Concept mapping to define components for an occupation-based intervention for Parkinson's disease and anxiety

Christopher J. Lovegrove*, Ingrid H.W.M. Sturkenboom, Jonathan Marsden, Katrina Bannigan

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

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Abstract

Background: Anxiety, a common symptom of Parkinson's disease (PD), results in reduced life quality, reduced participation in meaningful roles and daily activities, and increased health burden. There are no evidence-based interventions to reduce the impact of anxiety in PD on participation. Objective: This study aimed to identify the key components required for the co-production of an occupation- and community-based intervention for people with PD-related anxiety. Methods: A participatory mixed-methods research study was conducted using online Group Concept Mapping methodology that included five stages: brainstorming, idea synthesis, sorting activity, rating activity, and analysis. A cluster map, pattern match, and 'go-zone' charts were created through multivariate statistical analysis based on participants' responses. The stages were guided by questions generated by the research team working with stakeholders. Results: Eighty-three people participated, with 64 taking part in more than one activity. Participants included people with PD (n = 72), care partners (n = 6), and occupational therapists (n = 5). The final map contained 119 statements with eight clusters (stress value 0.252): exercise, lifestyle changes, self-help, coping, access to information, professional help, peers and groups, support from others. Significant agreement existed between the importance and feasibility rating activities (r = -0.07). 'Go-zone' charts highlighted the priority statements for intervention development. Conclusions: This novel participatory study highlighted priority components that provide starting points for future development of an occupation- and community-based intervention for people with PD-related anxiety.

Original languageEnglish
Pages (from-to)181-195
Number of pages15
JournalJournal of Parkinson's Disease
Volume14
Issue number1
DOIs
Publication statusPublished - 23 Jan 2024

Keywords

  • anxiety
  • intervention development
  • occupational therapy
  • Parkinson’s disease

ASJC Scopus subject areas

  • Clinical Neurology
  • Cellular and Molecular Neuroscience

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