{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T04:28:06Z","timestamp":1787027286734,"version":"build-2736575974"},"reference-count":23,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T00:00:00Z","timestamp":1766361600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To understand the real-life experiences and needs of older adult patients with Parkinson\u2019s disease and their caregivers regarding home-based exercise rehabilitation, and to provide evidence for developing scientifically grounded home exercise rehabilitation intervention programs.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A total of 15 older adult patients with Parkinson\u2019s disease and 13 caregivers from the Neurology Department of a tertiary-level Class A hospital in Urumqi were selected using purposive sampling for semi-structured interviews. Data analysis and theme extraction were conducted using content analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis identified three primary themes: (1) \u201cThe Knowledge\u2013Practice Gap in Self-Management,\u201d in which poor understanding of PD and exercise benefits resulted in low motivation and a lack of accessible skills led to monotonous routines; (2) \u201cThe Unsupported Caregiver: A System and Family Gap,\u201d in which the efforts of caregivers were hindered by their own limitations and a lack of training, compounded by the absence of family and community support networks; and (3) \u201cAn Appeal for an Integrated Support Continuum,\u201d which reflected a strong need for ongoing professional guidance and comprehensive social and policy support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Systemic multidimensional bottlenecks, specifically a critical knowledge\u2013practice gap among patients and a stark lack of support for aging caregivers, hinder home-based exercise rehabilitation for older adults with PD in northwest China. To address these context-specific barriers, healthcare systems should develop an integrated \u201chospital\u2013community\u2013family\u201d care model that provides continuous professional guidance and robust social support, ultimately aiming at improving rehabilitation efficacy and quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2025.1735475","type":"journal-article","created":{"date-parts":[[2025,12,23]],"date-time":"2025-12-23T07:22:36Z","timestamp":1766474556000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Home-based exercise rehabilitation experience for older adult patients with Parkinson\u2019s disease and caregivers: a qualitative 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