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JFSF Vol 9, No 1, March 2024, p.66-88

doi: 10.22540/JFSF-09-066


Review Article

A systematic review of Behaviour Change Interventions to improve exercise self-efficacy and adherence in people with Parkinson's disease using the Theoretical Domains Framework

Leanne Ahern1, Suzanne Timmons2, Sarah E. Lamb3, Ruth McCullagh1

  1. Discipline of Physiotherapy, School of Clinical Therapies, University College Cork, Cork, Ireland
  2. Centre for Gerontology and Rehabilitation, School of Medicine, College of Medicine and Health, University College Cork, Cork, Ireland
  3. Faculty of Health and Life Sciences, University of Exeter, Exeter, UK

Keywords: Behavioural Change Interventions, Parkinson's Disease, Physical Function, Quality of Life, Theoretical Domains Framework


Physical activity and exercise can limit the development of sarcopenia in Parkinson's Disease. This review aims to evaluate the potential effects of behavioural change (BC) interventions on exercise self-efficacy and adherence in people with Parkinson's. We searched nine databases and included randomised and non-randomised studies reporting exercise self-efficacy, quality of life (QoL), physical function and/or exercise adherence. Two reviewers independently screened, data extracted, and assessed risk of bias and certainty of evidence. The interventions were mapped to the Theoretical Domains Framework. Eleven studies (n=901) were included. Four were randomised trials and risk of bias was mixed. Most interventions were multi-component, including education, behavioural techniques, and support groups. The most effective domains appear to be Behavioural regulation, Belief about Capabilities, Social influences, Reinforcement and Goals. Future research should examine multi-component BC interventions encompassing the five most effective TDF domains.
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