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Related Concept Videos

Community Based Intervention01:30

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Community-based interventions in mental health represent a paradigm shift from institution-centered care to treatments embedded within the fabric of local communities. By prioritizing inclusion and leveraging existing societal structures, this approach fosters a supportive environment conducive to addressing mental health challenges while promoting individual dignity and agency.
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Updated: Jan 22, 2026

Community-based Adapted Tango Dancing for Individuals with Parkinson's Disease and Older Adults
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Implementation of a Community-Based Exercise Program for Parkinson Patients: Using Boxing as an Example.

Josefa Domingos1,2, Danique Radder1, Sara Riggare3

  • 1Department of Neurology, Radboud University Medical Center, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands.

Journal of Parkinson'S Disease
|July 9, 2019
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Summary

A community boxing program tailored for Parkinson's disease (PD) patients was well-received and safe. Educational resources supported instructors, leading to program growth and high participant satisfaction over 18 months.

Keywords:
Boxing trainingParkinson’s diseasecommunity exercisephysiotherapy

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Area of Science:

  • Neurology
  • Exercise Science
  • Community Health

Background:

  • Community exercise programs benefit individuals with Parkinson's disease (PD).
  • Existing programs often lack specialized knowledge for safe and effective PD exercise.
  • There is a need for PD-specific community-based exercise interventions.

Purpose of the Study:

  • To assess the acceptability and safety of a community-based boxing program designed for Parkinson's disease (PD).
  • To evaluate the effectiveness of educational resources for boxing instructors working with PD patients.

Main Methods:

  • Developed educational materials and conducted a workshop for 26 PD patients and 10 instructors.
  • Assessed participant and instructor satisfaction, interest in the program, and adverse events.
  • Followed up after 18 months to evaluate program sustainability, satisfaction, and barriers.

Main Results:

  • High satisfaction reported by 81% of patients and 80% of instructors.
  • Patients showed strong interest (54% clear, 46% possible) in the boxing program.
  • Program grew to 40 participants with 4 weekly sessions; mild adverse events (e.g., muscle aches) were reported. Transportation and physical disability were key barriers.

Conclusions:

  • The PD-specific boxing program is well-received and sustainable in the community.
  • Educational resources effectively support instructors, facilitating program delivery.
  • Community-based boxing offers a viable exercise option for individuals with Parkinson's disease.