Annesi James J
YMCA of Metropolitan Atlanta, GA.
Department of Health Promotion, Kennesaw State University, GA.
Perm J. 2019;23:18-128. doi: 10.7812/TPP/18-128.
Parkinson disease (PD) is a degenerative nervous disorder that affects motor functioning. Although physical activity is beneficial, it often is reduced, and psychosocial issues persist such as low mood and perceptions of loss of control over health.
To determine the extent to which a community-based physical activity/self-regulatory skills intervention affects overall physical activity and changes in psychosocial factors in adults with PD and in adults with reduced mobility without PD.
Existing participants (N = 45, mean age = 71 years) of community-based PD group movement classes, who also participated in an individualized 6-session protocol for exercise support that emphasized self-regulation through barriers, completed validated self-report surveys. Participants' mean length of movement class participation was 11.8 months at the time of survey administration.
Mixed-model repeated-measures analysis of variance indicated significant improvements in physical activity, self-regulation, exercise self-efficacy, negative mood, and task social cohesion but not internal health locus of control. Improvement in social cohesion was significantly greater in the PD group (n = 27) than in the non-PD (n = 18) group. Changes in exercise self-efficacy mediated a significant relationship between changes in self-regulation and physical activity. Changes in social cohesion mediated a significant relationship between changes in physical activity and mood. Changes in mood and social cohesion had a reciprocal, mutually reinforcing relationship. For the PD group, length of program involvement predicted vigor change (r = 0.52, p = 0.006).
The intervention demonstrated positive effects on physical activity and psychosocial factors in adults with PD and with reduced mobility. Effects on social cohesion were important. Such programming should be considered as an adjunct to traditional medical treatment.
帕金森病（PD）是一种影响运动功能的退行性神经疾病。尽管体育活动有益，但患者的活动量往往会减少，心理社会问题依然存在，如情绪低落以及对健康失去控制感。
确定基于社区的体育活动/自我调节技能干预对帕金森病成年患者以及行动不便的非帕金森病成年患者的总体体育活动及心理社会因素变化的影响程度。
参与社区帕金森病群体运动课程的现有参与者（N = 45，平均年龄 = 71岁），他们还参加了一个为期6节的个性化运动支持方案，该方案通过障碍来强调自我调节，并完成了经过验证的自我报告调查。在进行调查时，参与者参加运动课程的平均时长为11.8个月。
混合模型重复测量方差分析表明，体育活动、自我调节、运动自我效能、负面情绪和任务社会凝聚力有显著改善，但内在健康控制点没有改善。帕金森病组（n = 27）的社会凝聚力改善显著大于非帕金森病组（n = 18）。运动自我效能的变化介导了自我调节变化与体育活动之间的显著关系。社会凝聚力的变化介导了体育活动变化与情绪之间的显著关系。情绪和社会凝聚力的变化存在相互促进的关系。对于帕金森病组，参与项目的时长可预测活力变化（r = 0.52，p = 0.006）。
该干预对帕金森病成年患者和行动不便的患者的体育活动及心理社会因素产生了积极影响。对社会凝聚力的影响很重要。此类方案应被视为传统医学治疗的辅助手段。
