Skip to main content

ETHNOS_APP

Home • Search • Journals • List 0

Evolving Motivations

Patients' and Caregivers' Perceptions About Seeking Myotonic Dystrophy (DM1) and Huntington's Disease Care

Bibliographic Data

ID4692528
AuthorsKori A Ladonna (0000-0003-4738-0146, Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada), Christopher J Watling (Centre for Education Research and Innovation, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada), Christopher Watling (0000-0001-9686-795X, Western University), Susan L Ray (Arthur Labatt School of Nursing, Faculty of Health Sciences, Western University, London, Ontario, Canada), Christine Piechowicz (Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, Ontario, Canada), Shannon L Venance (0000-0003-4146-2263, Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University and London Health Sciences Centre, London, Ontario, Canada, corresponding author)
Year2017
Volume27
Issue11
Pages1727-1737
Publication date2017-09-01
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732317711901
PMID28799481
OpenAlexW2644701691
LanguageEN
Citations received6
References cited65

Patient-centered care provision is challenging under ideal circumstances; myotonic dystrophy (DM1) and Huntington's disease (HD) are examples of chronic, progressive health conditions that may challenge its limits. If we can understand how care unfolds in these conditions, health care providers may be better equipped to address patients' needs. Constructivist grounded theory informed data collection and analysis. Fourteen patients with DM1 or HD, and 10 caregivers participated in semistructured interviews. Constant comparative analysis was used to identify themes. Participants attended clinic to seek expert information and social support. Medical management, altruism, and support provided the motivation. However, motivations evolved, with clinic becoming more important for caregivers as patients deteriorated. Clinic was conceptualized as a "safe space" to actively participate in health care and research. In the absence of disease-halting or curative treatments, participants perceived that they derived a therapeutic benefit from seeking care and from engaging in education and advocacy

Disease · Family medicine · Grounded theory · Health care · Huntington's disease · Myotonic dystrophy · Perception · Qualitative research · Genetic Neurodegenerative Diseases · Medicine · Mental Health and Psychiatry · Neurology and Historical Studies · Nursing · Psychology

  • When More Is Too Much

    Open Access•Preethy Sarah Samuel, Kathryn Wright et al.•Families in Society The Journal…•2022

  • Influence of Pediatric Patients’ Developmental or Chronic Health Condition Status as a Predictor of Parents’ Perceptions of Patient- and Family-Centered Care

    Open Access•Grace Ellen Brannon, Madison R Ray et al.•Health Communication•2022

  • Rethinking patient feedback

    Open Access•Roy Khalife, Kori A Ladonna•Medical Education•2024

  • Exploring patients’ and physicians’ perspectives about competent health advocacy

    Open Access•Kori A Ladonna, Christopher Watling et al.•Medical Education•2021

  • From understanding to embracing

    Javeed Sukhera, Jennifer M Klasen et al.•Medical Teacher•2025

  • This Disease Is a Verdict You Must Live With for the Rest of Your Life

    Open Access•Kristin Allergodt, Bente Kristensen et al.•Qualitative Health Research•2025

  • Patient empowerment in theory and practice

    Open Access•Isabelle Aujoulat, William D’Hoore et al.•Patient Education and Counseling•2007

  • What ‘Patient-Centered’ Should Mean: Confessions Of An Extremist

    Donald M Berwick•Health Affairs•2009

  • Barriers and facilitators to implementing shared decision-making in clinical practice

    Open Access•France Légaré, Stéphane Ratté et al.•Patient Education and Counseling•2008

  • Shared Decision Making — The Pinnacle of Patient-Centered Care

    Michael J Barry, Susan Edgman-Levitan et al.•New England Journal of Medicine•2012

  • The Discovery of Grounded Theory

    Barney G Glaser, Anselm L Strauss•Discovery of Grounded Theory•2017

  • Prenatal Care Use Among Women of Low Income

    Open Access•Wendy Sword•Qualitative Health Research•2003

  • ‘Who is on your health‐care team?’ Asking individuals with heart failure about care team membership and roles

    Open Access•Kori A Ladonna, Joanna Bates et al.•Health Expectations•2017

  • The Significance of Saturation

    Open Access•Janice M Morse•Qualitative Health Research•1995

  • Relational autonomy as an essential component of patient-centered care

    Carolyn Ells, Matthew Hunt et al.•International Journal of Feminist…•2011

  • Balancing needs as a family caregiver in H untington's disease

    Open Access•Merete Røthing, Kirsti Malterud et al.•Health & Social Care in the…•2014

  • The Perspective of Patients on Their Experience of Powerlessness

    Open Access•Isabelle Aujoulat, Olivier Luminet et al.•Qualitative Health Research•2007

Citations per year1.2
Citation span2021 - 2025 (5)
Highly citedNo

Tools

Open DOISci-Hub
Ethnos_APP • Open Source Project • MIT License • Frontend v2.0.0 • Privacy and Cookies • API Documentation: api.ethnos.app/docs • API Source Code: GitHub • DOI: 10.5281/zenodo.17049435 • Frontend Source Code: GitHub • DOI: 10.5281/zenodo.17050053 • cruz.rio.br • Expectantes Misericordiae