MovDisordV3, Main, Exploration, bibRecord, 001F13

Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial

Identifieur interne : 001F13 ( Main/Exploration ); précédent : 001F12; suivant : 001F14

Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial

Auteurs : Linda Tickle-Degnen [États-Unis] ; Terry Ellis [États-Unis] ; Marie H. Saint-Hilaire [États-Unis] ; Cathi A. Thomas [États-Unis] ; Robert C. Wagenaar [États-Unis]

Source :

Movement disorders [ 0885-3185 ] ; 2010.

RBID : Pascal:10-0303294

Descripteurs français

Pascal (Inist)
- Maladie de Parkinson, Parkinsonisme, Pathologie du système nerveux, Autogestion, Réhabilitation, Qualité de vie, Essai clinique.
Wicri :
- topic : Autogestion.

English descriptors

KwdEn :
- Clinical trial, Nervous system diseases, Parkinson disease, Parkinsonism, Quality of life, Rehabilitation, Self management.

Abstract

The purpose of this randomized controlled trial was to determine whether increasing hours of self-management rehabilitation had increasing benefits for health-related quality of life (HRQOL) in Parkinson's disease beyond best medical treatment, whether effects persisted at 2 and 6 months of follow-up, and whether targeted compared with nontargeted HRQOL domains responded more to rehabilitation. Participants on best medication therapy were randomly assigned to one of three conditions for 6 weeks intervention: 0 hours of rehabilitation; 18 hours of clinic group rehabilitation plus 9 hours of attention control social sessions; and 27 hours of rehabilitation, with 18 in clinic group rehabilitation and 9 hours of rehabilitation designed to transfer clinic training into home and community routines. Results (N = 116) showed that at 6 weeks, there was a beneficial effect of increased rehabilitation hours on HRQOL measured with the Parkinson's Disease Questionnaire-39 summary index (F(1,112) = 6.48, η = 0.23, CI = 0.05-0.40, P = 0.01). Benefits persisted at follow-up. The difference between 18 and 27 hours was not significant. Clinically relevant improvement occurred at a greater rate for 18 and 27 hours (54% improved) than for 0 hours (18% improved), a significant 36% difference in rates (95% CI = 20-52% difference). Effects were largest in two targeted domains: communication and mobility. More concerns with mobility and activities of daily living at baseline predicted more benefit from rehabilitation.

Affiliations:

Links toward previous steps (curation, corpus...)

to stream PascalFrancis, to step Corpus: 000A92
to stream PascalFrancis, to step Curation: 002227
to stream PascalFrancis, to step Checkpoint: 000844
to stream Main, to step Merge: 002431
to stream Main, to step Curation: 001F13

