Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease
Introduction: Motor and nonmotor Parkinson’s disease (PD) symptoms can negatively influence employment, which may contribute to financial hardship. This article explores the association between financial hardship, employment challenges, and quality of life in people with early PD. Methods: We measur...
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| Format: | Article |
| Language: | English |
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Elsevier
2023-01-01
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| Series: | Clinical Parkinsonism & Related Disorders |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590112523000439 |
| _version_ | 1827593561416138752 |
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| author | Miriam R. Rafferty Sydney Achler Han Su Masha Kocherginsky Danny Bega Allen W. Heinemann Kurt Johnson |
| author_facet | Miriam R. Rafferty Sydney Achler Han Su Masha Kocherginsky Danny Bega Allen W. Heinemann Kurt Johnson |
| author_sort | Miriam R. Rafferty |
| collection | DOAJ |
| description | Introduction: Motor and nonmotor Parkinson’s disease (PD) symptoms can negatively influence employment, which may contribute to financial hardship. This article explores the association between financial hardship, employment challenges, and quality of life in people with early PD. Methods: We measured financial hardship with a validated summary item (5-point scale, lower score - less hardship) and the Comprehensive Score for Financial Toxicity (0–44, lower score worse toxicity) in a cohort of 60 employed individuals with early PD (<5 years). We used Spearman’s Correlations and nonparametric tests to identify associations between financial hardship, demographic characteristics, PD-related factors, employment factors, and quality of life (Neuro-QOL computer adapted measures). Results: The sample was mostly white (93 %) and male (65 %). The plurality were highly-educated with graduate degrees (42 %). Of the 60 participants, 23 (38 %) reported a little bit and 14 (23 %) reported somewhat or more hardship. Comprehensive financial toxicity (22.0 ± 8.7) was correlated moderately (ρ = −0.56) with the single-item summary score. High financial hardship was associated with reduced confidence in job retention (ρ = −0.43, p = 0.001) and reduced perceived workplace success (ρ = −0.352, p = 0.006). Financial hardship was also associated with poorer quality of life in five Neuro-QOL domains: lower extremity function, satisfaction with social roles and activities, depression, anxiety, and stigma (p < 0.05). Conclusion: Financial hardship was common and was associated with employment challenges and poor quality of life. Further work should explore the effects of medical and psychosocial interventions to alleviate financial and employment challenges in individuals with early PD. |
| first_indexed | 2024-03-09T02:13:26Z |
| format | Article |
| id | doaj.art-2de396d2604e45c0a88ec541510071a2 |
| institution | Directory Open Access Journal |
| issn | 2590-1125 |
| language | English |
| last_indexed | 2024-03-09T02:13:26Z |
| publishDate | 2023-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Parkinsonism & Related Disorders |
| spelling | doaj.art-2de396d2604e45c0a88ec541510071a22023-12-07T05:30:13ZengElsevierClinical Parkinsonism & Related Disorders2590-11252023-01-019100225Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s diseaseMiriam R. Rafferty0Sydney Achler1Han Su2Masha Kocherginsky3Danny Bega4Allen W. Heinemann5Kurt Johnson6Shirley Ryan AbilityLab, 355 E Erie St. Chicago, IL 60611, United States; Northwestern University Feinberg School of Medicine, Department of Physical Medicine and Rehabilitation, 676 N. Saint Clair St. Arkes Pavilion Suite 1100, Chicago, IL 60611, United States; Northwestern University Feinberg School of Medicine, Department of Psychiatry and Behavioral Science, 710 N. Lake Shore Dr. #1022, Chicago, IL 60611, United States; Corresponding author at: Miriam Rafferty 355 E Erie St, 19th Floor, Chicago, IL 60611, United States.Shirley Ryan AbilityLab, 355 E Erie St. Chicago, IL 60611, United StatesVanderbilt University School of Nursing, 461 21st Ave S, Nashville, TN 37240, United StatesNorthwestern University Feinberg School of Medicine, Department of Preventive Medicine, 680 N. Lake Shore Dr, Suite 1400, Chicago, IL 60611, United StatesNorthwestern University Feinberg School of Medicine, Department of Neurology, 303 E. Chicago Ave, Ward 12-140, Chicago, IL 60611, United StatesShirley Ryan AbilityLab, 355 E Erie St. Chicago, IL 60611, United States; Northwestern University Feinberg School of Medicine, Department of Physical Medicine and Rehabilitation, 676 N. Saint Clair St. Arkes Pavilion Suite 1100, Chicago, IL 60611, United StatesUniversity of Washington School of Medicine, Department of Rehabilitation Medicine, 325 Ninth Avenue, Box 359612, Seattle, WA 98104, United StatesIntroduction: Motor and nonmotor Parkinson’s disease (PD) symptoms can negatively influence employment, which may contribute to financial hardship. This article explores the association between financial hardship, employment challenges, and quality of life in people with early PD. Methods: We measured financial hardship with a validated summary item (5-point scale, lower score - less hardship) and the Comprehensive Score for Financial Toxicity (0–44, lower score worse toxicity) in a cohort of 60 employed individuals with early PD (<5 years). We used Spearman’s Correlations and nonparametric tests to identify associations between financial hardship, demographic characteristics, PD-related factors, employment factors, and quality of life (Neuro-QOL computer adapted measures). Results: The sample was mostly white (93 %) and male (65 %). The plurality were highly-educated with graduate degrees (42 %). Of the 60 participants, 23 (38 %) reported a little bit and 14 (23 %) reported somewhat or more hardship. Comprehensive financial toxicity (22.0 ± 8.7) was correlated moderately (ρ = −0.56) with the single-item summary score. High financial hardship was associated with reduced confidence in job retention (ρ = −0.43, p = 0.001) and reduced perceived workplace success (ρ = −0.352, p = 0.006). Financial hardship was also associated with poorer quality of life in five Neuro-QOL domains: lower extremity function, satisfaction with social roles and activities, depression, anxiety, and stigma (p < 0.05). Conclusion: Financial hardship was common and was associated with employment challenges and poor quality of life. Further work should explore the effects of medical and psychosocial interventions to alleviate financial and employment challenges in individuals with early PD.http://www.sciencedirect.com/science/article/pii/S2590112523000439Parkinson’s diseaseEmploymentDisabilityPatient reported outcome measuresFinancial toxicity |
| spellingShingle | Miriam R. Rafferty Sydney Achler Han Su Masha Kocherginsky Danny Bega Allen W. Heinemann Kurt Johnson Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease Clinical Parkinsonism & Related Disorders Parkinson’s disease Employment Disability Patient reported outcome measures Financial toxicity |
| title | Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease |
| title_full | Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease |
| title_fullStr | Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease |
| title_full_unstemmed | Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease |
| title_short | Financial hardship is associated with employment challenges and reduced quality of life in early Parkinson’s disease |
| title_sort | financial hardship is associated with employment challenges and reduced quality of life in early parkinson s disease |
| topic | Parkinson’s disease Employment Disability Patient reported outcome measures Financial toxicity |
| url | http://www.sciencedirect.com/science/article/pii/S2590112523000439 |
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