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Journal article
The Priority Goals and Underlying Impairments Contributing to Goal-Related Problems of People with Parkinson's Disease Receiving a Community-Based Rehabilitation Program
Parkinson's Disease, Vol.2024, pp.1-14
2024
Appears in UniSC Supported Open Access Outputs
Abstract
Background. Goal setting is a core rehabilitation practice in Parkinson's disease (PD). Targeting therapy towards specific goals leads to greater improvements in performance and psychosocial outcomes. Goal setting in PD is feasible, and although the nature of goals has been described in previous studies, the underlying impairments related to goals have not been described. Understanding the nature of goals ensures that interventions for people with PD are aligned with their needs and priorities. Understanding the underlying impairments highlights which symptoms have the biggest impact on daily life and is necessary for planning appropriate interventions to target them. Aim. To describe the nature of the goals of people with PD; the underlying impairments related to goals; and to compare differences between high and low priority goals. Method. Deductive content analysis was used to map goal statements to the international classification of function (ICF) activity and participation category and to map therapist field notes detailing the primary underlying impairment to the ICF Body Functions category. These results were then compared across goal priority rankings. Results. 88 goals of 22 people with PD were analysed. We found that people with PD set diverse goals across all chapters of the ICF Activity and Participation category, with "self-care" goals making up the highest proportion of goals. The primary underlying impairment related to the goals was predominantly related to impairments in "mental functions" under the Body Functions category. Regardless of goal priority, most goal-related underlying impairments were found to be in the "mental functions" category. Conclusion. The goals of this sample of community-dwelling people with PD highlight their diverse needs and priorities. These findings indicate that nonmotor symptoms, namely, executive dysfunction and amotivation most commonly impact the performance of and participation in activities of greatest importance to people with PD. This trial is registered with ACTRN12621001483842.
Details
- Title
- The Priority Goals and Underlying Impairments Contributing to Goal-Related Problems of People with Parkinson's Disease Receiving a Community-Based Rehabilitation Program
- Authors
- Sarah J. Davies (Corresponding Author) - University of the Sunshine Coast, Queensland, School of Health - Occupational TherapyHannah L. Gullo - The University of QueenslandEmmah Doig - The University of Queensland
- Publication details
- Parkinson's Disease, Vol.2024, pp.1-14
- Publisher
- Hindawi Limited
- Date published
- 2024
- DOI
- 10.1155/2024/9465326
- ISSN
- 2042-0080; 2090-8083
- Copyright note
- © 2024 Sarah J. Davies et al.Tis is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
- Data Availability
- The data that support the findings of this study are available on request from the corresponding author. The data are not publicly available due to restrictions of ethical clearances.
- Organisation Unit
- Healthy Ageing Research Cluster; School of Health - Occupational Therapy
- Language
- English
- Record Identifier
- 991022797002621
- Output Type
- Journal article
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- Domestic collaboration
- Web Of Science research areas
- Clinical Neurology
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