Life with communication changes in Parkinson’s disease
Identifieur interne : 000B55 ( Main/Corpus ); précédent : 000B54; suivant : 000B56Life with communication changes in Parkinson’s disease
Auteurs : Nick Miller ; Emma Noble ; Diana Jones ; David BurnSource :
- Age and Ageing [ 0002-0729 ] ; 2006-05.
English descriptors
- KwdEn :
Abstract
Background: acoustic and perceptual changes to speech in Parkinson’s disease (PD) have been widely studied. Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them. Objective: to establish if, and how, changes in communication impact on the lives of people with PD. Design: in-depth interviews with qualitative analysis of content. Setting: community. Subjects: twenty-three men and 14 women with PD. Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. Results: participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies. Conclusions: speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. The role of early referral to speech and language therapy is therefore worthy of detailed investigation.
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DOI: 10.1093/ageing/afj053
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ISTEX:18307E84EC9ACF837D4CA87460613A9573424627Le document en format XML
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Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them. Objective: to establish if, and how, changes in communication impact on the lives of people with PD. Design: in-depth interviews with qualitative analysis of content. Setting: community. Subjects: twenty-three men and 14 women with PD. Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. Results: participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies. Conclusions: speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. 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Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them. Objective: to establish if, and how, changes in communication impact on the lives of people with PD. Design: in-depth interviews with qualitative analysis of content. Setting: community. Subjects: twenty-three men and 14 women with PD. Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. Results: participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies. Conclusions: speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. 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Miller. Email: nicholas.miller@ncl.ac.uk</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a" type="main" xml:lang="en">Life with communication changes in Parkinson’s disease</title><author><persName><forename type="first">Nick</forename><surname>Miller</surname></persName><affiliation>7RU, UK</affiliation></author><author><persName><forename type="first">Emma</forename><surname>Noble</surname></persName><affiliation>7RU, UK</affiliation></author><author><persName><forename type="first">Diana</forename><surname>Jones</surname></persName><affiliation></affiliation></author><author><persName><forename type="first">David</forename><surname>Burn</surname></persName><affiliation></affiliation></author></analytic><monogr><title level="j">Age and Ageing</title><title level="j" type="abbrev">Age Ageing</title><idno type="pISSN">0002-0729</idno><idno type="eISSN">1468-2834</idno><imprint><publisher>Oxford University Press</publisher><date type="published" when="2006-05"></date><biblScope unit="volume">35</biblScope><biblScope unit="issue">3</biblScope><biblScope unit="page" from="235">235</biblScope><biblScope unit="page" to="239">239</biblScope></imprint></monogr><idno type="istex">18307E84EC9ACF837D4CA87460613A9573424627</idno><idno type="DOI">10.1093/ageing/afj053</idno><idno type="local">053</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>2006-03-15</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Background: acoustic and perceptual changes to speech in Parkinson’s disease (PD) have been widely studied. Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them. Objective: to establish if, and how, changes in communication impact on the lives of people with PD. Design: in-depth interviews with qualitative analysis of content. Setting: community. Subjects: twenty-three men and 14 women with PD. Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. Results: participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies. Conclusions: speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. The role of early referral to speech and language therapy is therefore worthy of detailed investigation.