Short-Term changes in self-efficacy and quality of life following a multidisciplinary rehabilitation program for patients with parkinson’s disease
Year: 2018
Type: dissertation
Abstract: Background: Parkinson’s disease affects 1-2% of people in Norway over 60 years of age. Parkinson’s\ndisease is characterized by motor and non-motor symptoms, which can impair mobility, and challenge\neveryday life. As Parkinson’s disease symptoms worsen, maintaining higher self-efficacy and quality of life\nmay be difficult. A multidisciplinary approach is recommended, and multidisciplinary rehabilitation\nprograms can be pivotal to increase self-efficacy and quality of life. However, the evidence for the\nassociations between self-efficacy and quality of life in patients with Parkinson’ disease, is scarce.\nAims: i) Whether positive changes in functional status, self-efficacy, and quality of life can occur following a\nthree-week multidisciplinary rehabilitation program for patients with Parkinson’s disease, ii) whether initial\ngeneral self-efficacy was associated with quality of life at three weeks follow-up when controlling for\ndemographic variables and baseline quality of life, and iii) whether initial levels of self-efficacy and quality\nof life moderate changes on the same variables.\nMethods: Eighty-three participants with Parkinson’s disease completed the General self-efficacy scale and\nthe Parkinson’s Disease Questionnaire-39 at the beginning of a multidisciplinary rehabilitation program\nand at the three-week follow-up. Paired t-tests and Wilcoxon signed rank tests were conducted to analyze\ndifferences in scores between baseline and three weeks follow-up. Hierarchical linear regressions were\nconducted to assess direct associations between the independent variables and quality of life scale\nscores, while adjusting for the covariance between the independent variables. Paired t-tests were\nconducted, after splitting the sample by the median scores, to assess whether initial levels of general selfefficacy\nand quality of life moderated changes on the same variables.\nResults: Positive changes in functional status, self-efficacy, and quality of life occurred following a threeweek\nmultidisciplinary rehabilitation program. Initial models showed that higher baseline general selfefficacy\nwas associated with higher quality of life at follow-up. However, this association was weakened\nwhen baseline quality of life was included in the model. Initial general self-efficacy and quality of life scores\nmoderated the changes in general self-efficacy and quality of life. Participants with the poorest initial\nscores showed most gains.
Author: Ritter, Victoria C.
Language: English
Subfield: Clinical Neurology
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W7043237620