Patient perceptions and knowledge of Parkinson's disease and treatment (KnowPD).
Health education
Parkinson's disease
Patient education
Questionnaire design
Journal
Clinical parkinsonism & related disorders
ISSN: 2590-1125
Titre abrégé: Clin Park Relat Disord
Pays: England
ID NLM: 101761473
Informations de publication
Date de publication:
2020
2020
Historique:
received:
21
04
2019
revised:
28
09
2019
accepted:
25
11
2019
entrez:
28
7
2021
pubmed:
16
1
2020
medline:
16
1
2020
Statut:
epublish
Résumé
As the 2nd most common neurodegenerative disorder, Parkinson's disease (PD) affects over 1 million Americans. Treatment is complex and may include pharmacotherapy, rehabilitative measures, and surgical intervention. A comprehensive understanding of the patient's perceptions about PD is a vital step towards improving health literacy and clinical outcomes. KnowPD is a web-based survey with Likert responses for a cross-sectional, nonrandomized study to assess patients' knowledge of PD symptoms, medications, deep brain stimulation (DBS), rehabilitation, and other factors relevant to disease management. Of the 98 subjects surveyed, 90% agreed they had sufficient knowledge of PD. However, in this cohort, 82% incorrectly believed levodopa stops working as the disease progresses, 77% erroneously thought DBS improves balance and reduces falls, and, <50% could answer specific questions regarding the dosing of levodopa despite over 75% reporting managing their own medications. A majority of patients (84%) believed it was possible to live well with PD, correlating with their self-reported knowledge of the disease. Finally, patients selected electronic video (13.7%) and reading (20.0%) material, yearly symposia (20.0%), and lunch lectures (28.4%) as their preferred method of information delivery. Misconceptions are prevalent among PD patients, and these appear to be unrelated to gender, provider type, or education level. Identification and characterization of this knowledge gap is vital towards allocating patient education resources, and the findings described herein will form the basis for effective educational interventions.
Sections du résumé
BACKGROUND
BACKGROUND
As the 2nd most common neurodegenerative disorder, Parkinson's disease (PD) affects over 1 million Americans. Treatment is complex and may include pharmacotherapy, rehabilitative measures, and surgical intervention. A comprehensive understanding of the patient's perceptions about PD is a vital step towards improving health literacy and clinical outcomes.
METHODS
METHODS
KnowPD is a web-based survey with Likert responses for a cross-sectional, nonrandomized study to assess patients' knowledge of PD symptoms, medications, deep brain stimulation (DBS), rehabilitation, and other factors relevant to disease management.
RESULTS
RESULTS
Of the 98 subjects surveyed, 90% agreed they had sufficient knowledge of PD. However, in this cohort, 82% incorrectly believed levodopa stops working as the disease progresses, 77% erroneously thought DBS improves balance and reduces falls, and, <50% could answer specific questions regarding the dosing of levodopa despite over 75% reporting managing their own medications. A majority of patients (84%) believed it was possible to live well with PD, correlating with their self-reported knowledge of the disease. Finally, patients selected electronic video (13.7%) and reading (20.0%) material, yearly symposia (20.0%), and lunch lectures (28.4%) as their preferred method of information delivery.
CONCLUSION
CONCLUSIONS
Misconceptions are prevalent among PD patients, and these appear to be unrelated to gender, provider type, or education level. Identification and characterization of this knowledge gap is vital towards allocating patient education resources, and the findings described herein will form the basis for effective educational interventions.
Identifiants
pubmed: 34316624
doi: 10.1016/j.prdoa.2020.100038
pii: S2590-1125(20)30006-2
pmc: PMC8298769
doi:
Types de publication
Journal Article
Langues
eng
Pagination
100038Déclaration de conflit d'intérêts
No specific funding was received for this work. The authors declare that there are no conflicts of interest relevant to this work and no additional disclosures to report.
Références
J Neuropsychiatry Clin Neurosci. 2002 Spring;14(2):223-36; discussion 222
pubmed: 11983801
N Engl J Med. 2012 Oct 25;367(17):1616-25
pubmed: 23094723
J Neurol Neurosurg Psychiatry. 1992 Mar;55(3):181-4
pubmed: 1564476
J Am Geriatr Soc. 1989 Jul;37(7):593-8
pubmed: 2738277
Arch Intern Med. 1998 Jan 26;158(2):166-72
pubmed: 9448555
Am J Med. 2014 Jan;127(1):S3
pubmed: 24384115
Am J Epidemiol. 2015 Feb 1;181(3):185-90
pubmed: 25550359
Heart Lung. 2000 Sep-Oct;29(5):319-30
pubmed: 10986526
Age Ageing. 1997 Sep;26(5):353-7
pubmed: 9351479
Cochrane Database Syst Rev. 2002;(2):CD001005
pubmed: 12076400
Int J Clin Pract. 2011 Nov;65(11):1173-9
pubmed: 21951713
Diabetes Care. 2012 Jan;35 Suppl 1:S101-8
pubmed: 22187467
Mov Disord. 2015 Oct;30(12):1591-601
pubmed: 26474316