</p></abstract><textClass xml:lang="en"><keywords scheme="keyword"><list><head>KWD</head><item><term>Parkinson’s disease</term></item><item><term>speech</term></item><item><term>dysarthria</term></item><item><term>impact</term></item><item><term>quality of life</term></item><item><term>elderly</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="2006-03-15">Created</change><change when="2006-05">Published</change></revisionDesc></teiHeader></istex:fulltextTEI><json:item><original>false</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/18307E84EC9ACF837D4CA87460613A9573424627/fulltext/txt</uri></json:item></fulltext><metadata><istex:metadataXml wicri:clean="corpus oup" wicri:toSee="no header"><istex:xmlDeclaration>version="1.0" encoding="US-ASCII"</istex:xmlDeclaration><istex:docType PUBLIC="-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" URI="journalpublishing.dtd" name="istex:docType"></istex:docType><istex:document><article xml:lang="en" article-type="research-article"><front><journal-meta><journal-id journal-id-type="hwp">ageing</journal-id><journal-id journal-id-type="nlm-ta">Age Ageing</journal-id><journal-id journal-id-type="publisher-id">ageing</journal-id><journal-title>Age and Ageing</journal-title><abbrev-journal-title abbrev-type="publisher">Age Ageing</abbrev-journal-title><issn pub-type="ppub">0002-0729</issn><issn pub-type="epub">1468-2834</issn><publisher><publisher-name>Oxford University Press</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="other">053</article-id><article-id pub-id-type="doi">10.1093/ageing/afj053</article-id><article-categories><subj-group subj-group-type="heading"><subject>Research Papers</subject></subj-group></article-categories><title-group><article-title>Life with communication changes in Parkinson’s disease</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Miller</surname><given-names>Nick</given-names></name><xref rid="AFF1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Noble</surname><given-names>Emma</given-names></name><xref rid="AFF1"><sup>1</sup></xref></contrib><contrib contrib-type="author"><name><surname>Jones</surname><given-names>Diana</given-names></name><xref rid="AFF2"><sup>2</sup></xref></contrib><contrib contrib-type="author"><name><surname>Burn</surname><given-names>David</given-names></name><xref rid="AFF3"><sup>3</sup></xref></contrib><aff id="AFF1"><label>1</label>Speech Language Sciences, George VI Building, University of Newcastle, Newcastle-upon-Tyne GB-NE1 7RU, UK</aff><aff id="AFF2"><label>2</label>Allied Health Professions Research, School of Health, Community and Education Studies, Northumbria University, Coach Lane Campus, Newcastle-upon-Tyne GB-NE7 7XA, UK</aff><aff id="AFF3"><label>3</label>Regional Neurosciences Centre, Newcastle General Hospital, Westgate Road, Newcastle-upon-Tyne GB-NE4 6BE, UK</aff></contrib-group><author-notes><corresp>Address correspondence to: N. Miller. Email: <ext-link xlink:href="nicholas.miller@ncl.ac.uk" ext-link-type="email">nicholas.miller@ncl.ac.uk</ext-link></corresp></author-notes><pub-date pub-type="epub"><day>15</day><month>3</month><year>2006</year></pub-date><pub-date pub-type="ppub"><month>May</month><year>2006</year></pub-date><volume>35</volume><issue>3</issue><fpage>235</fpage><lpage>239</lpage><history><date date-type="accepted"><day>18</day><month>1</month><year>2006</year></date><date date-type="received"><day>19</day><month>7</month><year>2005</year></date></history><permissions><copyright-statement>© The Author 2006. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org</copyright-statement><copyright-year>2006</copyright-year></permissions><abstract xml:lang="en"><p><bold>Background:</bold> acoustic and perceptual changes to speech in Parkinson’s disease (PD) have been widely studied. Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them.</p><p><bold>Objective:</bold> to establish if, and how, changes in communication impact on the lives of people with PD.</p><p><bold>Design:</bold> in-depth interviews with qualitative analysis of content.</p><p><bold>Setting:</bold> community.</p><p><bold>Subjects:</bold> twenty-three men and 14 women with PD.</p><p><bold>Methods:</bold> participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification.</p><p><bold>Results:</bold> participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies.</p><p><bold>Conclusions:</bold> speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. The role of early referral to speech and language therapy is therefore worthy of detailed investigation.