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dc.contributor.authorSezier, AEIen_NZ
dc.contributor.authorSaywell, Nen_NZ
dc.contributor.authorTerry, Gen_NZ
dc.contributor.authorTaylor, Den_NZ
dc.contributor.authorKayes, Nen_NZ
dc.date.accessioned2021-01-27T23:02:15Z
dc.date.available2021-01-27T23:02:15Z
dc.date.copyright2019en_NZ
dc.identifier.citationBMJ Open 2019;9:e024326. doi: 10.1136/bmjopen-2018-024326
dc.identifier.issn2044-6055en_NZ
dc.identifier.urihttp://hdl.handle.net/10292/13945
dc.description.abstractObjectives To (a) explore the experiences of persistent postural-perceptual dizziness (PPPD), formerly chronic subjective dizziness on the personal, work and social lives of working-age adults; (b) enhance current understandings of the condition and its impact on the lives of working-age adults and (c) highlight points for consideration and importance to clinical practice. Methods This qualitative exploratory study drew on interpretive descriptive methodology. Working-age adults (n=8) diagnosed with PPPD were recruited from a single New Zealand community-based specialist clinic. Data from interviews (n=8) and postinterview reflections (n=2) were analysed using thematic analysis. Results Three themes were constructed: (1) It sounds like I'm crazy - referring to the lack of medical, social and self-validation associated with PPPD; (2) I'm a shadow of my former self - representing the impact of the condition on sense of self and life trajectory and (3) How will I survive? -highlighting individual coping processes. Conclusion This study contributed to the existing body of knowledge by highlighting the complexity and fluidity of experiencing PPPD. It also drew attention to the tension between the acute illness framework that forms the basis of many therapeutic interactions and the enduring psychosocial support needs of the person experiencing PPPD. The findings highlighted that contextual factors need to be taken into account and that a person-centred and biopsychosocial approach, rather than a condition-specific biomedical approach, is needed for care to be perceived as meaningful and satisfactory.en_NZ
dc.publisherBMJ Journalsen_NZ
dc.relation.urihttps://bmjopen.bmj.com/content/9/4/e024326
dc.rights© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.
dc.titleWorking-age Adults' Perspectives on Living With Persistent Postural-perceptual Dizziness: A Qualitative Exploratory Studyen_NZ
dc.typeJournal Article
dc.rights.accessrightsOpenAccessen_NZ
dc.identifier.doi10.1136/bmjopen-2018-024326en_NZ
aut.relation.issue4en_NZ
aut.relation.volume9en_NZ
pubs.elements-id358111
aut.relation.journalBMJ Openen_NZ


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