title: Short-term effectiveness of intensive multidisciplinary rehabilitation for people with Parkinson's disease and their carers.
abstract: OBJECTIVE
  To evaluate the short-term effectiveness of an intensive multidisciplinary rehabilitation programme for people with Parkinson's disease and their carers.
  
  
  METHODS
  Observational, with assessments before and after intervention.
  
  
  METHODS
  An elderly care day unit in a district general hospital in south-east England.
  
  
  METHODS
  One hundred and eighteen people with Parkinson's disease and no cognitive impairment, and their carers.
  
  
  METHODS
  Participants attended the day hospital in groups of six patients with their carers for one day per week over six consecutive weeks. After assessment, they received individual treatment from a specialist team. Weekly group activities included relaxation and talks from experts.
  
  
  METHODS
  Patients and carers were assessed for: health-related quality of life, psychological well-being, social services need, perceptions of the programme. Patients were additionally assessed for mobility, gait and speech. Carers were assessed for strain.
  
  
  RESULTS
  After treatment significant improvements were recorded in patients' mobility and gait (p < 0.05), speech (p < 0.001), depression (p = 0.029), health-related quality of life (p = 0.001). People with more advanced disease at baseline gained significantly more from treatment (p < or = 0.04). Carers were less depressed and had higher health-related quality of life than patients at baseline (p < 0.001) and no improvements in these indicators were recorded after treatment. A high unmet need for social services was identified in 31% of participants, and 10% of carers were found in danger of being unable to continue caring. Participants reported knowledge gains and high levels of satisfaction with both individual therapies and group activities.
  
  
  CONCLUSIONS
  This intensive co-ordinated programme provided immediate benefits to people with Parkinson's disease and their carers.
authors.affiliation: Royal Surrey County Hospital, Guildford, UK.
authors.forename: Patrick
authors.initials: P
authors.lastname: Trend
authors.forename: Julie
authors.initials: J
authors.lastname: Kaye
authors.forename: Heather
authors.initials: H
authors.lastname: Gage
authors.forename: Charles
authors.initials: C
authors.lastname: Owen
authors.forename: Derick
authors.initials: D
authors.lastname: Wade
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D000553:Ambulatory Care; D017028:Caregivers / Q000193:education / Q000523:psychology*; D005260:Female; D005684:Gait / Q000502:physiology; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D009048:Motor Skills / Q000502:physiology; D017063:Outcome Assessment, Health Care; D010300:Parkinson Disease / Q000523:psychology* / Q000534:rehabilitation*; D010348:Patient Care Team; D011569:Psychiatric Status Rating Scales; D011788:Quality of Life; D012944:Social Support; D013064:Speech Disorders / Q000534:rehabilitation; D013315:Stress, Psychological / Q000175:diagnosis / Q000534:rehabilitation; D013997:Time Factors