</p></abstract><kwd-group kwd-group-type="KWD" xml:lang="en"><kwd>Parkinson’s disease</kwd><kwd>speech</kwd><kwd>dysarthria</kwd><kwd>impact</kwd><kwd>quality of life</kwd><kwd>elderly</kwd></kwd-group><custom-meta-wrap><custom-meta><meta-name>hwp-legacy-fpage</meta-name><meta-value>235</meta-value></custom-meta><custom-meta><meta-name>cover-date</meta-name><meta-value>May 2006</meta-value></custom-meta><custom-meta><meta-name>hwp-legacy-dochead</meta-name><meta-value>Research Paper</meta-value></custom-meta></custom-meta-wrap></article-meta></front></article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Life with communication changes in Parkinson’s disease</title></titleInfo><titleInfo type="alternative" lang="en" contentType="CDATA"><title>Life with communication changes in Parkinson’s disease</title></titleInfo><name type="personal"><namePart type="given">Nick</namePart><namePart type="family">Miller</namePart><affiliation>7RU, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Emma</namePart><namePart type="family">Noble</namePart><affiliation>7RU, UK</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Diana</namePart><namePart type="family">Jones</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">David</namePart><namePart type="family">Burn</namePart><affiliation></affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="research-article"></genre><originInfo><publisher>Oxford University Press</publisher><dateIssued encoding="w3cdtf">2006-05</dateIssued><dateCreated encoding="w3cdtf">2006-03-15</dateCreated><copyrightDate encoding="w3cdtf">2006</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Background: acoustic and perceptual changes to speech in Parkinson’s disease (PD) have been widely studied. Little empirical evidence exists concerning the individual’s own perception of changes, the impact these have on their life and coping strategies to deal with them. Objective: to establish if, and how, changes in communication impact on the lives of people with PD. Design: in-depth interviews with qualitative analysis of content. Setting: community. Subjects: twenty-three men and 14 women with PD. Methods: participants were purposively sampled to give a mix of men, women, family circumstances, stage and duration of PD and severity of speech symptoms. Individuals were interviewed at home. Interviews were transcribed. Emergent themes were identified and fed back to participants for confirmation and clarification. Results: participants identified changes to voice and articulation. Language changes featured prominently. Four impact themes: (i) interaction with others, (ii) problems with conversations, (iii) feelings about intelligibility and (iv) voice; and four corresponding coping themes (a) helping others understand, (b) managing conversations, (c) monitoring and adjusting and (d) physical strategies emerged. Of main concern was not the nature of speech-voice-language changes, but how these affected self-concept, participation inside and outside the family and family dynamics. Individuals employed a range of fluid coping strategies moving from background withdrawal to foreground striving strategies. Conclusions: speech and language changes in PD impact upon individual and family life long before frank impairment of intelligibility is apparent. The role of early referral to speech and language therapy is therefore worthy of detailed investigation.</abstract><note type="author-notes">Address correspondence to: N. Miller. Email: nicholas.miller@ncl.ac.uk</note><subject lang="en"><genre>KWD</genre><topic>Parkinson’s disease</topic><topic>speech</topic><topic>dysarthria</topic><topic>impact</topic><topic>quality of life</topic><topic>elderly</topic></subject><relatedItem type="host"><titleInfo><title>Age and Ageing</title></titleInfo><titleInfo type="abbreviated"><title>Age Ageing</title></titleInfo><genre type="Journal">journal</genre><identifier type="ISSN">0002-0729</identifier><identifier type="eISSN">1468-2834</identifier><identifier type="PublisherID">ageing</identifier><identifier type="PublisherID-hwp">ageing</identifier><identifier type="PublisherID-nlm-ta">Age Ageing</identifier><part><date>2006</date><detail type="volume"><caption>vol.</caption><number>35</number></detail><detail type="issue"><caption>no.</caption><number>3</number></detail><extent unit="pages"><start>235</start><end>239</end></extent></part></relatedItem><identifier type="istex">18307E84EC9ACF837D4CA87460613A9573424627</identifier><identifier type="DOI">10.1093/ageing/afj053</identifier><identifier type="local">053</identifier><accessCondition type="use and reproduction" contentType="copyright">© The Author 2006. 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