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Driving with Parkinson's Disease: Exploring Lived Experience

A growing body of literature has explored the impact of Parkinson's disease (PD) on fitness to drive. As such, evidence now supports the use of specific clinical tests for screening purposes, the predictive validity of risk impressions, and the critical driving errors that predict on-road pass/...

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Autores principales: Holmes, Jeffrey D., Alvarez, Liliana, Johnson, Andrew M., Robinson, Amy E., Gilhuly, Kaylie, Horst, Emily, Kowalchuk, Aaron, Rathwell, Kayleigh, Reklitis, Yanni, Wheildon, Nolan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378012/
https://www.ncbi.nlm.nih.gov/pubmed/30854186
http://dx.doi.org/10.1155/2019/3169679
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author Holmes, Jeffrey D.
Alvarez, Liliana
Johnson, Andrew M.
Robinson, Amy E.
Gilhuly, Kaylie
Horst, Emily
Kowalchuk, Aaron
Rathwell, Kayleigh
Reklitis, Yanni
Wheildon, Nolan
author_facet Holmes, Jeffrey D.
Alvarez, Liliana
Johnson, Andrew M.
Robinson, Amy E.
Gilhuly, Kaylie
Horst, Emily
Kowalchuk, Aaron
Rathwell, Kayleigh
Reklitis, Yanni
Wheildon, Nolan
author_sort Holmes, Jeffrey D.
collection PubMed
description A growing body of literature has explored the impact of Parkinson's disease (PD) on fitness to drive. As such, evidence now supports the use of specific clinical tests for screening purposes, the predictive validity of risk impressions, and the critical driving errors that predict on-road pass/fail outcomes in this population. However, little is known about the lived experiences of persons with PD as they navigate driving-related concerns such as driving impairments, cessation, potential threats to independence, and community mobility. This qualitative secondary data analysis aimed to explore the driving-related lived experiences of persons with PD. We utilized summative content analysis to identify themes related to driving from transcribed interviews with nineteen community-dwelling individuals with PD who participated in the primary study. Five themes emerged within the analysis: (1) the meaning and significance of driving; (2) driving cessation; (3) modified driving behaviors; (4) factors affecting driving; and (5) accessibility. Participants identified driving as an activity that holds significant importance—both directly (i.e., as a primary activity) and as a means for enabling other activities. This study lays the foundation for the development of client-centred and evidence-informed driving interventions for individuals with PD, as well as the development of driving retirement programs.
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spelling pubmed-63780122019-03-10 Driving with Parkinson's Disease: Exploring Lived Experience Holmes, Jeffrey D. Alvarez, Liliana Johnson, Andrew M. Robinson, Amy E. Gilhuly, Kaylie Horst, Emily Kowalchuk, Aaron Rathwell, Kayleigh Reklitis, Yanni Wheildon, Nolan Parkinsons Dis Research Article A growing body of literature has explored the impact of Parkinson's disease (PD) on fitness to drive. As such, evidence now supports the use of specific clinical tests for screening purposes, the predictive validity of risk impressions, and the critical driving errors that predict on-road pass/fail outcomes in this population. However, little is known about the lived experiences of persons with PD as they navigate driving-related concerns such as driving impairments, cessation, potential threats to independence, and community mobility. This qualitative secondary data analysis aimed to explore the driving-related lived experiences of persons with PD. We utilized summative content analysis to identify themes related to driving from transcribed interviews with nineteen community-dwelling individuals with PD who participated in the primary study. Five themes emerged within the analysis: (1) the meaning and significance of driving; (2) driving cessation; (3) modified driving behaviors; (4) factors affecting driving; and (5) accessibility. Participants identified driving as an activity that holds significant importance—both directly (i.e., as a primary activity) and as a means for enabling other activities. This study lays the foundation for the development of client-centred and evidence-informed driving interventions for individuals with PD, as well as the development of driving retirement programs. Hindawi 2019-02-03 /pmc/articles/PMC6378012/ /pubmed/30854186 http://dx.doi.org/10.1155/2019/3169679 Text en Copyright © 2019 Jeffrey D. Holmes et al. http://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Holmes, Jeffrey D.
Alvarez, Liliana
Johnson, Andrew M.
Robinson, Amy E.
Gilhuly, Kaylie
Horst, Emily
Kowalchuk, Aaron
Rathwell, Kayleigh
Reklitis, Yanni
Wheildon, Nolan
Driving with Parkinson's Disease: Exploring Lived Experience
title Driving with Parkinson's Disease: Exploring Lived Experience
title_full Driving with Parkinson's Disease: Exploring Lived Experience
title_fullStr Driving with Parkinson's Disease: Exploring Lived Experience
title_full_unstemmed Driving with Parkinson's Disease: Exploring Lived Experience
title_short Driving with Parkinson's Disease: Exploring Lived Experience
title_sort driving with parkinson's disease: exploring lived experience
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6378012/
https://www.ncbi.nlm.nih.gov/pubmed/30854186
http://dx.doi.org/10.1155/2019/3169679
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