Person-centered goal setting is feasible in people with Parkinson’s disease who have subjective cognitive decline: a mixed methods study

2022 ◽  
pp. 1-8
Author(s):  
Eunyoung Kang ◽  
Pooja Jethani ◽  
Erin R. Foster
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Mixed Methods ◽  
Cognitive Decline ◽  
Goal Setting ◽  
Mixed Methods Study ◽  
Subjective Cognitive Decline

Analyses of Visuospatial and Visuoperceptual Errors as Predictors of Dementia in Parkinson’s Disease Patients with Subjective Cognitive Decline and Mild Cognitive Impairment

2020 ◽  
pp. 1-11
Author(s):  
Iván Galtier ◽  
Antonieta Nieto ◽  
María Mata ◽  
Jesús N. Lorenzo ◽  
José Barroso
Keyword(s):  
Risk Factors ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Impairment ◽  
Mild Cognitive Impairment ◽  
Cognitive Decline ◽  
Poor Performance ◽  
Subjective Cognitive Decline ◽  
Independent Risk Factors

ABSTRACT Objective: Subjective cognitive decline (SCD) and mild cognitive impairment (MCI) in Parkinson’s disease (PD) are considered as the risk factors for dementia (PDD). Posterior cortically based functions, such as visuospatial and visuoperceptual (VS-VP) processing, have been described as predictors of PDD. However, no investigations have focused on the qualitative analysis of the Judgment of Line Orientation Test (JLOT) and the Facial Recognition Test (FRT) in PD-SCD and PD-MCI. The aim of this work was to study the VS-VP errors in JLOT and FRT. Moreover, these variables are considered as predictors of PDD. Method: Forty-two PD patients and 19 controls were evaluated with a neuropsychological protocol. Patients were classified as PD-SCD and PD-MCI. Analyses of errors were conducted following the procedure described by Ska, Poissant, and Joanette (1990). Follow-up assessment was conducted to a mean of 7.5 years after the baseline. Results: PD-MCI patients showed a poor performance in JLOT and FRT total score and made a greater proportion of severe intraquadrant (QO2) and interquadrant errors (IQO). PD-SCD showed a poor performance in FRT and made mild errors in JLOT. PD-MCI and QO2/IQO errors were independent risk factors for PDD during the follow-up. Moreover, the combination of both PD-MCI diagnosis and QO2/IQO errors was associated with a greater risk. Conclusions: PD-MCI patients presented a greater alteration in VS-VP processing observable by the presence of severe misjudgments. PD-SCD patients also showed mild difficulties in VS-SP functions. Finally, QO2/IQO errors in PD-MCI are a useful predictor of PDD, more than PD-MCI diagnosis alone.

scholarly journals Transitions in Parkinson's disease in primary care: protocol of a longitudinal mixed methods study

BMJ Open ◽  
2015 ◽  
Vol 5 (6) ◽  
pp. e007171-e007171 ◽  
Author(s):  
A. O. A. Plouvier ◽  
T. C. Olde Hartman ◽  
C. van Weel ◽  
B. R. Bloem ◽  
A. L. M. Lagro-Janssen
Keyword(s):  
Primary Care ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Mixed Methods ◽  
Mixed Methods Study ◽  
Care Protocol

Cognitive and cortical thinning patterns of subjective cognitive decline in patients with and without Parkinson's disease

2014 ◽  
Vol 20 (9) ◽  
pp. 999-1003 ◽  
Author(s):  
Jin Yong Hong ◽  
Hyuk Jin Yun ◽  
Mun Kyung Sunwoo ◽  
Jee Hyun Ham ◽  
Jong-Min Lee ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Decline ◽  
Subjective Cognitive Decline ◽  
Cortical Thinning

How Do Patients With Parkinson’s Disease Approach Advance Care Planning? A UK-Based Mixed Methods Study

2021 ◽  
pp. 089198872098891
Author(s):  
Deepta Churm ◽  
Claire Dickinson ◽  
Louise Robinson ◽  
Paul Paes ◽  
Thomas Cronin ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Mixed Methods ◽  
Advance Care Planning ◽  
Mixed Methods Study ◽  
Care Planning ◽  
Structured Interviews ◽  
The Future ◽  
Explanatory Mixed Methods ◽  
Advance Care

