Living with motor neurone disease: lives, experiences of services and suggestions for change
Open accessAbstract
Palliative care involves the complete, holistic care of people with progressive illness and their families. People living with motor neurone disease (MND) require a range of multidisciplinary palliative care services. However, there are significant gaps in our understanding of these people's lives, experiences of services and their suggestions for service change. The present study addressed the following questions: (1) What are the lived experiences of people living with MND? (2) What are people's experiences of services? and (3) Can improvements to care be identified? A qualitative research design was adopted using semi-structured interviews. The topic guide was developed from existing literature. The study was based in three boroughs in London, UK. People living with MND and professionals were drawn from a database at King's College Hospital, and additionally, through 'snowball' sampling. Nine people with MND, five carers/family members and 15 professionals took part in the interviews. These interviews were audio-taped, transcribed and checked for accuracy against the original recordings. Themes within the interviews were coded and grouped. The analysis was facilitated with the NVIVO computer software package. The findings are presented within three substantive groups: (1) the impact of MND on people's lives (the physical impacts of the illness, including increasing disability; social issues, including restrictions on social activities; and adjustments to people's lives, including methods of coping with the illness); (2) experiences of services (accessing service entitlements, information sources, professionals' attitudes and approaches, and professionals' knowledge and understanding of MND); and (3) suggestions for service change (better information and communication, including information on service entitlements; improved knowledge amongst professionals about MND; and some suggestions for service restructuring). This study brings a fresh approach to understanding the impacts of MND and the ways in which services can be improved to meet people's needs. The paper concludes with methodological considerations, the implications of the findings for practitioners and policy makers, and suggestions for further research.
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Lack of awareness of MND has also been linked to pwMND not wanting to engage with available healthcare services.
“This has also been linked to pwMND not wanting to engage with available healthcare services (21).”
From Needs and preferences for psychological interventions of people with motor neuron disease (2019) · cites this paper as [21]
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- Authors
- Hughes, R. A., Sinha, A., Higginson, I., Down, K., & Leigh, P. N.
- Affiliations
- University of Bristol (GB)
- Newcastle University (GB)
- King's College London (GB)
- Venue
- Health and Social Care in the Community
- Publisher
- Hindawi Limited
- Published
- 2005-01
- Volume
- 13
- Issue
- 1
- Pages
- 64-74
- ISSN
- 0966-0410 (ISSN-L)
- 1365-2524
- OpenAlex
- W1966590159
- Cited by
- 105
- References
- 35
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 4 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 2 · 2019: 4 · 2018: 3 · 2017: 6 · 2016: 5 · 2015: 8 · 2014: 6 · 2013: 8 · 2012: 4
- FWCI
- 4.82
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Health & Social Care in the Community (publishedVersion)
- PubMed (publishedVersion)
- Research Portal (King's College London) (submittedVersion)
- Newcastle University ePrints (Newcastle Univesity)
- Funders
- National Science Foundation
- Joseph Rowntree Foundation
- Motor Neurone Disease Association
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative Care and End-of-Life Issues
- Health Sciences › Medicine › Neurology › Amyotrophic Lateral Sclerosis Research
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Palliative and Oncologic Care
- Keywords
- motor neuron disease, palliative care, lived experience, service user perspectives, professional knowledge and attitudes, access to services, information provision, coping with illness, disability, social impact of illness, service reorganization, end-of-life care
- MeSH terms
- Activities of Daily Living, Adaptation, Psychological, Adult, Aged, Female, United Kingdom, Health Services Research, Humans, Interviews as Topic, London, Male, Middle Aged, Palliative Care, Patient Acceptance of Health Care, Personal Health Services, Professional-Patient Relations, Quality of Health Care, Motor Neuron Disease, Patient Satisfaction, Sickness Impact Profile, Qualitative Research
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