39 CAN BEHAVIOURAL CHANGE INTERVENTIONS IMPROVE SELF-EFFICACY AND EXERCISE ADHERENCE AMONG PEOPLE WITH PARKINSON’S? A SYSTEMATIC REVIEW

Abstract Background People with Parkinson’s (PwP) lead sedentary lifestyles compared to healthy peers. Personal influences including low self-efficacy and poor outcome expectation appear predict exercise adherence more accurately than disease severity. The purpose of this review is identify successful behavioural-change interventions that promote among PwP. Methods Databases EBSCO, Medline, CINAHL, Web Science, PubMed, Embase, Scopus, Google Scholar Cochrane Library were searched from inception 2020. Interventional studies a intervention included. Title, abstract full-text screening was conducted by two independent reviewers. Risk Bias Tool Robins-I used assess the Bias. Data extracted outcomes interest self-efficacy, quality life, physical function, adherence. A narrative synthesis completed mapped Theoretical Domains Framework, produce practice-orientated outcomes. Results Seventeen (n=1319) bias generally moderate. multicomponent encompassing education, behavioural strategies support groups appeared improve in No improved self-efficacy. Self-monitoring, goal setting, social supports, feedback, self-managements skills action planning long-term Conclusion changed However, it appears essential Trials directly comparing different types adequate follow-up periods are limited, preventing conclusive finding most effective