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Knowledge, attitudes and perceptions of Parkinson's disease: A cross-sectional survey of Asian patients

  • Onanong Jitkritsadakul
    Affiliations
    Chulalongkorn Center of Excellence for Parkinson's Disease & Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, Thailand
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  • Nonglak Boonrod
    Affiliations
    Chulalongkorn Center of Excellence for Parkinson's Disease & Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, Thailand
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  • Roongroj Bhidayasiri
    Correspondence
    Corresponding author at: Chulalongkorn Center of Excellence for Parkinson's Disease & Related Disorders, Chulalongkorn University Hospital, 1873 Rama 4 Road, Bangkok 10330, Thailand.
    Affiliations
    Chulalongkorn Center of Excellence for Parkinson's Disease & Related Disorders, Department of Medicine, Faculty of Medicine, Chulalongkorn University and King Chulalongkorn Memorial Hospital, Thai Red Cross Society, Bangkok 10330, Thailand

    Department of Rehabilitation Medicine, Juntendo University, Tokyo, Japan
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Published:December 30, 2016DOI:https://doi.org/10.1016/j.jns.2016.12.063

      Highlights

      • A knowledge gap about Parkinson's disease (PD) often exists amongst PD patients.
      • Knowledge gaps poses a barrier in the provision of treatment and care of PD patients.
      • Our study confirms knowledge gaps amongst PD patients in all aspects.
      • A lack of PD knowledge was more pronounced in patients in the retired age group.
      • Educational interventions are an integral part of PD management.

      Abstract

      Background

      A knowledge gap about Parkinson's disease (PD) often exists amongst PD patients, the level and accuracy of which can influence their attitude and perceptions about the disease. Increased awareness of this information deficit can help physicians identify interventions that will improve patient's knowledge and perceptions about PD.

      Objectives

      To evaluate general understanding of PD and identify knowledge gaps amongst PD patients using a validated PD knowledge questionnaire.

      Methods

      A cross-sectional, questionnaire-based study was conducted in 108 PD patients (34 working; 74 retired). The questionnaire covers three domains of PD, including diagnosis, therapeutic options, and disease course with a total knowledge score ranging from 0 to 26. Subjects with dementia were excluded.

      Results

      Patient misconceptions were reflected in the mean (SD) total, diagnosis, therapeutic options, and disease course scores: 14.64 (3.32), 7.76 (1.93), 3.85 (1.28), and 3.03 (1.41) respectively. The working age subgroup had significantly higher knowledge scores than the retired age group for the whole questionnaire (p = 0.004), as well as the diagnosis (p = 0.001) and therapeutic sections (p = 0.023). Three dependent variables, including younger age at recruitment (<60 years old), female gender, and higher disease duration (≥4 years), were identified as predictors of a higher level of PD knowledge amongst PD patients.

      Conclusion

      Significant knowledge gaps were identified amongst PD patients in all three aspects of the questionnaire. Timely identification of patients with inaccurate or insufficient disease-related knowledge could help healthcare professionals choose more suitable multimodal educational interventions.

