Occupational Therapy for People with Early Parkinson’s Disease: A Retrospective Program Evaluation

Sadural, Alan; MacDonald, Jillian; Johnson, Joelle; Gohil, Kavita; Rafferty, Miriam

doi:10.1155/2022/1931468

Cited by 6 publications

(6 citation statements)

References 35 publications

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“…Yellow Cluster has 15 nodes, and it revolves around evidence‐based practice and quality improvement in the context of occupational therapy and physiotherapy (Ataman et al, 2022; Maas et al, 2017; Perraton et al, 2017). It encompasses research on prevention; practice guidelines; clinical practice; and total quality management (Baroni et al, 2023; Moore et al, 2021; Perraton et al, 2017; Sadural et al, 2022; Tawiah et al, 2021; van Bochove‐Waardenburg et al, 2023). Scholars in this cluster investigated the use of evidence‐based approaches, implementation of guidelines, and continuous quality improvement to enhance the effectiveness and efficiency of therapeutic interventions.…”

Section: Resultsmentioning

confidence: 99%

Fostering the discussion of planetary health in occupational therapy and physiotherapy

Eustachio,

Filho,

Baars

et al. 2024

Aus Occup Therapy J

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IntroductionOccupational therapists and physiotherapists aim to promote health, prevent various diseases and help people in their rehabilitation processes. So far, there is a paucity of understanding of the big picture of how the new paradigm of planetary health (PH) is connected to the education and practice of these professionals.MethodsThis research aimed to address this gap by investigating and deploying a bibliometric analysis to elucidate the pivotal role of occupational therapists and physiotherapists in addressing PH challenges. The ultimate goal is to construct a comprehensive framework crosschecking the bibliometric analysis and the collection of 10 case studies selected by experts to outline how best practices in occupational therapy and physiotherapy, related to the three pillars of sustainability and the UN's Sustainable Development Goals (SDGs), can contribute to increasing PH.ResultsThe bibliometric analysis revealed four major research strands: 1) enhancing patient care and quality of life; 2) integrating sustainability in health care and rehabilitation; 3) professional development and clinical competence; and 4) evidence‐based practice and quality improvement. Moreover, further temporal analysis revealed how the topic evolved, from advancing evidence‐based practice and clinical effectiveness, exploring the strengthening of health care and person‐centred practices, to connecting the topic to aspects also predicted by the SDGs, such as integrating environmental and climate concerns in therapy and addressing psychological and self‐care impacts on health. The case studies confirmed this trend, and a framework of PH in occupational therapy and physiotherapy through the lens of the SDGs was developed to support future research and practitioners in advancing this research field.ConclusionsOccupational therapists and physiotherapists are essential players in public health and can integrate sustainability at every level of practice, from using resources during therapy sessions to advocating for more sustainable lifestyles.

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Section: Resultsmentioning

confidence: 99%

Fostering the discussion of planetary health in occupational therapy and physiotherapy

Eustachio,

Filho,

Baars

et al. 2024

Aus Occup Therapy J

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“…Focusing on the individual's skills and interests (e.g., asset‐based approach) could be a means to increase their capability, opportunity and motivation [ 59 ]. Although occupational therapy is recommended for PD [ 60 , 61 ], further research from well‐designed trials is required to guide programme design and implementation [ 62 , 63 ].…”

Section: Discussionmentioning

confidence: 99%

Experiences of Living With the Nonmotor Symptoms of Parkinson's Disease: A Photovoice Study

