Impact of deep brain stimulation on people with Parkinson's disease: A mixed methods feasibility study exploring lifespace and community outcomes.

Jacki Liddle, Amreetaa Sundraraj, David Ireland, Sally Bennett, Tereza Stillerova, Peter Silburn
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引用次数: 2

Abstract

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.

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脑深部刺激对帕金森病患者的影响:一项探索生活空间和社区结果的混合方法可行性研究
背景:脑深部电刺激是帕金森病的一种外科治疗方法。它对运动症状的影响被广泛报道;然而,人们对深部脑刺激对帕金森病患者社区生活的更广泛影响知之甚少。生活空间是衡量生活社区流动性的指标,提供了社区访问和参与的指示。目的:本初步研究探讨了远程监测与深部脑刺激相关的定性和定量社区结果的可行性。方法:采用融合设计的纵向混合方法研究,探讨脑深部电刺激前后帕金森病患者的生活空间、生活质量、生活满意度和生活体验。数据是通过问卷调查、半结构化访谈和基于智能手机的地理位置数据收集应用程序收集的。结果:对8名帕金森病患者的定量和定性数据进行了分析和整合。在基线时,参与者的中位年龄为68岁,中位Hoehn和Yahr评分为2分。测量一系列基于社区的结果表明,不同结果的个体的变化轨迹不同。主要内容领域是从定性数据中发展出来的:职业参与、旅行和回家。该研究表明,在大都市和区域区域纳入基于地理位置数据的生活空间收集的潜在价值。结论:监测生活空间与主观测量相结合,提供了对复杂和个体不同体验的见解。进一步的研究可以探索脑深部电刺激对职业和社区参与的影响,以更深入地了解相关需求并支持临床方法。
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