild MA, de Vries NM, Bloem BR (2020) Barriers and Motivators to Engage in Exercise for Persons with Parkinson’s Disease. J Parkinsons Dis 10, 1293-1299.
Afshari M, Yang A, Bega D (2017) Motivators and Barriers to Exercise in Parkinson’s Disease. Journal of Parkinson’s Disease 7, 703-711.
Ellis T, Boudreau JK, Deangelis TR, Brown LE, Cavanaugh JT, Earhart GM, Ford MP, Foreman KB, Dibble LE (2013) Barriers to Exercise in People With Parkinson Disease. Physical Therapy 93, 628-636.
Long K.,(2020), Pre-active PD: A therapist delivered physical activity behavior change program for people with early stage Parkinson’s disease.ProQuest Information & Learning, 2020-17191-270
Van Nimwegen M, Speelman AD, Overeem S, Van De Warrenburg BP, Smulders K, Dontje ML, Borm GF, Backx FJG, Bloem BR, Munneke M (2013) Promotion of physical activity and fitness in sedentary patients with Parkinson’s disease: randomised controlled trial. BMJ 346, f576-f576.
Ridgel AL, Walter BL, Tatsuoka C, Walter EM, Colón-Zimmermann K, Welter E, Sajatovic M (2016) Enhanced Exercise Therapy in Parkinson’s disease: A comparative effectiveness trial. Journal of Science and Medicine in Sport 19, 12-17.
Gruber RA, Elman JG, Huijbregts MPJ (2008) Self-management Programs for People With Parkinson’s Disease. Topics in Geriatric Rehabilitation 24, 141-150.
Li G, Horne J, Paul SS (2021) Health behaviors a year after an early intervention exercise and education program for people with Parkinson’s disease. Neurodegener Dis Manag 11, 65-75.
Sunvisson H, Ekman SL, Hagberg H, Lokk J (2001) An education programme for individuals with Parkinson’s disease. Scand J Caring Sci 15, 311-317
Johansson ME, Cameron IGM, Van Der Kolk NM, De Vries NM, Klimars E, Toni I, Bloem BR, Helmich RC (2021) Aerobic exercise alters brain function and structure in Parkinson’s disease a randomized controlled trial. Annals of Neurology.
Cruise KE, Bucks RS, Loftus AM, Newton RU, Pegoraro R, Thomas MG (2011) Exercise and Parkinson’s: benefits for cognition and quality of life. Acta Neurologica Scandinavica 123, 13-19.
Mak MK, Wong-Yu IS, Shen X, Chung CL (2017) Long-term effects of exercise and physical therapy in people with Parkinson disease. Nature Reviews Neurology 13, 689-703.
Konerth M, Childers J (2013) Exercise: A possible adjunct therapy to alleviate early Parkinson disease. Journal of the American Academy of PAs 26, 30-33.
Andrejack J, Mathur S (2020) What People with Parkinson’s Disease Want. J Parkinsons Dis 10, S5-S10.
Vlaanderen FP, Rompen L, Munneke M, Stoffer M, Bloem BR, Faber MJ (2019) The Voice of the Parkinson Customer. J Parkinsons Dis 9, 197-201.
Bloem BR, Henderson EJ, Dorsey ER, Okun MS, Okubadejo N, Chan P, Andrejack J, Darweesh SKL, Munneke M (2020) Integrated and patient-centred management of Parkinson’s disease: a network model for reshaping chronic neurological care. Lancet Neurol 19, 623-634

« Back to 2022 International Congress

MDS Abstracts - https://www.mdsabstracts.org/abstract/a-systematic-review-on-physical-health-education-interventions-for-people-with-parkinsons-content-impact-and-implementation-considerations-across-parkinsons-trajectory/