{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T13:37:30Z","timestamp":1793367450951,"version":"4.5.0"},"reference-count":31,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T00:00:00Z","timestamp":1784764800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["NeuroRehabilitation"],"published-print":{"date-parts":[[2026,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>This cross-sectional study assesses the level of HRQoL, self-efficacy, and disease acceptance among patients at different stages of Parkinson's Disease (PD).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>83 PD patients were stratified by Hoehn-Yahr stages I-V into 5 groups. HRQoL (SF-12), self-efficacy (CD-SES), and acceptance of the disease (AIS) were assessed. Kruskal-Wallis test was used to compare the mean scores for the outcomes of SF-12, SES, and AIS between patients at each of the five stages of PD; chi-square tests analyzed demographics. Statistical significance was defined as p\u2009&lt;\u2009.05 (95% confidence level).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Self-efficacy scores significantly declined from 35.95\u2009\u00b1\u200915.37 in Stage I, to 17.55\u2009\u00b1\u20099.47 in Stage V (p\u2009&lt;\u20090.05). Acceptance of illness also declined, from a mean score of 28.73\u2009\u00b1\u20098.62 in Stage I to 18.91\u2009\u00b1\u20095.77 in Stage V (p\u2009&lt;\u20090.05). Several individual HRQoL domains demonstrated stage-related deterioration in physical functioning, pain interference, emotional well-being, and social participation. However, no statistically significant difference was observed in the overall SF-12 summary score across stages (p\u2009&gt;\u20090.05).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the progressive impact of PD on self-efficacy and illness acceptance, while several HRQoL domains demonstrated stage-related deterioration despite relatively stable global SF-12 summary scores. The results highlighted a need for stage-specific interventions, focusing on strengthening self-efficacy, promoting acceptance of illness, and addressing physical, emotional, and social challenges to enhance HRQoL, particularly in the advanced stages of the disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/10538135261470442","type":"journal-article","created":{"date-parts":[[2026,7,23]],"date-time":"2026-07-23T13:31:37Z","timestamp":1784813497000},"page":"497-504","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Living with Parkinson's Disease: Stage-Wise Variations in Quality of Life, Self-Efficacy, and Acceptance of Illness"],"prefix":"10.1177","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5168-1975","authenticated-orcid":false,"given":"Mishal M.","family":"Aldaihan","sequence":"first","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-7097-2094","authenticated-orcid":false,"given":"Majed S.","family":"Albalawi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"},{"name":"Department of Physical Therapy, Prince Fahad Bin Sultan Hospital, Tabuk, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-0126-5194","authenticated-orcid":false,"given":"Hamad T.","family":"Aldubayan","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"},{"name":"Department of Physical Therapy, Abu Arish General Hospital, Abu Arish, Jazan, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9812-0315","authenticated-orcid":false,"given":"Asma A.","family":"Alderaa","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0904-1178","authenticated-orcid":false,"given":"Muneera","family":"Almurdi","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7772-067X","authenticated-orcid":false,"given":"Sami S.","family":"AlAbdulwahab","sequence":"additional","affiliation":[{"name":"Department of Rehabilitation Health Sciences, College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,23]]},"reference":[{"key":"e_1_3_3_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/nrneurol.2017.27"},{"key":"e_1_3_3_3_1","doi-asserted-by":"publisher","DOI":"10.4103\/neurol-india.Neurol-India-D-25-00573"},{"key":"e_1_3_3_4_1","doi-asserted-by":"publisher","DOI":"10.7759\/cureus.33989"},{"key":"e_1_3_3_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pcd.2019.11.001"},{"key":"e_1_3_3_6_1","volume-title":"Self-Efficacy: The exercise of control","author":"Bandura A.","year":"1999","unstructured":"Bandura A., Freeman W. H., Lightsey R. (1999). Self-Efficacy: The exercise of control. W H Freeman & Co. Epub ahead of print 1999. https:\/\/doi.org\/10.1891\/0889-8391.13.2.158"},{"key":"e_1_3_3_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22643"},{"key":"e_1_3_3_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(21)00218-X"},{"key":"e_1_3_3_9_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11136-021-02944-9"},{"key":"e_1_3_3_10_1","doi-asserted-by":"publisher","DOI":"10.1007\/s13760-015-0544-7"},{"key":"e_1_3_3_11_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2014.008706"},{"key":"e_1_3_3_12_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnagi.2024.1399285"},{"key":"e_1_3_3_13_1","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12072573"},{"key":"e_1_3_3_14_1","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.17.5.427"},{"key":"e_1_3_3_15_1","doi-asserted-by":"publisher","DOI":"10.5603\/PiAP.a2015.0079"},{"key":"e_1_3_3_16_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2648.2011.05659.x"},{"key":"e_1_3_3_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.prdoa.2022.100180"},{"key":"e_1_3_3_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-025-23492-8"},{"key":"e_1_3_3_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2021.767215"},{"key":"e_1_3_3_20_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26510"},{"key":"e_1_3_3_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23834"},{"key":"e_1_3_3_22_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.pain.2005.08.015"},{"key":"e_1_3_3_23_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12955-020-01585-9"},{"key":"e_1_3_3_24_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.26424"},{"key":"e_1_3_3_25_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.25945"},{"key":"e_1_3_3_26_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2005.06.011"},{"key":"e_1_3_3_27_1","doi-asserted-by":"publisher","DOI":"10.1097\/01.ASW.0000741584.49488.14"},{"key":"e_1_3_3_28_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1524-4733.2008.00430.x"},{"key":"e_1_3_3_29_1","doi-asserted-by":"publisher","DOI":"10.1097\/00005650-199603000-00003"},{"key":"e_1_3_3_30_1","unstructured":"WHOQOL. Measuring Quality of Life| The World Health Organization. Retrieved July 4 2026 from https:\/\/www.who.int\/tools\/whoqol"},{"key":"e_1_3_3_31_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00391-021-01950-3"},{"key":"e_1_3_3_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jocn.2022.12.012"}],"container-title":["NeuroRehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261470442","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10538135261470442","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10538135261470442","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:54:07Z","timestamp":1793364847000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10538135261470442"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,7,23]]},"references-count":31,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,11]]}},"alternative-id":["10.1177\/10538135261470442"],"URL":"https:\/\/doi.org\/10.1177\/10538135261470442","relation":{},"ISSN":["1053-8135","1878-6448"],"issn-type":[{"value":"1053-8135","type":"print"},{"value":"1878-6448","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,7,23]]}}}