Le document en format XML

<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en" level="a">Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial</title>
<author><name sortKey="Tickle Degnen, Linda" sort="Tickle Degnen, Linda" uniqKey="Tickle Degnen L" first="Linda" last="Tickle-Degnen">Linda Tickle-Degnen</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Occupational Therapy, Tufts University</s1>
<s2>Medford, Massachusetts</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ellis, Terry" sort="Ellis, Terry" uniqKey="Ellis T" first="Terry" last="Ellis">Terry Ellis</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Physical Therapy and Athletic Training, Boston University</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Saint Hilaire, Marie H" sort="Saint Hilaire, Marie H" uniqKey="Saint Hilaire M" first="Marie H." last="Saint-Hilaire">Marie H. Saint-Hilaire</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, Boston University Medical Center</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Thomas, Cathi A" sort="Thomas, Cathi A" uniqKey="Thomas C" first="Cathi A." last="Thomas">Cathi A. Thomas</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, Boston University Medical Center</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wagenaar, Robert C" sort="Wagenaar, Robert C" uniqKey="Wagenaar R" first="Robert C." last="Wagenaar">Robert C. Wagenaar</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Physical Therapy and Athletic Training, Boston University</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">INIST</idno>
<idno type="inist">10-0303294</idno>
<date when="2010">2010</date>
<idno type="stanalyst">PASCAL 10-0303294 INIST</idno>
<idno type="RBID">Pascal:10-0303294</idno>
<idno type="wicri:Area/PascalFrancis/Corpus">000A92</idno>
<idno type="wicri:Area/PascalFrancis/Curation">002227</idno>
<idno type="wicri:Area/PascalFrancis/Checkpoint">000844</idno>
<idno type="wicri:doubleKey">0885-3185:2010:Tickle Degnen L:self:management:rehabilitation</idno>
<idno type="wicri:Area/Main/Merge">002431</idno>
<idno type="wicri:Area/Main/Curation">001F13</idno>
<idno type="wicri:Area/Main/Exploration">001F13</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial</title>
<author><name sortKey="Tickle Degnen, Linda" sort="Tickle Degnen, Linda" uniqKey="Tickle Degnen L" first="Linda" last="Tickle-Degnen">Linda Tickle-Degnen</name>
<affiliation wicri:level="2"><inist:fA14 i1="01"><s1>Department of Occupational Therapy, Tufts University</s1>
<s2>Medford, Massachusetts</s2>
<s3>USA</s3>
<sZ>1 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Ellis, Terry" sort="Ellis, Terry" uniqKey="Ellis T" first="Terry" last="Ellis">Terry Ellis</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Physical Therapy and Athletic Training, Boston University</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Saint Hilaire, Marie H" sort="Saint Hilaire, Marie H" uniqKey="Saint Hilaire M" first="Marie H." last="Saint-Hilaire">Marie H. Saint-Hilaire</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, Boston University Medical Center</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Thomas, Cathi A" sort="Thomas, Cathi A" uniqKey="Thomas C" first="Cathi A." last="Thomas">Cathi A. Thomas</name>
<affiliation wicri:level="2"><inist:fA14 i1="03"><s1>Department of Neurology, Boston University Medical Center</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Wagenaar, Robert C" sort="Wagenaar, Robert C" uniqKey="Wagenaar R" first="Robert C." last="Wagenaar">Robert C. Wagenaar</name>
<affiliation wicri:level="2"><inist:fA14 i1="02"><s1>Department of Physical Therapy and Athletic Training, Boston University</s1>
<s2>Boston, Massachusetts</s2>
<s3>USA</s3>
<sZ>2 aut.</sZ>
<sZ>5 aut.</sZ>
</inist:fA14>
<country>États-Unis</country>
<placeName><region type="state">Massachusetts</region>
</placeName>
</affiliation>
</author>
</analytic>
<series><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
<imprint><date when="2010">2010</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><title level="j" type="main">Movement disorders</title>
<title level="j" type="abbreviated">Mov. disord.</title>
<idno type="ISSN">0885-3185</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Clinical trial</term>
<term>Nervous system diseases</term>
<term>Parkinson disease</term>
<term>Parkinsonism</term>
<term>Quality of life</term>
<term>Rehabilitation</term>
<term>Self management</term>
</keywords>
<keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term>
<term>Parkinsonisme</term>
<term>Pathologie du   système nerveux</term>
<term>Autogestion</term>
<term>Réhabilitation</term>
<term>Qualité de vie</term>
<term>Essai clinique</term>
</keywords>
<keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Autogestion</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The purpose of this randomized controlled trial was to determine whether increasing hours of self-management rehabilitation had increasing benefits for health-related quality of life (HRQOL) in Parkinson's disease beyond best medical treatment, whether effects persisted at 2 and 6 months of follow-up, and whether targeted compared with nontargeted HRQOL domains responded more to rehabilitation. Participants on best medication therapy were randomly assigned to one of three conditions for 6 weeks intervention: 0 hours of rehabilitation; 18 hours of clinic group rehabilitation plus 9 hours of attention control social sessions; and 27 hours of rehabilitation, with 18 in clinic group rehabilitation and 9 hours of rehabilitation designed to transfer clinic training into home and community routines. Results (N = 116) showed that at 6 weeks, there was a beneficial effect of increased rehabilitation hours on HRQOL measured with the Parkinson's Disease Questionnaire-39 summary index (F(1,112) = 6.48, η = 0.23, CI = 0.05-0.40, P = 0.01). Benefits persisted at follow-up. The difference between 18 and 27 hours was not significant. Clinically relevant improvement occurred at a greater rate for 18 and 27 hours (54% improved) than for 0 hours (18% improved), a significant 36% difference in rates (95% CI = 20-52% difference). Effects were largest in two targeted domains: communication and mobility. More concerns with mobility and activities of daily living at baseline predicted more benefit from rehabilitation.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Massachusetts</li>
</region>
</list>
<tree><country name="États-Unis"><region name="Massachusetts"><name sortKey="Tickle Degnen, Linda" sort="Tickle Degnen, Linda" uniqKey="Tickle Degnen L" first="Linda" last="Tickle-Degnen">Linda Tickle-Degnen</name>
</region>
<name sortKey="Ellis, Terry" sort="Ellis, Terry" uniqKey="Ellis T" first="Terry" last="Ellis">Terry Ellis</name>
<name sortKey="Saint Hilaire, Marie H" sort="Saint Hilaire, Marie H" uniqKey="Saint Hilaire M" first="Marie H." last="Saint-Hilaire">Marie H. Saint-Hilaire</name>
<name sortKey="Thomas, Cathi A" sort="Thomas, Cathi A" uniqKey="Thomas C" first="Cathi A." last="Thomas">Cathi A. Thomas</name>
<name sortKey="Wagenaar, Robert C" sort="Wagenaar, Robert C" uniqKey="Wagenaar R" first="Robert C." last="Wagenaar">Robert C. Wagenaar</name>
</country>
</tree>
</affiliations>
</record>

Pour manipuler ce document sous Unix (Dilib)

EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Main/Exploration

HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F13 | SxmlIndent | more

HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001F13 | SxmlIndent | more

Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Santé
   |area=    MovDisordV3
   |flux=    Main
   |étape=   Exploration
   |type=    RBID
   |clé=     Pascal:10-0303294
   |texte=   Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial
}}

This area was generated with Dilib version V0.6.23.
Data generation: Sun Jul 3 12:29:32 2016. Site generation: Wed Feb 14 10:52:30 2024

	Movement Disorders (revue)
	Attention, ce site est en cours de développement ! Attention, site généré par des moyens informatiques à partir de corpus bruts. Les informations ne sont donc pas validées.

Movement Disorders (revue)

Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial

Self-management Rehabilitation and Health-Related Quality of Life in Parkinson's Disease: A Randomized Controlled Trial

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri