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Impacts of an Exercise Program and Motivational Telephone Counseling on Health-Related Quality of Life in People With Parkinson’s Disease

Rehabilitation Nursing Journal: May/June 2019 - Volume 44 - Issue 3 - p E8
doi: 10.1097/RNJ.0000000000000229
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Back to Top | Article Outline


Purpose: To present a study conducted to identify the effect of group exercise programs and motivational telephone counseling on physical function and psychosocial factors in patients who have Parkinson’s disease.

Learning Objectives/Outcomes: After completing this continuing education activity, you should be able to:

1. Recall the background data helpful for understanding Parkinson’s disease and the benefits of motivational approaches to disease management.

2. Specify the interventions used in testing the effectiveness of group exercise programs and motivational telephone counseling on the manifestations of Parkinson’s disease and health-related quality of life.

3. Summarize the results of the study.

  1. A common manifestation of Parkinson’s disease (PD) is
    1. bradykinesia.
    2. hypertension.
    3. muscle flaccidity.
  2. With motivational processes, people who more strongly believe in their capability
    1. exert greater and more persistent effort.
    2. pay more attention to behavior that commands attention.
    3. assess the relationship between their behavior and its consequences.
  3. Key elements of motivational interviewing are collaboration, evocation, and
    1. interest.
    2. autonomy.
    3. stimulation.
  4. The group exercise program the authors implemented for the intervention group in this study included
    1. 5 minutes of warm-up.
    2. 20 minutes of aerobic exercise.
    3. 15 minutes of resistance exercise.
  5. Aerobic exercise was implemented for the intervention group as
    1. walking.
    2. line dancing.
    3. water aerobics.
  6. Which of the following questions was included in the telephone counseling?
    1. “Do you have any specific concerns about continuing to engage in regular exercise?”
    2. “What expectations do you have for slowing down the progression of your Parkinson’s symptoms?”
    3. “Have you lately experienced any health problems such as a fall or unpleasant symptoms?”
  7. To assess strength and lower limb endurance, researchers conducted a
    1. timed up-and-go test.
    2. walking test.
    3. chair stand test.
  8. Study results indicated that, contrasted with the comparison group, the intervention group’s health-related quality of life (HRQOL) improved, particularly regarding
    1. depression.
    2. social function.
    3. functional fitness.
  9. A meta-analysis by Shu et al. (2014) found that, for people with PD, aerobic exercise enhanced all of the following except
    1. gait.
    2. balance.
    3. HRQOL.
  10. The exercise program had remarkable and statistically significant effects on which of the following psychological dimensions of the Korean version of the 39-item Parkinson's Disease Questionnaire?
    1. communication
    2. discomfort
    3. mobility
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