Research Article

Self-Management Education for Persons with Parkinson’s Disease and Their Care Partners: A Quasi-Experimental Case-Control Study in Clinical Practice

Table 2

Differences between and in persons with Parkinson’s disease before and after seven weeks of participation in the National Parkinson School (intervention group) and after seven weeks of ordinal care (control group).

Intervention group (n = 48)Control group (n = 44)-value

Health status (PDQ-8)Baseline28.1 (17.2–39.1)25 (12.5–37.5)0.301
Follow-up23.4 (14.8–37.5)23.4 (13.3–37.5)0.713
-value0.0280.644

Health valuation (EQ5D)Baseline0.87 (0.71–0.93)0.86 (0.79–0.93)0.473
Follow-up0.88 (0.78–0.93)0.86 (0.79–0.91)0.279
-value0.0230.866

Health education impact (heiQ)
 Health-directed activitiesBaseline3.25 (2.75–3.75)3.25 (2.75–3.75)0.865
Follow-up3.25 (2.75–3.753 (2.75–3.50)0.344
-value0.3230.437

 Positive and active engagement in lifeBaseline2.8 (2.6–3.2)3 (2.6–3.4)0.088
Follow-up3 (2.8–3.2)3 (2.6–3.4)0.945
-value0.0580.150

 Emotional distressBaseline2 (1.5–2.67)2.17 (1.83–2.67)0.529
Follow-up2 (1.5–2.46)1.83 (1.33–2.5)0.536
-value0.4360.020

 Self-monitoring and insightBaseline2.83 (2.58–3.17)3 (2.5–3.17)0.445
Follow-up3 (2.71–3.17)3 (2.67–3.17)0.652
-value0.5720.285

 Constructive attitudes and approachesBaseline3 (2.6–3.2)3 (2.8–3.6)0.075
Follow-up3 (2.8–3.4)3.2 (2.8–3.6)0.971
-value0.0030.845

 Skills and techniques acquisitionBaseline2.5 (2–2.75)2.88 (2.5–3.19)0.002
Follow-up3 (2.5–3)2.75 (2.44–3)0.463
-value<0.0010.464

 Social integration and supportBaseline3 (2.4–3.6)3 (2.8–3.4)0.561
Follow-up3 (2.8–3.6)3 (2.6–3.4)0.389
-value0.1100.324

 Health service navigationBaseline2.9 (2.4–3.2)3 (2.8–3.2)0.112
Follow-up3 (2.6–3.6)3 (2.8–3.4)0.903
-value0.2860.368

Life satisfaction (LiSat-11)
 Life as a wholeBaseline4 (4–5)5 (4–5)0.031
Follow-up4.5 (4–5)4.5 (4–5)0.868
-value0.1170.011

 VocationBaseline4 (3–5)4 (4–5)0.078
Follow-up4 (4–5)4.5 (4–5)0.170
-value0.1590.157

 EconomyBaseline5 (4–5)5 (5–5)0.077
Follow-up4 (4–5)5 (4–5)0.042
-value0.2210.489

 LeisureBaseline4 (4–5)5 (4–5)0.105
Follow-up4 (4–5)5 (4–5)0.889
-value1.0000.028

 ContactsBaseline5 (4–5)5 (4–5)0.472
Follow-up5 (4–5)4 (4–5)0.481
-value0.8150.013

 Sexual lifeBaseline3 (2–4)3 (2–4)0.314
Follow-up3 (2–4)3 (2–5)0.364
-value1.0000.414

 ADLBaseline5 (4–5)5 (4–6)0.289
Follow-up5 (4–5)5 (4–6)0.401
-value0.1680.186

 Family lifeBaseline5 (4–6)5 (4–6)0.203
Follow-up5 (4–6)5 (5–6)0.385
-value0.7290.712
 Partner relationshipBaseline5 (4–6)6 (4.5–6)0.266
Follow-up5 (4.5–6)5 (5–6)0.841
-value0.6960.244

 Somatic healthBaseline4 (3–4)4 (4–5)0.068
Follow-up4 (3–4)4 (3–5)0.930
-value0.2630.054

 Psychological healthBaseline4 (4–5)5 (4–5)0.367
Follow-up4 (4–5)5 (4–5)0.088
-value0.4420.536

 Fatigue (PFS-16)Baseline28 (19–38.8)32 (22–38)0.814
Follow-up32 (20–38)27 (16–40)0.946
-value0.1640.832

Data are median (q1-q3). Mann–Whitney U test for comparisons between intervention and control groups. Wilcoxon’s signed rank test for comparisons between baseline and follow-up within intervention and control groups. Possible scores, 0–100 (100 = worse health status). Possible scores, 0–1 (1 = better valued health state). Possible stages, 1–4 (4 = better; except for emotional well-being, where 1 = better). Possible scores, 1–6 (6 = higher life satisfaction). Possible scores, 0–64 (64 = more fatigue). PDQ-8: the eight-item Parkinson’s Disease Questionnaire; EQ5D: the five-dimensional EuroQol Questionnaire; heiQ: Health Education Impact Questionnaire; LiSat-11: the 11-item Life Satisfaction Checklist; PFS-16: the 16-item Parkinson Fatigue Scale.