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Impact of deep brain stimulation on people with Parkinson’s disease: A mixed methods feasibility study exploring lifespace and community outcomes
BACKGROUND: Deep brain stimulation is a surgical treatment for Parkinson’s disease. Its impacts on motor symptoms are widely reported; however, little is known about the broader impact of deep brain stimulation on the community lives of people with Parkinson’s disease. Lifespace is a measure of live...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
SAGE Publications
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967222/ https://www.ncbi.nlm.nih.gov/pubmed/32009861 http://dx.doi.org/10.1177/1569186119865736 |
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author | Liddle, Jacki Sundraraj, Amreetaa Ireland, David Bennett, Sally Stillerova, Tereza Silburn, Peter |
author_facet | Liddle, Jacki Sundraraj, Amreetaa Ireland, David Bennett, Sally Stillerova, Tereza Silburn, Peter |
author_sort | Liddle, Jacki |
collection | PubMed |
description | BACKGROUND: Deep brain stimulation is a surgical treatment for Parkinson’s disease. Its impacts on motor symptoms are widely reported; however, little is known about the broader impact of deep brain stimulation on the community lives of people with Parkinson’s disease. Lifespace is a measure of lived community mobility, providing an indication of community access and participation. AIMS: This pilot study explored the feasibility of remotely monitoring the qualitative and quantitative community outcomes related to deep brain stimulation. METHODS: A longitudinal mixed methods study with a convergent design was undertaken exploring the lifespace, quality of life, life satisfaction and lived experiences of people with Parkinson’s disease before and after deep brain stimulation. Data were collected through questionnaires, semi-structured interviews and a smartphone-based application which collected geolocation data. RESULTS: Quantitative and qualitative data from eight participants living with Parkinson’s disease were analysed and integrated. At baseline, participants had a median age of 68 years and a median Hoehn and Yahr score of 2. Measuring a range of community-based outcomes indicated different change trajectories for individuals across outcomes. Key content areas were developed from the qualitative data: participation in occupations and travel and home. This study indicates the potential value of including geolocation data-based lifespace collection in metropolitan and regional areas. CONCLUSIONS: Monitoring lifespace in conjunction with subjective measures provides insights into the complex and individually varied experiences. Further research could explore the impacts of deep brain stimulation on occupations and community participation to gain a deeper understanding of the related needs and support clinical approaches. |
format | Online Article Text |
id | pubmed-6967222 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | SAGE Publications |
record_format | MEDLINE/PubMed |
spelling | pubmed-69672222020-01-31 Impact of deep brain stimulation on people with Parkinson’s disease: A mixed methods feasibility study exploring lifespace and community outcomes Liddle, Jacki Sundraraj, Amreetaa Ireland, David Bennett, Sally Stillerova, Tereza Silburn, Peter Hong Kong J Occup Ther Articles BACKGROUND: Deep brain stimulation is a surgical treatment for Parkinson’s disease. Its impacts on motor symptoms are widely reported; however, little is known about the broader impact of deep brain stimulation on the community lives of people with Parkinson’s disease. Lifespace is a measure of lived community mobility, providing an indication of community access and participation. AIMS: This pilot study explored the feasibility of remotely monitoring the qualitative and quantitative community outcomes related to deep brain stimulation. METHODS: A longitudinal mixed methods study with a convergent design was undertaken exploring the lifespace, quality of life, life satisfaction and lived experiences of people with Parkinson’s disease before and after deep brain stimulation. Data were collected through questionnaires, semi-structured interviews and a smartphone-based application which collected geolocation data. RESULTS: Quantitative and qualitative data from eight participants living with Parkinson’s disease were analysed and integrated. At baseline, participants had a median age of 68 years and a median Hoehn and Yahr score of 2. Measuring a range of community-based outcomes indicated different change trajectories for individuals across outcomes. Key content areas were developed from the qualitative data: participation in occupations and travel and home. This study indicates the potential value of including geolocation data-based lifespace collection in metropolitan and regional areas. CONCLUSIONS: Monitoring lifespace in conjunction with subjective measures provides insights into the complex and individually varied experiences. Further research could explore the impacts of deep brain stimulation on occupations and community participation to gain a deeper understanding of the related needs and support clinical approaches. SAGE Publications 2019-08-16 2019-12 /pmc/articles/PMC6967222/ /pubmed/32009861 http://dx.doi.org/10.1177/1569186119865736 Text en © The Author(s) 2019 http://creativecommons.org/licenses/by-nc/4.0/ Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage). |
spellingShingle | Articles Liddle, Jacki Sundraraj, Amreetaa Ireland, David Bennett, Sally Stillerova, Tereza Silburn, Peter Impact of deep brain stimulation on people with Parkinson’s disease: A mixed methods feasibility study exploring lifespace and community outcomes |
title | Impact of deep brain stimulation on people with Parkinson’s
disease: A mixed methods feasibility study exploring lifespace and
community outcomes |
title_full | Impact of deep brain stimulation on people with Parkinson’s
disease: A mixed methods feasibility study exploring lifespace and
community outcomes |
title_fullStr | Impact of deep brain stimulation on people with Parkinson’s
disease: A mixed methods feasibility study exploring lifespace and
community outcomes |
title_full_unstemmed | Impact of deep brain stimulation on people with Parkinson’s
disease: A mixed methods feasibility study exploring lifespace and
community outcomes |
title_short | Impact of deep brain stimulation on people with Parkinson’s
disease: A mixed methods feasibility study exploring lifespace and
community outcomes |
title_sort | impact of deep brain stimulation on people with parkinson’s
disease: a mixed methods feasibility study exploring lifespace and
community outcomes |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6967222/ https://www.ncbi.nlm.nih.gov/pubmed/32009861 http://dx.doi.org/10.1177/1569186119865736 |
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