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Upplevelser av behandlingskonceptet Lee Silverman Voice Treatment BIG bland personer med Parkinsons sjukdom: -­ En kvalitativ intervjustudie
Dalarna University, School of Education, Health and Social Studies, Medical Science.
2018 (Swedish)Independent thesis Advanced level (degree of Master (One Year)), 10 credits / 15 HE creditsStudent thesisAlternative title
Experiences of the concept Lee Silverman Voice Treatment BIG among individuals with Parkinson´s Disease : -­ A qualitative interview study (English)
Abstract [sv]

Bakgrund: Dagens forskning fokuseras främst på de mätbara effekterna av fysioterapeutiska interventioner vid Parkinsons sjukdom och i mindre utsträckning på personernas upplevelser av behandling. Forskning som beskriver personers upplevelser av Lee Silverman Voice Treatment BIG (LSVT BIG) saknas.

Syfte: Att undersöka och beskriva hur personer med diagnostiserad Parkinsons sjukdom upplever instruktörsledd individuell behandling utifrån behandlingskonceptet LSVT BIG.

Metod: Kvalitativ ansats innefattande tre fokusgrupper om sammanlagt 19 personer med Parkinsons sjukdom som startat behandlingskonceptet LSVT BIG. Intervjufrågorna fokuserades på personernas upplevelser av behandlingsinterventionen. Intervjuerna transkriberades innan de analyserades genom kvalitativ innehållsanalys.

Resultat: I analysen framkom två överordnade teman;; Förutsättningar för behandlingseffekter som innefattar kategorierna En stor satsning, Betydelsen av instruktörens roll, Eget ansvar och Stöd från omgivningen. Det andra temat var Behandlingseffekter av LSVT BIG vilket innefattar kategorierna Fysiska, Psykiska och Sociala effekter samt Beteendeförändring.

Slutsats: För goda resultat av LSVT BIG krävs en stor satsning av individen, av dennes anhöriga och av vården. Den stora satsningen kräver anpassningar av behandlingsinterventionen utifrån förutsättningar hos förutnämnda parter. Instruktörens roll, stöd från närstående, självdisciplin och en känsla av att kunna påverka sin situation definierades i resultaten som motiverande faktorer som ger förutsättningar för goda behandlingseffekter. Behandlingseffekterna upplevdes som mångfacetterade och återspeglade alla delar av den biopsykosociala modellen. Tydligast framkom förbättringar av forskningspersonernas fysiska funktioner vilka upplevdes överförbara till aktiviteter i det dagliga livet.

Abstract [en]

Background: Research today mainly focus on the measurable effects of physiotherapy interventions in Parkinson’s disease and, to a lesser extent, on the treatment experiences. Research describing people’s experiences of Lee Silverman Voice Treatment BIG (LSVT BIG) is lacking.

Purpose: To examine and describe how people with Parkinson’s disease experience individual supervised treatment based on the LSVT BIG treatment concept.

Method: Qualitative approach including three focus groups of a total of 19 persons with Parkinson's disease who started the treatment concept LSVT BIG. Interview questions were focused on the experiences of the treatment intervention. The interviews were transcribed before a qualitative content analysis was made.

Result: Two main themes emerged from the analysis;; Prerequisites for treatment effects included the categories of A big effort, The importance of the role of the instructor, Self-­responsibility and Support from the environment. The second theme was Treatment Effects of LSVT BIG which included the categories Physical, Psychological and Social Effects as well as Behavioral Change.

Conclusion: For good results of LSVT BIG, a big effort is required of the individual, their relatives and the healthcare provider. The big effort requires adjustments to the treatment intervention based on the conditions of above-­mentioned parties. The role of the instructor, family support, self-­discipline and a sense of situation-­influence were defined in the results as motivational factors that provide the conditions for good treatment effects. The treatment effects were multifaceted and reflected all aspects of the biopsychosocial model. In particular, improvements of the physical functions were found, which could be transferable to activities in daily living.

Place, publisher, year, edition, pages
2018.
Keywords [en]
Parkinson's disease, LSVT BIG, biopsychosocial model, treatment effects, focus groups
Keywords [sv]
Parkinsons sjukdom, LSVT BIG, biopsykosociala modellen, behandlingseffekter, fokusgrupper
National Category
Other Basic Medicine
Identifiers
URN: urn:nbn:se:du-29270OAI: oai:DiVA.org:du-29270DiVA, id: diva2:1277682
Available from: 2019-01-11 Created: 2019-01-11

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