Evidence map›Paper›PMID 41267477›Full record

ArticleDisability and rehabilitation2026

Factors influencing activity performance and participation in usual life situations among people with Parkinson's disease: a mixed methods study.

Serene S Paul, Franchino Porciuncula, James T Cavanaugh, Sarah Dennis, Teresa C Baker, Ryan P Duncan, Kerri S Rawson, Timothy J Nordahl, Gammon M Earhart, Theresa D Ellis

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Article in Disability and rehabilitation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

10 authors.

Serene S PaulDiscipline of Physiotherapy, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia.
Franchino PorciunculaDepartment of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
James T CavanaughDepartment of Physical Therapy, University of New England, Portland, ME, USA.
Sarah DennisDiscipline of Physiotherapy, Faculty of Medicine and Health, Sydney School of Health Sciences, The University of Sydney, Sydney, Australia.
Teresa C BakerDepartment of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
Ryan P DuncanProgram in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Kerri S RawsonProgram in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Timothy J NordahlDepartment of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.
Gammon M EarhartProgram in Physical Therapy, Washington University in St. Louis School of Medicine, St. Louis, MO, USA.
Theresa D EllisDepartment of Physical Therapy, Sargent College of Health and Rehabilitation Sciences, Boston University, Boston, MA, USA.

Funding

Walking and mHealth to Increase Participation in Parkinson Disease (WHIP-PD)R01HD092444 · NICHD · BOSTON UNIVERSITY (CHARLES RIVER CAMPUS) · PI EARHART, GAMMON M., ELLIS, THERESA · 2018 to 2022
$3.2M
NICHD NIH HHS R01 HD092444
6 · The paper itself

Abstract

introductionMultiple factors contribute to disability in persons with Parkinson's disease (PD). Understanding which factors most influence activity performance and participation in usual life situations may help clinicians develop personalised rehabilitation interventions.

methodsA triangulation mixed methods study was conducted using 137 people with PD; 13 were purposively sampled for semi-structured interviews. Two regression models examined the contributions of motor and non-motor impairments, activity limitations, personal and health factors to activities of daily living (ADL) performance and participation in usual life situations, respectively. Interviews probed participants' life experiences with PD.

resultsMotor and non-motor impairments, activity limitations, and PD duration explained 70% of the variance in ADL performance. Non-motor impairments, activity limitations, personal factors, and PD medications explained 54% of the variance in participation. Qualitative results revealed themes of "motivation to keep going" and "resilience to live well" in maintaining participation across a diverse range of life situations and highlighted the impacts of PD motor and non-motor impairments. DISCUSSION: Complex interactions were revealed among individuals' unique interests, life situations in which they participated, environments in which tasks were performed, willingness to make adaptations, impairment profile, and PD severity. Motor, non-motor, and contextual factors should be addressed in personalised intervention plans.

Indexed as

Activities of Daily LivingParkinson DiseasePersons with DisabilitiesSocial ParticipationAgedAged, 80 and overFemaleHumansInterviews as TopicMaleMiddle AgedQualitative ResearchQuality of Lifeactivities of daily livingmixed methodsParkinson diseaseparticipationpatient perspective

Identifiers

PMID41267477
PMCPMC12958334

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