University of Arkansas for Medical Sciences, Department of Physical Therapy, Fayetteville, Arkansas, USA.
Reynolds Institute on Aging Ottenheimer Fitness Center, University of Arkansas for Medical Sciences, Little Rock, Arkansas, USA.
PM R. 2023 Jun;15(6):772-779. doi: 10.1002/pmrj.12848. Epub 2022 Aug 8.
Due to coronavirus disease 2019 (COVID-19), many health/wellness programs transitioned from in-person to virtual. This mixed-methods study aims to explore the perceptions of older adults with Parkinson disease (PD) regarding in-person versus virtual-based Parkinson-specific exercise classes (PDEx).
Explore experiences, perceptions, and perceived effect of participating in and transitioning from in-person to virtual PDEx in people with Parkinson disease (PwPD).
Cross-sectional mixed-methods design using an online survey and focus groups.
PwPD who participated in an in-person and virtual PDEx (n = 26) were recruited to participate and completed online surveys and focus groups from their home during the COVID-19 pandemic.
PwPD who participated in an in-person and virtual PDEx and agreed to participate completed an online survey (n = 16; male = 8; mean age = 74 years) and focus groups (n = 9; male = 4; mean age = 75 years).
N/A MAIN OUTCOME MEASURES: Participants completed survey questions and participated in focus groups regarding their perceptions, attitudes, and perceived changes in PD-related symptoms since participating in the PDEx, as well as barriers and facilitators to participating in virtual PDEx.
Participants felt PDEx was somewhat to very safe and beneficial. In the computer, comfort, and perceptions survey, participants reported perceived improved mobility (63%), balance (75%), and overall health (63%) since participating the PDEx, whereas some participants reported improved mental health (38%). Participants reported minimal difficulty with accessing virtual PDEx. Most participants stated that they would prefer to participate in a combination of in-person and virtual programming. Focus-group participants emphasized that virtual PDEx provided social and emotional support and improved confidence to perform and maintain an exercise regimen.
PwPD who transitioned from an in-person to a virtual PDEx felt the program was safe, effective, and improved or prevented declines in their mobility and balance. PwPD who transitioned to a virtual PDEx also reported benefits in non-motor symptoms such as social isolation.
由于 2019 年冠状病毒病（COVID-19），许多健康/保健计划已从线下转为线上。本混合方法研究旨在探索患有帕金森病（PD）的老年人对线下与线上帕金森特定运动课程（PDEx）的看法。
探讨帕金森病患者（PwPD）参与并从线下转为线上 PDEx 的体验、看法和感知效果。
使用在线调查和焦点小组的横断面混合方法设计。
在 COVID-19 大流行期间，从参加线下和线上 PDEx 的 PwPD 中招募参与者完成在线调查和焦点小组，他们在家中完成。
参加线下和线上 PDEx 并同意参加的 PwPD 完成了在线调查（n=16；男性=8；平均年龄 74 岁）和焦点小组（n=9；男性=4；平均年龄 75 岁）。
无
参与者完成了关于他们对 PDEx 的看法、态度以及自参加 PDEx 以来 PD 相关症状的感知变化的调查问卷和焦点小组，以及参加线上 PDEx 的障碍和促进因素。
参与者认为 PDEx 是相对安全和有益的。在电脑、舒适度和感知调查中，参与者报告称，自从参加 PDEx 以来，他们的移动能力（63%）、平衡能力（75%）和整体健康状况（63%）有所改善，而一些参与者报告称心理健康状况有所改善（38%）。参与者表示访问虚拟 PDEx 的困难最小。大多数参与者表示，他们更愿意参加线下和线上相结合的课程。焦点小组参与者强调，虚拟 PDEx 提供了社交和情感支持，增强了他们执行和维持锻炼计划的信心。
从线下转为线上 PDEx 的 PwPD 认为该计划是安全、有效的，可以改善或预防他们的移动和平衡能力下降。转为线上 PDEx 的 PwPD 还报告说，非运动症状（如社交隔离）也有改善。
