European geriatric medicine · 2026
Patient activation among patients with Parkinsonism and informal caregivers: results from the PRIME-UK cross-sectional study.
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Tenison Emma, Ben-Shlomo Yoav, Henderson Emily J
Аннотация
INTRODUCTION: Self-management skills can help patients with Parkinson's disease to adopt healthy behaviors and live well, thereby improving outcomes and reducing costs.
METHODS: Patients with parkinsonism and caregivers in this single-center study self-completed questionnaires including the Patient Activation Measure (PAM®) which quantifies self-management capability. Predictors of activation were determined using linear regression.
RESULTS: 64% (279/438) of patients and 59% (189/323) of caregivers were categorized as the lowest two activation levels. Increasing patient age, frailty, non-motor and depressive symptoms, four or more comorbidities, and worse quality of life were associated with lower patient activation. Increased hours spent caring and use of emotion-focused and problem-focused coping strategies were associated with increased caregiver activation. There was moderate evidence that male caregivers had lower activation.
CONCLUSION: Low activation levels were common among this more representative population of parkinsonism patients and caregivers. Proactive management of non-motor symptoms may improve activation and outcomes.
METHODS: Patients with parkinsonism and caregivers in this single-center study self-completed questionnaires including the Patient Activation Measure (PAM®) which quantifies self-management capability. Predictors of activation were determined using linear regression.
RESULTS: 64% (279/438) of patients and 59% (189/323) of caregivers were categorized as the lowest two activation levels. Increasing patient age, frailty, non-motor and depressive symptoms, four or more comorbidities, and worse quality of life were associated with lower patient activation. Increased hours spent caring and use of emotion-focused and problem-focused coping strategies were associated with increased caregiver activation. There was moderate evidence that male caregivers had lower activation.
CONCLUSION: Low activation levels were common among this more representative population of parkinsonism patients and caregivers. Proactive management of non-motor symptoms may improve activation and outcomes.