Smith,

Callis,

Bridger‐Smart

et al. 2024

Health Expectations

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BackgroundNonmotor symptoms (NMSs) are frequently experienced by people with Parkinson's disease (PD) and are often perceived as their most bothersome symptoms. However, these remain poorly understood with suboptimal clinical management. These unmet needs are an important determinant of health‐related quality of life (QoL) in PD.ObjectiveThe aim of this study was to gain insights into the experience of living with the NMS of PD in real‐time using participatory action methodology.MethodUsing the photovoice method, 14 people with PD took photographs to document their experiences of living with the NMS of PD. They composed corresponding written narratives to capture the impact of NMS on their daily activities and QoL. In total, 152 photographs and corresponding narratives were analysed using thematic analysis with an inductive approach.ResultsFour interrelated themes were identified. Emotional well‐being and sense of self encompassed a process of adjustment to living with PD. Engaging in valued activities, adopting a positive mindset and utilising coping strategies were thought to enhance confidence and self‐esteem. Social support and societal awareness highlighted the importance of supportive relationships and socialising to aid participation and avoid isolation. Barriers to social engagement included the unpredictability of NMS and nonvisible NMS being neglected or misunderstood.ConclusionFindings demonstrated the far‐reaching impact of nonmotor aspects of PD on emotional, occupational and social dimensions. These needs could be addressed through person‐centred and comprehensive approaches to care.Patient or Public ContributionThis study utilised a participatory research approach allowing participants to choose the subjects that mattered to them and how to present their results. Additionally, a group workshop was held with people with PD, their family members and healthcare professionals to guide theme development.

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“…It described the development and evaluation of a proactive, consultative OT program for people with early PD as a part of an integrated care approach. 15 Since non-motor symptoms have a serious impact on quality of life of patients, we need to broaden the conversation of Parkinson's disease (PD) therapy to include debilitating non-motor symptoms (NMS).…”

Section: Discussionmentioning

confidence: 99%

Study of non-motor Symptoms in Parkinsons disease and its impact on their quality of life

Mamlekar,

Gomes,

Ferreira

2023

IJN

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Parkinson's disease (PD) is a neurodegenerative disorder characterised by the degeneration of dopaminergic nigrostriatal pathway. Its incidence ranges from 1 to 2 per 1000 in general population. Its a complex disorder characterised by motor and non-motor symptoms that can impair the quality of life (QoL). In the presence of effective symptomatic therapies for the motor symptoms of Parkinson's disease, the non-motor symptoms have become the major prognostic factors determining the overall disease burden and everyday function in Parkinson’s disease patients. Our study aimed at assessing the frequency and proportion of non-motor symptoms in PD patients and to assess their impact on QoL. A total of 88 PD patients visiting the outpatient department of Neurology at Goa Medical College were assessed for various non-motor symptoms using a semi – structured questionnaire and appropriate scales. Quality of life was assessed using PDQ-39 questionnaire. Patients satisfying the United Kingdom Parkinson’s Disease brain bank criteria for idiopathic Parkinson’s diseases were included in the study Single centre, Cross-sectional study. Mean age of study population was 68 years and mean duration of the disease was 5yrs. Attention and memory were the most frequently reported domain in the study population (52 patients, 59.75 percent) followed by mood and cognition (46 patients, 52.74 percent). The least reported symptom was perceptual problems including delusions and hallucinations (11.74%) and miscellaneous domain (10.93 percent) which included pain, olfactory dysfunction, increased perspiration and weight fluctuations. The mean UPDRS (part 3) score was found to be 33.24± 17.37 with values ranging from 3.57 (mild motor impairment) to 44.64 (severe motor impairment).The QoL assessment showed that impairment of Mobility had a major impact on QoL followed by activities of daily living and emotional well-being. Correlation between Non-motor symptoms and PDQ-39 revealed that mood, cognition and perceptual problems had an adverse outcome on their emotional well-being and deficit in attention and memory had significant outcomes on communication. This study highlights the fact that non-motor symptoms in PD significantly impair quality of life and we should incorporate screening tools to evaluate patients with autonomic, sensory or mood disturbances so that they are detected at the earliest as most of them precede motor symptoms by decades.

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Occupational Therapy for People with Early Parkinson’s Disease: A Retrospective Program Evaluation

Cited by 6 publications

References 35 publications

Fostering the discussion of planetary health in occupational therapy and physiotherapy

Fostering the discussion of planetary health in occupational therapy and physiotherapy

Experiences of Living With the Nonmotor Symptoms of Parkinson's Disease: A Photovoice Study

Study of non-motor Symptoms in Parkinsons disease and its impact on their quality of life

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