Intervention | Patient Education Programme Parkinson’s | Self-guided Exercise | Rehab + Self-management | Telephone- Cognitive behaviour therapy | Psycho-education | Propath | National Parkinsons School | Education | Early Management Programme | Essence Mindfulness | PD Wellbeing Programme | Integrated Parkinson’s Care Network | Home Exercise |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Study significant finding *significantly better than control Others are pre-post changes m=month, w=week | *improved psychosocial impact of disease on carers (A’Campo) [28] Improved psychosocial impact of disease (Macht) [48] | *improved health & wellbeing (Collett) [18] | *improved QoL (Tickle-Degnen) [30] | *improved health status (Dobkin) [19] | improved QoL, psychological adjustment & carer coping (Navarta-Sanchez) [20] | Improved UPDRS & self efficacy domain of QoL measure (Montgomery) [33] | improved QoL & health status (Hellqvist) [58] | improve (ed ADLs (17w not post) (Sunvisson) [50] | improved SM (Gruber) [47] | improved QoL ADL domain (Advocat) [25] | improved QoL (post, not at 12 m) (Horne) [42] | improved QoL (6 m, not 3 m), perception of support (3+ 6 m) (Mestre) [41] | improved QoL (King) [26] |
1. Information about Parkinson’s/ its management | ✓ | x | x | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | x |
2. Information about available resources | ✓ | x | x | ✓ | ✓ | x | ✓ | x | ✓ | x | ✓ | ✓ | x |
3. Clinical action plans | x | Exercise plan | ✓ | ✓ | x | ✓ | ✓ | x | ✓ | x | x | ✓ | Exercise plan |
4. Regular clinical review | x | Therapist, short term | Therapist, short term | Therapist, short term | x | Remote, short term | x | x | x | x | Therapist, short term | ✓ | x |
5. Monitoring of condition with feedback | ✓ | Therapist-led | ✓ | x | x | Questionnaire | ✓ | Self-monitor, no feedback | x | Self-monitor, no feedback | Self-monitor, no feedback | ✓ | x |
6. Practical support with adherence | x | x | x | ✓ | x | x | x | x | x | x | ✓ | x | x |
7. Provision of equipment | x | Gym access | x | x | x | x | x | x | x | CD pack | x | x | x |
8. Access to advice or support | x | ✓ | x | x | x | x | x | x | x | x | x | ✓ | x |
9. Training to communicate with HCPs | ✓ | x | x | ✓ | x | x | ✓ | x | ✓ | Information about professional support | x | x | x |
10. Training for everyday activities | x | exercise | ✓ | x | x | x | x | ✓ | ✓ | x | x | indirect | exercise |
11. Training for practical self-management activities | x | ✓ | ✓ | ✓ | ✓ | x | ✓ | ✓ | ✓ | ✓ | ✓ | Indirect | x |
12. Training for psychological strategies | ✓ | x | ✓ | ✓ | ✓ | x | ✓ | ✓ | ✓ | ✓ | x | Indirect | x |
13. Social support | ✓ | x | Group based; ✓18 h group | ✓ | ✓ | x | ✓ | Group based | Group based | ✓ | ✓ | Indirect | x |
14. Lifestyle advice and support | ✓ | x | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | ✓ | x |