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? |