title: [Psychosocial strategies to strengthen the coping with Parkinson's disease: Perspectives from patients, family carers and healthcare professionals].
abstract: OBJECTIVE
  To explore the main psychosocial aspects which have influence on the coping with the disease in patients with Parkinson's disease (PD) and their family carers.
  
  
  METHODS
  An exploratory qualitative study which constitutes the second phase of a mixed-methods project.
  
  
  METHODS
  Multicenter study carried out in Navarre in 2014 in collaboration with Primary Care of Navarre Service of Health-Osasunbidea, Clínica Universidad de Navarra and Navarre Association of Parkinson's patients.
  
  
  METHODS
  A total of 21 participants: 9 people with PD, 7 family carers and 5 healthcare professionals.
  
  
  METHODS
  Participants were selected through purposive sampling. Focus groups were conducted until a suitable saturation data was achieved. Transcriptions were analysed by 2 researchers through a content analysis.
  
  
  RESULTS
  Three aspects that affected how patients and family carers coped with PD were identified: features of the clinical practice; family environment, and disease's acceptance. Taking account of these findings, some strategies which could foster these aspects from primary healthcare are suggested in order to improve the adjustment to the disease in patients and family carers.
  
  
  CONCLUSIONS
  The healthcare in people with PD should have an integral approach that tackle the symptoms control in patients and also deal with psychosocial aspects that influence on the coping with the disease, in patients and family carers.
authors: Facultad de Enfermería, Universidad de Navarra, Pamplona, Navarra, España.
authors: María Victoria
authors: MV
authors: Navarta-Sánchez
authors: Facultad de Ciencias Jurídicas y Sociales, Universidad de La Rioja, Logroño, La Rioja, España.
authors: Neus
authors: N
authors: Caparrós
authors: Centro de Salud de San Juan, Servicio Navarro de Salud-Osasunbidea, Pamplona, Navarra, España.
authors: María Eugenia
authors: ME
authors: Ursúa Sesma
authors: Asociación Navarra de Parkinson, Pamplona, Navarra, España.
authors: Sara
authors: S
authors: Díaz de Cerio Ayesa
authors: Departamento de Neurología, Clínica Universidad de Navarra, Pamplona, Navarra, España.
authors: Mario
authors: M
authors: Riverol
authors: Facultad de Ciencias de la Salud, Universidad de Southampton, Southampton, Reino Unido. Electronic address: M.C.Portillo-Vega@soton.ac.uk.
authors: Mari Carmen
authors: MC
authors: Portillo
mesh_terms: D000223:Adaptation, Psychological; D000368:Aged; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D017028:Caregivers / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000628:therapy
keywords: Afrontamiento; Chronic Care Model; Chronic illness; Cope; Cuidadores familiares; Enfermedades crónicas; Family carers; Focus groups; Grupos focales; Metodología combinada; Mixed-methods; Modelo de Atención a Crónicos