{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T17:19:02Z","timestamp":1778951942954,"version":"3.51.4"},"reference-count":40,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T00:00:00Z","timestamp":1764979200000},"content-version":"vor","delay-in-days":339,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,1,1]],"date-time":"2025-01-01T00:00:00Z","timestamp":1735689600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100010809","name":"Jascha Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100010809","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009708","name":"Novo Nordisk Fonden","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100009708","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Parkinson's Disease"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:p>Empowerment and implementation of self\u2010management strategies are vital components in the future care of chronic, neurological patient groups, including people with Parkinson\u2019s disease (PD). This study aimed to evaluate the feasibility and effectiveness of an 8\u2010week self\u2010management intervention designed for people with PD (PwP) with follow\u2010up assessments at 3 and 6\u2009months postintervention. The program focused on developing self\u2010management skills, coping strategies, disease education, mindfulness, exercise routines, and individual goal\u2010setting tools. Objective measurements using Parkinson\u2019s KinetiGraph\u2122 (PKG) were employed to monitor motor symptoms, immobility levels, and burden of nonmotor symptoms (self\u2010reported in the PKG portal). Participants, serving as their own controls, were recruited from movement disorder clinics, private neurologists, and a specialized rehabilitation center. Primary endpoints were change in Health Education Impact Questionnaire (HeiQ) and Health Literacy Questionnaire (HLQ\u201014) scores, assessed at baseline and at 3\u2010 and 6\u2010month follow\u2010up. Secondary endpoints included changes in quality of life, self\u2010efficacy, motor symptoms (PKG data), nonmotor symptoms, contacts to the clinics 6\u2009months before and after the intervention, and time spent with immobility. Eighty PwP completed the program, and 59 caregivers attended the educational sessions. Statistically significant changes were found between baseline and follow\u2010up in the motor symptom burden, self\u2010efficacy, and reduced clinical contacts. Although no statistical changes were observed in health literacy, quality of life, and nonmotor symptoms, sustained positive trends were observed. The findings suggest that the program may enhance empowerment and self\u2010management strategies in PwP, particularly in self\u2010efficacy level, managing motor symptoms, and less need of contact to the clinics.<\/jats:p>","DOI":"10.1155\/padi\/9413261","type":"journal-article","created":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T14:48:17Z","timestamp":1765032497000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["EMPOWER\u2010PD: Evaluation of an 8\u2010Week Co\u2010Designed Self\u2010Management Program in People With Parkinson\u2019s Disease and Their Caregivers: An Intervention Study With Long\u2010Term Follow\u2010Up"],"prefix":"10.1155","volume":"2025","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9441-1000","authenticated-orcid":false,"given":"Trine H\u00f8rmann","family":"Thomsen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sara Lungby","family":"Skovb\u00f8lling","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maria","family":"Br\u00f8nden","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jakob","family":"Frederiksen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maja Hedegaard","family":"Lauritzen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marcus","family":"Dalsgaard","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7682-1353","authenticated-orcid":false,"given":"Bo","family":"Biering-S\u00f8rensen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,6]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.1016\/s0140-6736(14)61393-3"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1212\/wnl.57.8.1497"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.arr.2022.101834"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.3233\/jpd-181456"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/6920943"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2010.05459.x"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnr.2015.02.004"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1097\/JCN.0000000000000405"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0738-3991(02)00032-0"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2018-028344"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-212735"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12877-021-02656-2"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.2196\/38980"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.1080\/17538157.2021.1883028"},{"key":"e_1_2_12_15_2","doi-asserted-by":"publisher","DOI":"10.21853\/jhd.2018.45"},{"key":"e_1_2_12_16_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22940"},{"key":"e_1_2_12_17_2","doi-asserted-by":"publisher","DOI":"10.29011\/2688-9501.101541"},{"key":"e_1_2_12_18_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.0b013e318219dc77"},{"key":"e_1_2_12_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2006.12.002"},{"key":"e_1_2_12_20_2","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-13-658"},{"key":"e_1_2_12_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jval.2015.09.2534"},{"key":"e_1_2_12_22_2","doi-asserted-by":"publisher","DOI":"10.1080\/14737175.2018.1503948"},{"key":"e_1_2_12_23_2","doi-asserted-by":"publisher","DOI":"10.3390\/s24103045"},{"key":"e_1_2_12_24_2","unstructured":"World Health Organization WHO Guidelines on Physical Activity and Sedentary Behaviour 2020 https:\/\/www.who.int\/publications\/i\/item\/9789240015128."},{"key":"e_1_2_12_25_2","doi-asserted-by":"publisher","DOI":"10.2337\/dc07-1932"},{"key":"e_1_2_12_26_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2004.05.007"},{"key":"e_1_2_12_27_2","article-title":"Psycometric Properties of the General Self-Efficacy Scale in Parkinson\u2019s Disease","volume":"10","author":"Nilsson M. H.","year":"2015","journal-title":"Acta Neurologica Scandinavica"},{"key":"e_1_2_12_28_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20844"},{"key":"e_1_2_12_29_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-016-3267-7"},{"key":"e_1_2_12_30_2","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-14-356"},{"key":"e_1_2_12_31_2","doi-asserted-by":"publisher","DOI":"10.3389\/fneur.2023.1251395"},{"key":"e_1_2_12_32_2","doi-asserted-by":"publisher","DOI":"10.1001\/jamaneurol.2017.0941"},{"key":"e_1_2_12_33_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00415-020-10350-3"},{"key":"e_1_2_12_34_2","doi-asserted-by":"publisher","DOI":"10.17925\/usn.2024.20.2.4"},{"key":"e_1_2_12_35_2","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-230235"},{"key":"e_1_2_12_36_2","doi-asserted-by":"publisher","DOI":"10.1111\/ene.13015"},{"key":"e_1_2_12_37_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2020.117172"},{"key":"e_1_2_12_38_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00702-024-02838-3"},{"key":"e_1_2_12_39_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1474-4422(20)30064-8"},{"key":"e_1_2_12_40_2","unstructured":"Danish Parkinson Association Videos and Podcasts 2020 https:\/\/parkinson.dk\/medier\/."}],"container-title":["Parkinson's Disease"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/padi\/9413261","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/padi\/9413261","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/padi\/9413261","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,8]],"date-time":"2026-03-08T13:44:23Z","timestamp":1772977463000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/padi\/9413261"}},"subtitle":[],"editor":[{"given":"Cristine","family":"Alves da Costa","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2025,1]]},"references-count":40,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2025,1]]}},"alternative-id":["10.1155\/padi\/9413261"],"URL":"https:\/\/doi.org\/10.1155\/padi\/9413261","archive":["Portico"],"relation":{},"ISSN":["2090-8083","2042-0080"],"issn-type":[{"value":"2090-8083","type":"print"},{"value":"2042-0080","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,1]]},"assertion":[{"value":"2025-08-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-08","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"9413261"}}