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Group Education with Personal Rehabilitation for Idiopathic Parkinson's Disease

Published online by Cambridge University Press:  02 December 2014

Liping Guo ,
Yuping Jiang ,
Hiroshi Yatsuya ,
Yoshitoku Yoshida  and
Junichi Sakamoto
Liping Guo
Affiliation:
Young Leaders' Program, Nagoya University Graduate School of Medicine, Nagoya, Japan Department of Neurological Disease, China-Japan Friendship Hospital, Beijing
Yuping Jiang
Affiliation:
Department of Neurological Disease, Huashan Hospital, Fudan University, Shanghai, China
Hiroshi Yatsuya
Affiliation:
Department of Public Health, Nagoya University Graduate School of Medicine, Nagoya, Japan
Yoshitoku Yoshida
Affiliation:
Young Leaders' Program, Nagoya University Graduate School of Medicine, Nagoya, Japan
Junichi Sakamoto*
Affiliation:
Young Leaders' Program, Nagoya University Graduate School of Medicine, Nagoya, Japan International Affairs, Nagoya University Graduate School of Medicine, Nagoya, Japan
*
International Affairs of Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan.
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Abstract

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Objective:

To evaluate the effect of a group education program with personal rehabilitation for idiopathic Parkinson's disease (IPD).

Methods:

A single-blind, randomized, controlled clinical trial, with a pre-test/post-test quasi-experimental design. Fortyfour stable, non-demented patients with IPD were randomly assigned to an intervention group (n=23) and control group (n=21). Three group lectures on health education specific to IPD were delivered to the intervention group. The theme of lectures was “Not a lonely journey, as your friend, we—experts specializing in IPD— would love to join with you.” Three domains of the management of IPD were mentioned: “How to manage your routine Meal, Moving and Mood after suffering from IPD” Each lecture was scheduled for 45 minutes (excluding breaks), and designed as an interactive dialogue rather than a traditional lecture. To strengthen the impact of the lectures, relevant information was published on a website: http://www.parkinsonism.cn/. Following the group lecture, individualized and tailored rehabilitation made up of 24 half-hour sessions over eight weeks were provided for the intervention group.

Results:

The program ran smoothly and IPD patients were satisfied with this program. After only eight weeks, the health-related quality of life (HR-QOL) in the intervention group improved significantly (p<0.001). Patients and their caregivers in this group also reported their mood elevations following the program.

Conclusion:

Group education combined with personal rehabilitation program appears to be a beneficial and practical intervention, not only complementing the medical treatment for IPD patients but also meeting the growing demand for long-term care.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 36 , Issue 1 , January 2009 , pp. 51 - 59
Copyright
Copyright © The Canadian Journal of Neurological 2009

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