Background: Advance Care Planning (ACP) allows people the opportunity to plan for a time when they may lose capacity. The aim of this study was to determine the extent people with Parkinson’s disease (PD) were aware of ACP, existing plans they held and to explore their own views, as well as their relatives, on planning for the future. Methods: This was a sequential explanatory mixed methods study with a postal quantitative survey to establish awareness and engagement with planning for the future; and qualitative semi-structured interviews to explore the views of people with PD and their relatives on ACP and future plans. Results: 104 questionnaires were analyzed. 76% of respondents had not heard of ACP, while 69% expressed an interest in finding out more about ACP. 78% had a will, and 23% had appointed lasting power of attorneys. All interviewees acknowledged engaging in some aspect of planning. Plans were mostly practical as opposed to health-care related. Interviewees expressed a preference for ACP to be carried out by their PD team, at home, and at a time relevant to their condition. Conclusion: The awareness and understanding of ACP in people with PD is low. While there is desire to be better informed about ACP, this did not translate into desire to engage in ACP. Health professionals should identify people for whom ACP may serve a positive purpose, and proactively address ACP as a continuum with them, while ensuring awareness is raised about ACP, and there is access for who are interested.

scholarly journals Neural correlates and predictors of subjective cognitive decline in patients with Parkinson’s disease

2021 ◽  
Author(s):  
Anja Ophey ◽  
Fabian Krohm ◽  
Elke Kalbe ◽  
Andrea Greuel ◽  
Alexander Drzezga ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Regression Analysis ◽  
Cognitive Decline ◽  
Fdg Pet ◽  
Neural Correlates ◽  
Motor Symptom ◽  
Angular Gyrus ◽  
Subjective Cognitive Decline ◽  
Control Group

Abstract Background Subjective cognitive decline (SCD) may occur very early in the course of Parkinson’s disease (PD) before the onset of objective cognitive decline. Data on neural correlates and determinants of SCD in PD are rare. Objective The aim of the present study was to identify neural correlates as well as sociodemographic, clinical, and neuropsychological predictors of SCD in patients with PD. Methods We retrospectively analyzed 30 patients with PD without cognitive impairment (23% female, 66.90 ± 7.20 years, UPDRS-III: 19.83 ± 9.29), of which n = 12 patients were classified as having no SCD (control group, PD-CG) and n = 18 as having SCD (PD-SCD). Neuropsychological testing and 18-fluoro-2-deoxyglucose positron emission tomography (FDG-PET) were conducted. SCD was assessed using a questionnaire covering multiple cognitive domains. Results SCD subscores differed significantly between PD-CG and PD-SCD and correlated significantly with other scales measuring related concepts. FDG-PET whole-brain voxel-wise regression analysis revealed hypometabolism in middle frontal, middle temporal, and occipital areas, and the angular gyrus as neural correlates of SCD in PD. Next to this hypometabolism, depressive symptoms were an independent significant determinant of SCD in a stepwise regression analysis (adjusted R2 = 50.3%). Conclusion This study strengthens the hypothesis of SCD being an early manifestation of future cognitive decline in PD and, more generally, early pathological changes in PD. The early identification of the vulnerability for future cognitive decline constitutes the basis for successful prevention and delay of this non-motor symptom.

scholarly journals Palliative care for patients with Parkinson’s disease: study protocol for a mixed methods study

2017 ◽  
Vol 16 (1) ◽  
Author(s):  
Herma Lennaerts ◽  
Marieke Groot ◽  
Maxime Steppe ◽  
Jenny T. van der Steen ◽  
Marieke Van den Brand ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Palliative Care ◽  
Parkinson's Disease ◽  
Mixed Methods ◽  
Study Protocol ◽  
Mixed Methods Study ◽  
Disease Study

Minor hallucinations reflect early gray matter loss and predict subjective cognitive decline in Parkinson's disease

2020 ◽  
Author(s):  
H. Bejr‐kasem ◽  
F. Sampedro ◽  
J. Marín‐Lahoz ◽  
S. Martínez‐Horta ◽  
J. Pagonabarraga ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Decline ◽  
Gray Matter ◽  
Subjective Cognitive Decline ◽  
Gray Matter Loss
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