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Jones J1, Alexander L1
1Robert Gordon University, School of Health Sciences, Aberdeen, United Kingdom
Background: The benefits of physical activity (PA) amongst the Parkinson's population are widely acknowledged. However, a large proportion of this population remain sedentary, with few meeting daily and weekly physical activity recommendations. An appreciation of the perceived motivators and barriers to participation in physical activity would support the design of targeted and sustainable service provision, have a positive impact upon motor and non-motor Parkinsonian symptoms, while also instilling the wider benefits of physical activity in this growing population
Purpose: The aim of this review was to identify the barriers, and motivators to participation in PA amongst people with Parkinson's disease (PwPD).
The inclusion criteria for this review were:
Participants - community dwelling adults living with Parkinson's disease; phenomena of interest - studies reporting the perceptions and experiences of barriers and motivators to PA in PwPD; types of studies - qualitative studies.
Methods: A qualitative systematic review using Joanna Briggs Institute (JBI) methodology was performed according to an a-priori protocol registered in Prospero. A three-step search strategy was undertaken to identify relevant published (databases - CINAHL, Medline, AMED, SportDIscus, Science Direct, Cochrane Central register) and unpublished (websites - Google scholar, Web of Science, PsychINFO, openDOAR) literature and also checked the reference list of included studies. The methodological quality of included studies was assessed using the standardized JBI Critical Appraisal Checklist for Qualitative Research. The standardized JBI System for the Unified Management, Assessment and Review of Information (JBI SUMARI) software was used for this review. Two researchers performed all title and full text screening, critical appraisal and data extraction with all conflicts resolved through discussion. A meta-aggregation was undertaken from the findings extracted from the included studies.
Results: The results of this review are reported in accordance with the PRISMA statement. The search identified 761 records, after de-duplication 654 titles were excluded, nine records were excluded at full text screening and 13 records were included for critical appraisal and synthesis. Methodological quality ranged from 5/10 to 10/10 (moderate to high methodological quality). Studies were conducted in the USA, UK, Canada, Australia and Jordan and included men and women aged between 38-91 years. There were 118 findings extracted which informed six categories and three synthesised findings interpreted via a socio-environmental framework: intrapersonal; interpersonal and environmental effects on PA in PwPD.
Conclusion(s): This review incorporating moderate to high quality evidence highlighted intrapersonal, interpersonal and environmental motivators and barriers to PA in PwPD that mirror similar results in community dwelling adults. However, this review also identified motivators and barriers to PA which are specific to PwPD populations. These specific intrapersonal, interpersonal and environmental aspects need to be considered in planning PA interventions for this population.
Implications: Future design of interventions targeting PA in PwPD need to consider motivators for this population are included as well as addressing or limiting barriers to uptake.
Keywords: Physical activity, Parkinson's, support
Funding acknowledgements: None
Purpose: The aim of this review was to identify the barriers, and motivators to participation in PA amongst people with Parkinson's disease (PwPD).
The inclusion criteria for this review were:
Participants - community dwelling adults living with Parkinson's disease; phenomena of interest - studies reporting the perceptions and experiences of barriers and motivators to PA in PwPD; types of studies - qualitative studies.
Methods: A qualitative systematic review using Joanna Briggs Institute (JBI) methodology was performed according to an a-priori protocol registered in Prospero. A three-step search strategy was undertaken to identify relevant published (databases - CINAHL, Medline, AMED, SportDIscus, Science Direct, Cochrane Central register) and unpublished (websites - Google scholar, Web of Science, PsychINFO, openDOAR) literature and also checked the reference list of included studies. The methodological quality of included studies was assessed using the standardized JBI Critical Appraisal Checklist for Qualitative Research. The standardized JBI System for the Unified Management, Assessment and Review of Information (JBI SUMARI) software was used for this review. Two researchers performed all title and full text screening, critical appraisal and data extraction with all conflicts resolved through discussion. A meta-aggregation was undertaken from the findings extracted from the included studies.
Results: The results of this review are reported in accordance with the PRISMA statement. The search identified 761 records, after de-duplication 654 titles were excluded, nine records were excluded at full text screening and 13 records were included for critical appraisal and synthesis. Methodological quality ranged from 5/10 to 10/10 (moderate to high methodological quality). Studies were conducted in the USA, UK, Canada, Australia and Jordan and included men and women aged between 38-91 years. There were 118 findings extracted which informed six categories and three synthesised findings interpreted via a socio-environmental framework: intrapersonal; interpersonal and environmental effects on PA in PwPD.
Conclusion(s): This review incorporating moderate to high quality evidence highlighted intrapersonal, interpersonal and environmental motivators and barriers to PA in PwPD that mirror similar results in community dwelling adults. However, this review also identified motivators and barriers to PA which are specific to PwPD populations. These specific intrapersonal, interpersonal and environmental aspects need to be considered in planning PA interventions for this population.
Implications: Future design of interventions targeting PA in PwPD need to consider motivators for this population are included as well as addressing or limiting barriers to uptake.
Keywords: Physical activity, Parkinson's, support
Funding acknowledgements: None
Topic: Neurology; Neurology
Ethics approval required: No
Institution: Robert Gordon University
Ethics committee: School of Health Sciences Research Review Group
Reason not required: This is secondary research, a-priori protocol was peer reviewed and published.
All authors, affiliations and abstracts have been published as submitted.
