title: Learning to live with Parkinson's disease in the family unit: an interpretative phenomenological analysis of well-being.
abstract: We investigated family members' lived experience of Parkinson's disease (PD) aiming to investigate opportunities for well-being. A lifeworld-led approach to healthcare was adopted. Interpretative phenomenological analysis was used to explore in-depth interviews with people living with PD and their partners. The analysis generated four themes: It's more than just an illness revealed the existential challenge of diagnosis; Like a bird with a broken wing emphasizing the need to adapt to increasing immobility through embodied agency; Being together with PD exploring the kinship within couples and belonging experienced through support groups; and Carpe diem! illuminated the significance of time and fractured future orientation created by diagnosis. Findings were interpreted using an existential-phenomenological theory of well-being. We highlighted how partners shared the impact of PD in their own ontological challenges. Further research with different types of families and in different situations is required to identify services required to facilitate the process of learning to live with PD. Care and support for the family unit needs to provide emotional support to manage threats to identity and agency alongside problem-solving for bodily changes. Adopting a lifeworld-led healthcare approach would increase opportunities for well-being within the PD illness journey.
authors.affiliation: Cancer Research UK, London, UK.
authors.forename: Laura J
authors.initials: LJ
authors.lastname: Smith
authors.affiliation: School of Life and Health Sciences, Aston University, Birmingham, B4 7ET, UK. r.l.shaw@aston.ac.uk.
authors.forename: Rachel L
authors.identifier: http://orcid.org/0000-0002-0438-7666
authors.initials: RL
authors.lastname: Shaw
mesh_terms: D000203:Activities of Daily Living / Q000523:psychology; D000223:Adaptation, Psychological; D000368:Aged; D000369:Aged, 80 and over; D000066498:Emotional Adjustment; D005190:Family / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D010300:Parkinson Disease / Q000523:psychology*; D018454:Spouses / Q000523:psychology
keywords: Caregiver; Diagnosis; Disease management; Lifeworld; Parkinson’s disease; Qualitative research