Dissertation
Barriers and facilitators to home-based cycling in Parkinson's disease
Doctor of Nursing Practice (D.N.P.), Drexel University
Jun 2021
DOI:
https://doi.org/10.17918/00001499
Abstract
Background: Parkinson's disease (PD) is a neurological disease with no treatments to slow or stop progression. Research supports high-cadence cycling as a promising option to slow disease progression. A movement disorder center in Utah provides patients an at-home high-cadence cycling program focused on cycling technicalities. Methods: This Doctor of Nursing Practice (DNP) project aimed to develop a tool kit to promote success and safety for people living with PD (PLPD) interested in high-cadence cycling. The four-phase project explored barriers and facilitators to cycling in PLPD. In phase one, the DNP student interviewed key informants and created a pre-cycling guide. In phase two, participants read the pre-cycling guide. In phase three, participants engaged in high-cadence cycling and completed weekly interviews. In phase four, the DNP student evaluated and formatted findings into a tool kit. Results: Twenty-seven key informants, including community members, PLPD, and health care team members, participated in phase one. Eleven PLPD enrolled in phase three. One participant dropped out after the first interview. Participant interviews revealed various challenges, concerns, and innovative solutions to at-home high-cadence cycling. Common barriers were motivation, safety, fatigue, and pain. Facilitators included perceived benefits, support, and equipment type, among others. The findings were used to create a comprehensive cycling tool kit. Conclusion: PLPD have rich experiences and provide unique perspectives and innovative solutions. Understanding the experiences and perspectives of PLPD is essential when creating a resource to support at-home high-cadence cycling. The experiences of PLPD paired with multi-disciplinary expert guidance provided a holistic patient-centered tool kit to support at-home high-cadence cycling. Keywords: exercise, Parkinson's disease, high-cadence cycling, home-based exercise
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Details
- Title
- Barriers and facilitators to home-based cycling in Parkinson's disease
- Creators
- Sarah E. Oyler
- Contributors
- Patti Rager Zuzelo (DNP Chair)
- Awarding Institution
- Drexel University
- Degree Awarded
- Doctor of Nursing Practice (D.N.P.)
- Publisher
- Drexel University; Philadelphia, Pennsylvania
- Number of pages
- 115 pages
- Resource Type
- Dissertation
- Language
- English
- Academic Unit
- Doctoral Nursing; Nursing (Graduate); College of Nursing and Health Professions; Drexel University
- Other Identifier
- 991020220769404721