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"Staying Strong

其他書名	An Exploratory Descriptive Study
出版	ProQuest LLC, 2021
URL	http://books.google.com.hk/books?id=PGSJ0AEACAAJ&hl=&source=gbs_api

註釋Introduction: Though the benefits of exercise for improving symptoms of Parkinson disease (PD) are well established, research has largely overlooked spousal caregivers. For both members of the dyad, many barriers preclude their ability to participate in exercise. Dyadic interventions may overcome impediments to exercise and provide an opportunity for care dyads to respond to the threat of PD with a shared focus and co-opted sense of ownership. This qualitative descriptive exploratory study examined factors influencing PD dyads' participation in exercise. Methods: Semi-structured interviews were conducted via web conferencing with four dyads of individuals with PD (IPD) and spouse caregivers (CG). Interviews lasted 1℗ư-3 hours, and were conducted with each member of the dyad individually. Questions centered around the theory of interdependence and communal coping. Interviews were audio recorded, transcribed verbatim, and independently coded using open coding to identify underlying themes. Responses were grouped by codes to identify frequency, patterns, and reoccurring themes. Interviews were supplemented with data from the Canadian Occupational Performance Measure and self-report measures on PD symptoms, CG health conditions, quality of life (QOL), physical activity (PA), and stages of change related to exercise. Results: Four males (mean age = 77.25 yrs) with moderate PD, and four female CGs (mean age = 72 yrs) participated. Three major themes were identified: 1) Progression of PD, 2) Perception of PD as a threat, and 3) Factors influencing participation in exercise. The perceived threat of PD influences dyads to participate in exercise, because "staying strong = staying healthy." COPM responses for all individuals indicated strength or stamina as a top occupational performance problem area; while IPDs frequently identified self-care problems, CGs focused on caregiving. IPDs reported being in a higher stage of change for PA and exercised more (1.5-5x/wk for 15-90 min/session) than CGs (0-5x/wk for 0-15 min/session). Discussion: Progression of PD impacts both members of the dyad and affects how both individuals view participation in exercise. Dyadic PA interventions may be especially relevant when each member of the dyad is motivated to respond to the health threat of PD for the benefit of one another and their relationship.