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. 2020 Sep 18;11:576121. doi: 10.3389/fneur.2020.576121

Table 1.

Considerations for sex- and gender sensitive multidisciplinary PD care.

Domain Feature(s) Reported to be more common in Possible sex- and gender sensitive care intervention(s) for this feature Key questions that could guide sex- and gender-sensitive approaches
Motor features Poor balance Women • Referral to (technology-assisted) balance training interventions • Are differences between men and women taken into account when assessing the effectiveness of balance training intervention?
• Do men and women prefer different features in technology-assisted balance training interventions?
Dyskinesia Women • Deep brain stimulation • What are the underlying reasons for delayed access to deep brain stimulation surgery, on average, in women compared to men?
• Do underlying gender-biases influence the shared decision-making process concerning deep brain stimulation surgery?
Non-motor features Impulse control disorders Men • Reduction or discontinuation of dopaminergic therapies
• Cognitive behavior therapy
• Are gender differences in ICBs due to different disease entities or socially-accepted gender behaviors?
• How are patients addressed and informed about sex differences in response to dopamine replacement therapies?
• Do sex or gender predict outcome in psychotherapy interventions such as cognitive behavior therapy?
Episodes of depression and anxiety Women • Referral for coping skills training e.g: mindfulness-based interventions
• Social support interventions
• Do screening measures for depression and anxiety take differences in gender roles into account?
• Do gender traits predict or affect the responsiveness to depression and anxiety care interventions?
Lifestyle Weight loss related impairment Men • Regular weight self-monitoring
• Development and regular review of diet plan
• Are differences in food choices and practices between men and women taken into account in weight monitoring?
• Do sex and gender aspects contribute to differences in food intake and processing?
Limited physical activity Women • Exercise enhanced by motivational app elements
• Physical exercise interventions
• Do exercise apps take different drivers and motivations for exercise between men and women into account?
• Do exercise apps take gender-specific triggers and rewards into account in their design?
Care support Less informal care resources Women • Proactive identification of social network and care capacities of the patient
• Referral to social support interventions/ cognitive behavioral therapy
• Are social support interventions taking gender-specific drivers and motivators into account?
• Are there gender differences in social support needs and social support perspection and how are these taking into account?
Higher caregiver strain Women • Regular screening of caregiver burden
• Care giver education about disease progress, symptoms and experiences
• Do screening measures of caregiver burden take gender differences in caregiver experiences into account?
• Are there gender differences in information and education needs about disease progression and (advanced) care planning?