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A controlled trial of an educational programme for people with Parkinson's disease

Lindskov, Susanne; Westergren, Albert LU and Hagell, Peter LU (2007) In Journal of Clinical Nursing 16(11C). p.368-376
Abstract
Aims and objective. To evaluate patient- reported health outcomes of a multidisciplinary group educational programme for people with Parkinson's disease ( PD), delivered as part of routine clinical practice. Background. Studies suggest that educational programmes for people with PD have potential to improve patients' perceived health and well- being. However, controlled trials of multidisciplinary group educational programmes are lacking. Design. Naturalistic non- randomized controlled trial. Methods. Following ethical approval and informed consent, 48 people with PD ( 58% men; mean age, 69 center dot 3) received the intervention and 48 ( 52% men; mean age, 72) were allocated to a delayed intervention control group. The intervention was a... (More)
Aims and objective. To evaluate patient- reported health outcomes of a multidisciplinary group educational programme for people with Parkinson's disease ( PD), delivered as part of routine clinical practice. Background. Studies suggest that educational programmes for people with PD have potential to improve patients' perceived health and well- being. However, controlled trials of multidisciplinary group educational programmes are lacking. Design. Naturalistic non- randomized controlled trial. Methods. Following ethical approval and informed consent, 48 people with PD ( 58% men; mean age, 69 center dot 3) received the intervention and 48 ( 52% men; mean age, 72) were allocated to a delayed intervention control group. The intervention was a six- week ( two hours per week) multidisciplinary group educational programme. Patient-reported health outcomes were assessed by the 12-item short-form health survey ( SF-12) at baseline and one month postintervention. Results. Changes in SF-12 scores at follow-up did not differ between the groups and there were no within-group differences over time. Daily dopaminergic medication increased in the control group but not in the intervention group. Conclusions. Slightly, but significantly, increased drug requirement in the control group may in part have masked deterioration in perceived health. However, failure to demonstrate improved patient- reported health may relate to the intervention design, response shift ( i. e. change in how people perceive their health), and/ or quality and choice of outcome measures. Further studies that take these aspects into consideration are needed to determine the potential for patient education interventions in PD. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
nursing, neurology, multidisciplinary, assessment, clinical trial, patient teaching
in
Journal of Clinical Nursing
volume
16
issue
11C
pages
368 - 376
publisher
Wiley-Blackwell
external identifiers
  • wos:000250265100014
  • scopus:35248877592
ISSN
1365-2702
DOI
10.1111/j.1365-2702.2007.02076.x
language
English
LU publication?
yes
id
92bfdb77-9510-42e4-99a2-3ac2537237dc (old id 654006)
date added to LUP
2007-12-17 08:36:22
date last changed
2017-10-22 04:49:58
@article{92bfdb77-9510-42e4-99a2-3ac2537237dc,
  abstract     = {Aims and objective. To evaluate patient- reported health outcomes of a multidisciplinary group educational programme for people with Parkinson's disease ( PD), delivered as part of routine clinical practice. Background. Studies suggest that educational programmes for people with PD have potential to improve patients' perceived health and well- being. However, controlled trials of multidisciplinary group educational programmes are lacking. Design. Naturalistic non- randomized controlled trial. Methods. Following ethical approval and informed consent, 48 people with PD ( 58% men; mean age, 69 center dot 3) received the intervention and 48 ( 52% men; mean age, 72) were allocated to a delayed intervention control group. The intervention was a six- week ( two hours per week) multidisciplinary group educational programme. Patient-reported health outcomes were assessed by the 12-item short-form health survey ( SF-12) at baseline and one month postintervention. Results. Changes in SF-12 scores at follow-up did not differ between the groups and there were no within-group differences over time. Daily dopaminergic medication increased in the control group but not in the intervention group. Conclusions. Slightly, but significantly, increased drug requirement in the control group may in part have masked deterioration in perceived health. However, failure to demonstrate improved patient- reported health may relate to the intervention design, response shift ( i. e. change in how people perceive their health), and/ or quality and choice of outcome measures. Further studies that take these aspects into consideration are needed to determine the potential for patient education interventions in PD.},
  author       = {Lindskov, Susanne and Westergren, Albert and Hagell, Peter},
  issn         = {1365-2702},
  keyword      = {nursing,neurology,multidisciplinary,assessment,clinical trial,patient teaching},
  language     = {eng},
  number       = {11C},
  pages        = {368--376},
  publisher    = {Wiley-Blackwell},
  series       = {Journal of Clinical Nursing},
  title        = {A controlled trial of an educational programme for people with Parkinson's disease},
  url          = {http://dx.doi.org/10.1111/j.1365-2702.2007.02076.x},
  volume       = {16},
  year         = {2007},
}