      Keywords

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      References

        • Bhidayasiri R.
        • Brenden N.
        • Viwattanakulvanid P.
        • Jitkritsadakul O.
        • Tabucanon R.
        • Jagota P.
        • et al.
        Identifying gaps in knowledge about Parkinson disease among medical professionals in Thailand.
        Neurology. 2014; 82: 2238-2240
        • Pan S.
        • Stutzbach J.
        • Reichwein S.
        • Lee B.K.
        • Dahodwala N.
        Knowledge and attitudes about Parkinson's disease among a diverse group of older adults.
        J. Cross Cult. Gerontol. 2014; 29: 339-352
        • Li J.
        • Chen D.
        • Song W.
        • Chen K.
        • Cao B.
        • Huang R.
        • et al.
        Survey on general knowledge on Parkinson's disease in patients with Parkinson's disease and current clinical practice for Parkinson's disease among general neurologists from Southwest China.
        Clin. Neurol. Neurosurg. 2014; 118: 16-20
        • Tan A.H.
        • Tan C.T.
        • Marras C.
        • Loh K.W.
        • Wye Ho N.W.
        • Lim Q.H.
        • et al.
        Knowledge of Parkinson's disease in a multiethnic urban Asian setting.
        J. Parkinson's Dis. 2015; 5: 865-879
        • Youn J.
        • Oh E.
        • Park J.
        • Park S.
        • Kim J.S.
        • Jang W.
        Public awareness and knowledge about Parkinson's disease: a national population based survey in South Korea.
        Neuroepidemiology. 2016; 47: 117-123
        • Hattori N.
        • Fujimoto K.
        • Kondo T.
        • Murata M.
        • Stacy M.
        Patient perspectives on Parkinson's disease therapy in Japan and the United States: results of two patient surveys.
        Patient Relat. Outcome Meas. 2012; 3: 31-38
        • Oxford American Dictionary and Thesaurus
        2nd Ed.
        Oxford University Press, New York2009
        • Fabrigar L.R.
        • Petty R.E.
        • Smith S.M.
        • Crites Jr., S.L.
        Understanding knowledge effects on attitude-behavior consistency: the role of relevance, complexity, and amount of knowledge.
        J. Pers. Soc. Psychol. 2006; 90: 556-577
        • Ostrom T.M.
        Perspective as an intervening construct in the judgment of attitude statements.
        J. Pers. Soc. Psychol. 1966; 3: 135-144
        • Lipson M.
        Learning new information from text: the role of prior knowledge and reading ability.
        J Read. Behav. 1982; 14: 243-261
        • Lee J.M.
        • Shine J.M.
        • Lewis S.J.
        What matters to people with Parkinson's disease living in Australia?.
        J. Clin. Neurosci. 2015; 22: 338-341
        • van der Eijk M.
        • Nijhuis F.A.
        • Faber M.J.
        • Bloem B.R.
        Moving from physician-centered care towards patient-centered care for Parkinson's disease patients.
        Parkinsonism Relat. Disord. 2013; 19: 923-927
        • Grosset K.A.
        • Grosset D.G.
        Patient-perceived involvement and satisfaction in Parkinson's disease: effect on therapy decisions and quality of life.
        Mov. Disord. 2005; 20: 616-619
        • Yadav R.
        • Shukla G.
        • Goyal V.
        • Singh S.
        • Behari M.
        Knowledge of Parkinson's disease among patients and caregivers attending movement disorder clinic at a tertiary care centre in north India.
        Ann. Indian Acad. Neurol. 2012; 15: 294-296
        • Bhidayasiri R.
        • Saksornchai K.
        • Kaewwilai L.
        • Phanthumchinda K.
        A census of movement disorders at a Thai university hospital.
        J. Neurol. Sci. 2011; 301: 31-34
        • Schrag A.
        • Hovris A.
        • Morley D.
        • Quinn N.
        • Jahanshahi M.
        Young- versus older-onset Parkinson's disease: impact of disease and psychosocial consequences.
        Mov. Disord. 2003; 18: 1250-1256
        • Jahanshahi M.
        • Marsden C.D.
        Living and Coping with Parkinson's Disease: A Self-help Guide for Patients and Their Carers.
        Souvenir Press, London1998
        • Singer E.
        Social costs of Parkinson's disease.
        J. Chronic Dis. 1973; 26: 243-254
        • Breen D.P.
        • Evans J.R.
        • Farrell K.
        • Brayne C.
        • Barker R.A.
        Determinants of delayed diagnosis in Parkinson's disease.
        J. Neurol. 2013; 260: 1978-1981
        • Giles S.
        • Miyasaki J.
        Palliative stage Parkinson's disease: patient and family experiences of health-care services.
        Palliat. Med. 2009; 23: 120-125
        • Tan E.K.
        • Lee J.
        • Hunter C.
        • Shinawi L.
        • Fook-Chong S.
        • Jankovic J.
        Comparing knowledge and attitudes towards genetic testing in Parkinson's disease in an American and Asian population.
        J. Neurol. Sci. 2007; 252: 113-120
        • Korean Movement Disorders Society Red Tulip Survey P.
        • Chung S.J.
        • Koh S.B.
        • Ju Y.S.
        • Kim J.W.
        Nationwide survey of patient knowledge and attitudes towards human experimentation using stem cells or bee venom acupuncture for Parkinson's disease.
        J. Mov. Disord. 2014; 7: 84-91
        • Montgomery Jr., E.B.
        • Lieberman A.
        • Singh G.
        • Fries J.F.
        Patient education and health promotion can be effective in Parkinson's disease: a randomized controlled trial. PROPATH Advisory Board.
        Am. J. Med. 1994; 97: 429-435
        • Grosset K.A.
        • Grosset D.G.
        Effect of educational intervention on medication timing in Parkinson's disease: a randomized controlled trial.
        BMC Neurol. 2007; 7: 20
        • van der Marck M.A.
        • Kalf J.G.
        • Sturkenboom I.H.
        • Nijkrake M.J.
        • Munneke M.
        • Bloem B.R.
        Multidisciplinary care for patients with Parkinson's disease.
        Parkinsonism Relat. Disord. 2009; 15: S219-S223
        • Chiauzzi E.
        • DasMahapatra P.
        • Cochin E.
        • Bunce M.
        • Khoury R.
        • Dave P.
        Factors in patient empowerment: a survey of an online patient research network.
        in: Patient. 2016
        • Graham D.
        A new and innovative magazine-style website has been launched to inspire and inform the international Parkinson's community [internet].
        ([cited 29 November 2016]. Available from:)
        • Grogan K.
        Call to improve treatment for Parkinson's disease patients [internet].
        ([cited 29 November 2016]. Available from:)