Experiences of living with the nonmotor symptoms of Parkinson's disease: A photovoice study

Journal article


Smith, L., Callis, J., Bridger-Smart, Shannon and Guilfoyle, Olivia 2024. Experiences of living with the nonmotor symptoms of Parkinson's disease: A photovoice study. Health Expectations. 27 (3), p. e14124. https://doi.org/10.1111/hex.14124
AuthorsSmith, L., Callis, J., Bridger-Smart, Shannon and Guilfoyle, Olivia
AbstractNonmotor 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. 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. 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. 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. 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. 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. [Abstract copyright: © 2024 The Author(s). Health Expectations published by John Wiley & Sons Ltd.]
KeywordsParkinson's disease; Nonmotor symptoms; Activities of daily living; Quality of Life; Photovoice; Participatory action
Year2024
JournalHealth Expectations
Journal citation27 (3), p. e14124
PublisherWiley
ISSN1369-7625
Digital Object Identifier (DOI)https://doi.org/10.1111/hex.14124
Official URLhttps://onlinelibrary.wiley.com/doi/10.1111/hex.14124
FunderFaculty of Social Sciences, University of Kent
Publication dates
Print01 Jun 2024
Online25 Jun 2024
Publication process dates
Deposited08 Jul 2024
Accepted11 Jun 2024
Publisher's version
License
File Access Level
Open
Output statusPublished
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https://repository.canterbury.ac.uk/item/9853x/experiences-of-living-with-the-nonmotor-symptoms-of-parkinson-s-disease-a-photovoice-study

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