Background: Parkinson’s disease (PD) is the fastest-growing neurodegenerative condition globally, significantly impairing self-care capacity due to its complex motor and nonmotor symptoms. Caregiver involvement is often essential. Objective: This review aims to synthesise qualitative evidence on self-care behaviours and experiences in individuals with PD, from both patient and caregiver perspectives. Methods: A qualitative meta-synthesis was conducted using Sandelowski and Barroso’s methodology. Fifty-two eligible studies were analysed. Thematic categories were mapped onto Riegel’s self-care framework: maintenance, monitoring, and management. Results: Self-care maintenance emerged as the most frequently reported dimension. Across all three dimensions, caregiver support played a central role in enabling effective symptom control and treatment adherence. Conclusions: The synthesis highlights the critical importance of supporting self-care—especially maintenance behaviours—in PD management. It also emphasizes the vital role caregivers play in reinforcing self-care, pointing to the need for integrated support structures in clinical and research contexts. Registration: This review was registered in PROSPERO (https://www.crd.york.ac.uk/PROSPERO/view/CRD42024598072).
Petralito, M., Tedesco, C., Vellone, E., Cilluffo, S., Lusignani, M., Terzoni, S., et al. (2026). Self-Care Experiences and Behaviours in People With Parkinson’s Disease: A Meta-Synthesis. JOURNAL OF GERIATRIC PSYCHIATRY AND NEUROLOGY, 39(4), 380-412 [10.1177/08919887251392139].
Self-Care Experiences and Behaviours in People With Parkinson’s Disease: A Meta-Synthesis
Petralito, Monica;Tedesco, Chiara;Vellone, Ercole;Cilluffo, Silvia;Caruso, Rosario;Pucciarelli, Gianluca
2026-07-01
Abstract
Background: Parkinson’s disease (PD) is the fastest-growing neurodegenerative condition globally, significantly impairing self-care capacity due to its complex motor and nonmotor symptoms. Caregiver involvement is often essential. Objective: This review aims to synthesise qualitative evidence on self-care behaviours and experiences in individuals with PD, from both patient and caregiver perspectives. Methods: A qualitative meta-synthesis was conducted using Sandelowski and Barroso’s methodology. Fifty-two eligible studies were analysed. Thematic categories were mapped onto Riegel’s self-care framework: maintenance, monitoring, and management. Results: Self-care maintenance emerged as the most frequently reported dimension. Across all three dimensions, caregiver support played a central role in enabling effective symptom control and treatment adherence. Conclusions: The synthesis highlights the critical importance of supporting self-care—especially maintenance behaviours—in PD management. It also emphasizes the vital role caregivers play in reinforcing self-care, pointing to the need for integrated support structures in clinical and research contexts. Registration: This review was registered in PROSPERO (https://www.crd.york.ac.uk/PROSPERO/view/CRD42024598072).| File | Dimensione | Formato | |
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