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Feasibility of a Treatment Protocol for Parkinson's Fatigue Management Using a Cognitive Behavioral Approach
1Dep. of Occupational Therapy, New York Institute of Technology, Riland Building Rm 343, PO Box 8000, Northern Boulevard, Old Westbury, NY 11568, USA. Tel 516 686-3915. wwan@nyit.edu.
Objectives:
Fatigue affects half of people with Parkinson's disease, but treatment options remain limited. A treatment protocol was developed for Parkinson's fatigue management. It aims to explore protocol feasibility and effectiveness and inform the design of subsequent larger study.
Methods:
People with Parkinson's fatigue (n=10) participated in six weekly meetings. Participant enrollment and retention rate assess program feasibility. Program effectiveness was measured by perceived fatigue, sleep rating and quality of life at week 0, 6, and 12.
Results:
Participant retention rate was 100%. Attendance mean was 90%. No statistical difference was found in outcome measures. 40% exceeded minimal clinically important difference in fatigue from week 0 to 12. Effect size was medium.
Conclusions:
This protocol is feasible. Future studies should address psychosocial factors with interprofessional collaboration.
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