The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study
Abstract As the COVID-19 pandemic continues to affect the international community, very little is known about its impact on the health and day-to-day activities of people with Parkinson’s disease (PwPD). To better understand the emotional and behavioral consequences of the public health policies imp...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Nature Portfolio
2021-01-01
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| Series: | npj Parkinson's Disease |
| Online Access: | https://doi.org/10.1038/s41531-020-00153-8 |
| _version_ | 1797641696145571840 |
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| author | Megan P. Feeney Yaqian Xu Matthew Surface Hiral Shah Nora Vanegas-Arroyave Amanda K. Chan Elizabeth Delaney Serge Przedborski James C. Beck Roy N. Alcalay |
| author_facet | Megan P. Feeney Yaqian Xu Matthew Surface Hiral Shah Nora Vanegas-Arroyave Amanda K. Chan Elizabeth Delaney Serge Przedborski James C. Beck Roy N. Alcalay |
| author_sort | Megan P. Feeney |
| collection | DOAJ |
| description | Abstract As the COVID-19 pandemic continues to affect the international community, very little is known about its impact on the health and day-to-day activities of people with Parkinson’s disease (PwPD). To better understand the emotional and behavioral consequences of the public health policies implemented to mitigate the spread of SARS-CoV-2 in PwPD, and to explore the factors contributing to accessing alternative health care mechanisms, such as telehealth, we administered an anonymous knowledge, attitude, and practice survey to PwPD and care partners, via the mailing lists of the Parkinson’s Foundation and Columbia University Parkinson’s Disease Center of Excellence with an average response rate of 19.3%. Sufficient information was provided by 1,342 PwPD to be included in the final analysis. Approximately half of respondents reported a negative change in PD symptoms, with 45–66% reporting mood disturbances. Telehealth use increased from 9.7% prior to the pandemic to 63.5% during the pandemic. Higher income and higher education were associated with telehealth use. Services were more often used for doctor’s appointment than physical, occupational, speech, or mental health therapies. Almost half (46%) of PwPD preferred to continue using telehealth always or sometimes after the coronavirus outbreak had ended. Having received support/instruction for telehealth and having a care partner, friend, or family member to help them with the telehealth visit increased the likelihood of continuous use of telehealth after the pandemic ended. Taken together, PD symptoms and management practices were markedly affected by COVID-19. Given the observed demographic limitations of telehealth, expanding its implementation to include additional physical, occupational, psychological, and speech therapies, increasing support for telehealth, as well as reaching underserved (low income) populations is urgently required. |
| first_indexed | 2024-03-11T13:49:25Z |
| format | Article |
| id | doaj.art-9d8ffaca7f9b4285a8ea554bb70dba39 |
| institution | Directory Open Access Journal |
| issn | 2373-8057 |
| language | English |
| last_indexed | 2024-03-11T13:49:25Z |
| publishDate | 2021-01-01 |
| publisher | Nature Portfolio |
| record_format | Article |
| series | npj Parkinson's Disease |
| spelling | doaj.art-9d8ffaca7f9b4285a8ea554bb70dba392023-11-02T09:30:39ZengNature Portfolionpj Parkinson's Disease2373-80572021-01-017111010.1038/s41531-020-00153-8The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey studyMegan P. Feeney0Yaqian Xu1Matthew Surface2Hiral Shah3Nora Vanegas-Arroyave4Amanda K. Chan5Elizabeth Delaney6Serge Przedborski7James C. Beck8Roy N. Alcalay9Parkinson’s FoundationDepartment of Psychiatry, Columbia University Irving Medical CenterDepartment of Neurology, Columbia University Irving Medical CenterDepartment of Neurology, Columbia University Irving Medical CenterDepartment of Neurology, Parkinson’s Disease Center and Movement Disorder Clinic, Baylor College of MedicineDepartment of Neurology, Columbia University Irving Medical CenterDepartment of Neurology, Columbia University Irving Medical CenterDepartments of Neurology, Pathology & Cell Biology and Neuroscience, Columbia University Irving Medical CenterParkinson’s FoundationDepartment of Neurology, Columbia University Irving Medical CenterAbstract As the COVID-19 pandemic continues to affect the international community, very little is known about its impact on the health and day-to-day activities of people with Parkinson’s disease (PwPD). To better understand the emotional and behavioral consequences of the public health policies implemented to mitigate the spread of SARS-CoV-2 in PwPD, and to explore the factors contributing to accessing alternative health care mechanisms, such as telehealth, we administered an anonymous knowledge, attitude, and practice survey to PwPD and care partners, via the mailing lists of the Parkinson’s Foundation and Columbia University Parkinson’s Disease Center of Excellence with an average response rate of 19.3%. Sufficient information was provided by 1,342 PwPD to be included in the final analysis. Approximately half of respondents reported a negative change in PD symptoms, with 45–66% reporting mood disturbances. Telehealth use increased from 9.7% prior to the pandemic to 63.5% during the pandemic. Higher income and higher education were associated with telehealth use. Services were more often used for doctor’s appointment than physical, occupational, speech, or mental health therapies. Almost half (46%) of PwPD preferred to continue using telehealth always or sometimes after the coronavirus outbreak had ended. Having received support/instruction for telehealth and having a care partner, friend, or family member to help them with the telehealth visit increased the likelihood of continuous use of telehealth after the pandemic ended. Taken together, PD symptoms and management practices were markedly affected by COVID-19. Given the observed demographic limitations of telehealth, expanding its implementation to include additional physical, occupational, psychological, and speech therapies, increasing support for telehealth, as well as reaching underserved (low income) populations is urgently required.https://doi.org/10.1038/s41531-020-00153-8 |
| spellingShingle | Megan P. Feeney Yaqian Xu Matthew Surface Hiral Shah Nora Vanegas-Arroyave Amanda K. Chan Elizabeth Delaney Serge Przedborski James C. Beck Roy N. Alcalay The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study npj Parkinson's Disease |
| title | The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study |
| title_full | The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study |
| title_fullStr | The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study |
| title_full_unstemmed | The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study |
| title_short | The impact of COVID-19 and social distancing on people with Parkinson’s disease: a survey study |
| title_sort | impact of covid 19 and social distancing on people with parkinson s disease a survey study |
| url | https://doi.org/10.1038/s41531-020-00153-8 |
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