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Home and health in people ageing with Parkinson's disease: study protocol for a prospective longitudinal cohort survey study

Nilsson, Maria H LU orcid and Iwarsson, Susanne LU (2013) In BMC Neurology 13.
Abstract
Background: With an increased life expectancy for the general population as well as for those ageing with chronic diseases, there are major challenges to the affected individuals and their families, but also to health care and societal planning. Most important, an increasing proportion of older people remain living in their ordinary homes despite health decline and disability. However, little is known about the home and health situation of people ageing with Parkinson's disease (PD), and older people are often excluded from PD-research. Methods/design: The overall aim of the present project is to generate knowledge on home and health dynamics in people with PD, with an explicit attention to PD-specific symptomatology. We will concentrate... (More)
Background: With an increased life expectancy for the general population as well as for those ageing with chronic diseases, there are major challenges to the affected individuals and their families, but also to health care and societal planning. Most important, an increasing proportion of older people remain living in their ordinary homes despite health decline and disability. However, little is known about the home and health situation of people ageing with Parkinson's disease (PD), and older people are often excluded from PD-research. Methods/design: The overall aim of the present project is to generate knowledge on home and health dynamics in people with PD, with an explicit attention to PD-specific symptomatology. We will concentrate on aspects of home and health captured by state-of-the-art methodology from gerontology as well as PD-research, health science and rehabilitation. This study protocol describes a longitudinal cohort survey study that includes a baseline data collection and a 3-year follow-up. Both data collection waves include self-administered questionnaires, structured interviews, clinical assessments and observations during home visits effectuated by research staff with project-specific training. In order to arrive at a follow-up sample of N=160, 250 participants identified by PD specialist nurses are being recruited from three hospitals in southern Sweden. With no lower or upper age limit, only those diagnosed with PD since at least one year were included. The exclusion criteria were: difficulties in understanding or speaking Swedish and/or cognitive difficulties/other reasons making the individual unable to give informed consent or to take part in the majority of the data collection. The data collection targets environmental factors such as assistive devices, social support, physical environmental barriers, accessibility problems and perceived aspects of home. A broad variety of instruments tap PD-specific problems (e. g. freezing of gait, fear of falling) and health-related issues such as general self-efficacy, body functions, activities and participation. Discussion: This project will produce knowledge to the benefit of the development of health care and societal planning that targets people ageing with PD, ultimately promoting activity and participation and an increase of the number of healthy life years for this sub-group of the population. (Less)
Please use this url to cite or link to this publication:
author
and
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Activities of daily living, Falls, Housing, P-E fit, Walking
in
BMC Neurology
volume
13
article number
142
publisher
BioMed Central (BMC)
external identifiers
  • wos:000326193600001
  • scopus:84885062479
  • pmid:24107116
ISSN
1471-2377
DOI
10.1186/1471-2377-13-142
project
Home, Health and Disability along the Process of Ageing
Home and health in people ageing with Parkinson's disease
language
English
LU publication?
yes
id
1100e5da-7b6d-4d30-b5e7-9e007f2387a3 (old id 4212860)
date added to LUP
2016-04-01 12:54:38
date last changed
2022-04-29 17:11:45
@article{1100e5da-7b6d-4d30-b5e7-9e007f2387a3,
  abstract     = {{Background: With an increased life expectancy for the general population as well as for those ageing with chronic diseases, there are major challenges to the affected individuals and their families, but also to health care and societal planning. Most important, an increasing proportion of older people remain living in their ordinary homes despite health decline and disability. However, little is known about the home and health situation of people ageing with Parkinson's disease (PD), and older people are often excluded from PD-research. Methods/design: The overall aim of the present project is to generate knowledge on home and health dynamics in people with PD, with an explicit attention to PD-specific symptomatology. We will concentrate on aspects of home and health captured by state-of-the-art methodology from gerontology as well as PD-research, health science and rehabilitation. This study protocol describes a longitudinal cohort survey study that includes a baseline data collection and a 3-year follow-up. Both data collection waves include self-administered questionnaires, structured interviews, clinical assessments and observations during home visits effectuated by research staff with project-specific training. In order to arrive at a follow-up sample of N=160, 250 participants identified by PD specialist nurses are being recruited from three hospitals in southern Sweden. With no lower or upper age limit, only those diagnosed with PD since at least one year were included. The exclusion criteria were: difficulties in understanding or speaking Swedish and/or cognitive difficulties/other reasons making the individual unable to give informed consent or to take part in the majority of the data collection. The data collection targets environmental factors such as assistive devices, social support, physical environmental barriers, accessibility problems and perceived aspects of home. A broad variety of instruments tap PD-specific problems (e. g. freezing of gait, fear of falling) and health-related issues such as general self-efficacy, body functions, activities and participation. Discussion: This project will produce knowledge to the benefit of the development of health care and societal planning that targets people ageing with PD, ultimately promoting activity and participation and an increase of the number of healthy life years for this sub-group of the population.}},
  author       = {{Nilsson, Maria H and Iwarsson, Susanne}},
  issn         = {{1471-2377}},
  keywords     = {{Activities of daily living; Falls; Housing; P-E fit; Walking}},
  language     = {{eng}},
  publisher    = {{BioMed Central (BMC)}},
  series       = {{BMC Neurology}},
  title        = {{Home and health in people ageing with Parkinson's disease: study protocol for a prospective longitudinal cohort survey study}},
  url          = {{https://lup.lub.lu.se/search/files/3042451/4438033}},
  doi          = {{10.1186/1471-2377-13-142}},
  volume       = {{13}},
  year         = {{2013}},
}