Krieger, Theresia ORCID: 0000-0002-7414-7318, Jozwiak, Leonie ORCID: 0009-0004-5470-0712, Ebersbach, Georg, Suess, Thorsten, Falkenburger, Björn, Feige, Tim, Eggers, Carsten, Warnecke, Tobias, Scholl, Winfried, Schmidt-Heisch, Christian, Folkerts, Ann-Kristin ORCID: 0000-0003-2168-140X, Kalbe, Elke ORCID: 0000-0001-8603-2545 and Seven, Ümran Sema ORCID: 0000-0002-9806-7435 (2024). Exploring the lived experiences of individuals with Parkinson’s disease and their relatives: insights into care provision experiences, disease management support, self-management strategies, and future needs in Germany (qualitative study). BMC Neurology, 24 (1). pp. 1-16. Springer Nature. ISSN 1471-2377

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Identification Number:10.1186/s12883-024-03696-y

Abstract

[Artikel-Nr.: 208] Background: Parkinson’s disease (PD) significantly impacts the health-related quality of life of affected individuals and their relatives. In order to support the affected individuals and their families in coping with PD, it is essential to offer comprehensive information about their experiences. A comprehensive understanding of their lived experiences with the disease, the healthcare system, applied self-management strategies and their needs is considered crucial for developing a PD support program. Therefore, we aimed to explore the lived experiences and support needs of individuals with PD and their relatives in Germany. Methods: This non-interventional, qualitative study conducted an explorative status quo and needs assessment. It generated knowledge through semi-structured focus groups and interviews with individuals with PD at various disease stages and their relatives. The interviews were digitally recorded, transcribed verbatim, and analysed using content analysis. Results: Fifty-two individuals with PD and 29 relatives participated in eight focus groups and 13 paired and 13 individual interviews. Four themes with corresponding subthemes emerged: (1) experiences, revealing individuals’ experiences around their diagnosis and with disease-specific care provision; (2) management support offers, clarifying who provides support and the type of support offered; (3) self-management, including comprehensibility, meaningfulness and manageability; and (4) future needs, differentiating between deficits and needs. Most participants expressed a sense of abandonment when obtaining self-management strategies and mastering their lives with PD, often referred to as ‘life 2.0’. They identified the lack of structured and adequate provision of information, system orientation and social awareness. Conclusions: In Germany, there is an urgent need for a comprehensive PD care program that addresses the needs of individuals with PD and their relatives from the start of their care trajectory. It could assist individuals in gaining a comprehensive understanding of the disease, obtaining self-management strategies, building a support network, and becoming experts in self-managing their disease. Moreover, it may positively influence their care trajectory and reduce burdens, such as overburdening, fear of progression, and health anxiety. Trial Registration: German Clinical Studies Register ( https://www.drks.de/DRKS00030090 , No. DRKS00030090, Date of registration: 15.12.2022).

Item Type: Article
Creators:
Creators
Email
ORCID
ORCID Put Code
Krieger, Theresia
UNSPECIFIED
UNSPECIFIED
Jozwiak, Leonie
UNSPECIFIED
UNSPECIFIED
Ebersbach, Georg
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Suess, Thorsten
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Falkenburger, Björn
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Feige, Tim
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Eggers, Carsten
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Warnecke, Tobias
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Scholl, Winfried
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Schmidt-Heisch, Christian
UNSPECIFIED
UNSPECIFIED
UNSPECIFIED
Folkerts, Ann-Kristin
UNSPECIFIED
UNSPECIFIED
Kalbe, Elke
UNSPECIFIED
UNSPECIFIED
Seven, Ümran Sema
UNSPECIFIED
UNSPECIFIED
URN: urn:nbn:de:hbz:38-815683
Identification Number: 10.1186/s12883-024-03696-y
Journal or Publication Title: BMC Neurology
Volume: 24
Number: 1
Page Range: pp. 1-16
Number of Pages: 16
Date: 18 June 2024
Publisher: Springer Nature
ISSN: 1471-2377
Language: English
Faculty: Faculty of Medicine
Divisions: Faculty of Medicine > Medizinische Psychologie > Abteilung für Medizinische Psychologie
Subjects: Psychology
Medical sciences Medicine
Uncontrolled Keywords:
Keywords
Language
Parkinson’s disease ; Qualitative research ; Relatives ; Lived experience ; Experiences of illness ; Self- management ; Informational needs ; Management support needs
English
['eprint_fieldname_oa_funders' not defined]: Publikationsfonds UzK
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/81568

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