Objective: To test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson’s disease (PD), and to develop a predictive model for engagement in the specific aspects of self-management based on socio-clinical factors.

Background: Self-management has an important role in the long-term management of chronic diseases, and accordingly, has become a central approach in the management of these diseases

Method: A cross-sectional study of patients with PD (n=62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support. The associations and predicting values of these factors to specific aspects of self-management behaviors including utilization of rehabilitative treatments, physical activity and patient activation were tested.

Results: Most patients did not utilize rehabilitative treatments. Non-motor symptoms and cognitive status were significant predictors of physical activity (R² = 0.35, F(3, 58) = 10.50, p<.001). Non-motor symptoms was a significant predictor of patient activation (R² = 0.30, F(1, 30) = 25.88, p<.001). Patients with Mini-Mental State Exam score ≤24 performed less physical activity, relative to those with a higher score. Patients with ≤5 non-motor symptoms showed higher activation relative to those with >5.

Conclusion: In PD, disease-specific clinical characteristics overshadow other personal factors as determinants of self-management behaviors. The role of non-motor symptoms in reduced self-management behaviors and activation is highlighted.

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MDS Abstracts - https://www.mdsabstracts.org/abstract/socio-clinical-factors-associated-with-parkinsons-disease-related-specific-self-management-behaviors-the-role-of-non-motor-symptoms/