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ABSTRACT: Background
Nonmotor symptoms (NMSs) are frequently experienced by people with Parkinson's disease (PD) and are often perceived as their most bothersome symptoms. However, these remain poorly understood with suboptimal clinical management. These unmet needs are an important determinant of health-related quality of life (QoL) in PD.Objective
The aim of this study was to gain insights into the experience of living with the NMS of PD in real-time using participatory action methodology.Method
Using the photovoice method, 14 people with PD took photographs to document their experiences of living with the NMS of PD. They composed corresponding written narratives to capture the impact of NMS on their daily activities and QoL. In total, 152 photographs and corresponding narratives were analysed using thematic analysis with an inductive approach.Results
Four interrelated themes were identified. Emotional well-being and sense of self encompassed a process of adjustment to living with PD. Engaging in valued activities, adopting a positive mindset and utilising coping strategies were thought to enhance confidence and self-esteem. Social support and societal awareness highlighted the importance of supportive relationships and socialising to aid participation and avoid isolation. Barriers to social engagement included the unpredictability of NMS and nonvisible NMS being neglected or misunderstood.Conclusion
Findings demonstrated the far-reaching impact of nonmotor aspects of PD on emotional, occupational and social dimensions. These needs could be addressed through person-centred and comprehensive approaches to care.Patient or public contribution
This study utilised a participatory research approach allowing participants to choose the subjects that mattered to them and how to present their results. Additionally, a group workshop was held with people with PD, their family members and healthcare professionals to guide theme development.
SUBMITTER: Smith LJ
PROVIDER: S-EPMC11199325 | biostudies-literature | 2024 Jun
REPOSITORIES: biostudies-literature
Smith Laura J LJ Callis Jerri J Bridger-Smart Shannon S Guilfoyle Olivia O
Health expectations : an international journal of public participation in health care and health policy 20240601 3
<h4>Background</h4>Nonmotor symptoms (NMSs) are frequently experienced by people with Parkinson's disease (PD) and are often perceived as their most bothersome symptoms. However, these remain poorly understood with suboptimal clinical management. These unmet needs are an important determinant of health-related quality of life (QoL) in PD.<h4>Objective</h4>The aim of this study was to gain insights into the experience of living with the NMS of PD in real-time using participatory action methodolog ...[more]