Socio-Clinical factors associated with Parkinson's disease–related specific self-management behaviours

Michal Kafri, Maram Abu Taieh, Michal Duvdevani, Ilana Schlesinger, Maria Nassar, Ilana Erich, Rafi Hadad, Galit Yogev-Seligmann

Research output: Contribution to journalArticlepeer-review


Objective: To test associations between socio-clinical factors, self-management and patient activation among patients with Parkinson's disease (PD), and to explore the use of regression tree to find the cut-off levels of socio-clinical factors which associate with lower or higher self-management behaviours and patient's activation. Methods: A cross-sectional study of patients with PD (n = 62) who underwent assessment of their socio-clinical factors including age, gender, cognitive status, comorbidities, disease severity (motor and non-motor symptoms) and social support. The associations of these factors to specific aspects of self-management behaviours including utilization of rehabilitative treatments, physical activity and patient activation were tested. Results: Most patients did not utilize rehabilitative treatments. Non-motor symptoms and cognitive status were significantly associated with physical activity (R2 = 0.35, F(3, 58) = 10.50, p < 0.001). Non-motor symptoms were significantly associated with patient activation (R2 = 0.30, F(1, 30) = 25.88, p < 0.001). Patients with Mini-Mental State Exam score ≤24 performed less physical activity, relative to those with a higher score. Patients with ≤5 non-motor symptoms showed higher activation relative to those with >5. Conclusion: In PD, disease-specific clinical characteristics overshadow other personal factors as determinants of self-management behaviours. The role of non-motor symptoms in reduced self-management behaviours and activation is highlighted.

Original languageEnglish
JournalChronic Illness
Early online date6 Sep 2023
StateE-pub ahead of print - 6 Sep 2023

Bibliographical note

Funding Information:
The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by Faculty of Social Welfare & Health Sciences, University of Haifa and Rambam Health Care Campus under Grant 10/12-83. This work was supported by the Center for Research and Study of Aging, Faculty of Social Welfare & Health Sciences, University of Haifa.

Publisher Copyright:
© The Author(s) 2023.


  • Cognitive function
  • non-motor symptoms
  • Parkinson's disease
  • patient's activation
  • self-management
  • socio-clinical factor

ASJC Scopus subject areas

  • Health Policy


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