{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,17]],"date-time":"2026-09-17T16:02:30Z","timestamp":1789660950477,"version":"4.0.1"},"reference-count":77,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T00:00:00Z","timestamp":1770768000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Public Health"],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Parkinson\u2019s disease is the second most common progressive neurodegenerative disorder affecting both motor and non-motor functions, with men showing higher susceptibility. It comprises unilateral and axial symptoms leading to severe functional disability. Also, there are numerous unexplored symptoms, since Parkinson\u2019s is called \u201cSnowflake Disease.\u201d<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The objective of the study is to explore and understand life after Parkinson\u2019s disease in older adults living in long-term care facilities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methodology<\/jats:title>\n                    <jats:p>A descriptive qualitative study utilizing purposive sampling was conducted among 22 older adults with Parkinson\u2019s disease (PD) aged 60 to 89\u202fyears (\u00b174.5). In-depth interviews were conducted, with six older adults excluded due to fatigue and cognitive problems. The final sample of 16 interviews achieved data saturation and is potentially valid for analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>A thematic analysis was conducted, resulting in the identification of six principal themes: (1) Identity and Self-perception, (2) Emotional Dysphoria, (3) Neurofunctional Impact, (4) Acclimatization to Therapy, (5) Need for Support Network, and (6) Existential Reflection. The findings illustrate the crucial importance of perceived autonomy and family support in the process of attaining psychosocial well-being.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>It indicates the interplay of factors influencing older adults with Parkinson\u2019s disease in long-term care facilities. It also underscores the crucial role of healthcare professionals, policymakers, and caregivers in designing tailored strategies for multifaceted challenges associated with Parkinson\u2019s disease.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fpubh.2026.1747471","type":"journal-article","created":{"date-parts":[[2026,2,11]],"date-time":"2026-02-11T07:39:59Z","timestamp":1770795599000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["\u201cEvery day is a battle against Parkinson\u2019s\u201d\u2014a qualitative study on older adults at the long-term care facilities in Chennai"],"prefix":"10.3389","volume":"14","author":[{"given":"Rajyasree","family":"A.","sequence":"first","affiliation":[{"name":"Department of Social Sciences, School of Social Sciences and Languages, Vellore Institute of Technology","place":["Vellore, Tamil Nadu, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J.","family":"Balamurugan","sequence":"additional","affiliation":[{"name":"Department of Social Sciences, School of Social Sciences and Languages, Vellore Institute of Technology","place":["Vellore, Tamil Nadu, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,2,11]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"939","DOI":"10.1016\/S1474-4422(18)30295-3","article-title":"Global, regional, and national burden of Parkinson's disease, 1990\u20132016: a systematic analysis for the global burden of disease study","volume":"17","year":"2018","journal-title":"Lancet Neurol"},{"key":"ref2","year":"2006"},{"key":"ref3","doi-asserted-by":"publisher","first-page":"678","DOI":"10.1002\/mdc3.12833","article-title":"The Parkinson's disease activities of daily living, interference, and dependence instrument","volume":"6","author":"Deal","year":"2019","journal-title":"Movement Disorders Clin. 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