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'For the love of God, just refer me': a co-produced qualitative study of the experiences of people with Tourette Syndrome and tic disorders accessing healthcare services in the UK.

作者信息

Babbage Camilla May, Davies E Bethan, Jones Daniel P, Stevenson Paul, Salvage Jennifer, Anderson Seonaid, McNally Emma, Groom Madeleine J

机构信息

NIHR MindTech Medtech Co-operative, Institute of Mental Health, University of Nottingham, Nottingham, UK

School of Medicine, Academic Unit of Mental Health & Clinical Neurosciences, University of Nottingham, Nottingham, UK.

出版信息

BMJ Open. 2025 Sep 5;15(9):e098306. doi: 10.1136/bmjopen-2024-098306.


DOI:10.1136/bmjopen-2024-098306
PMID:40912712
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12414177/
Abstract

OBJECTIVES: Chronic tic disorders (CTDs)-such as Tourette Syndrome (TS)-are neurodevelopmental disorders affecting at least 1% of the population, causing repetitive involuntary movements and vocalisations known as tics. This study aimed to explore the lived experiences of accessing healthcare for people with CTD or TS and their families in the United Kingdom (UK), as part of a larger programme of work to inform change to healthcare services for this population. DESIGN: Informed and designed with extensive patient and public involvement, the design utilised qualitative research using focus groups. Reflexive thematic analysis was used to analyse the data. SETTING: Participants were recruited via online support groups, social media and research registers. PARTICIPANTS: Seven focus groups were held separately with young people with tics (n=2), adults with tics (n=10) and parents/guardians of children with tics (n=11), led by a lived experience expert (coauthor PS) and facilitated by researchers. Discussion focused on three areas: the impact of living with tics, experience accessing healthcare for tics and management of tics. RESULTS: Five themes were developed highlighting challenges across the healthcare pathway, including gaining a diagnosis, and receiving treatment, resulting in the use of self-support methods to reduce tic expression or the impact of tics. Themes also illustrated perceptions that healthcare provider's knowledge impacted initial interactions with the healthcare system, and how healthcare systems were not felt to be prioritising CTDs. CONCLUSIONS: The findings highlight a lack of prioritisation for tic disorders compounded by a healthcare structure which does not support a complex condition that requires a multidisciplinary approach. This research calls for improvements to UK healthcare services for CTD.

摘要

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本文引用的文献

[1]
ImproviNg Tic services in EnglaND: a multi-method study to explore existing healthcare service provision for children and young people with tics and Tourette syndrome.

BMJ Ment Health. 2025-7-7

[2]
Reframing stigma in Tourette syndrome: an updated scoping review.

Eur Child Adolesc Psychiatry. 2025-1

[3]
Tourette Syndrome and cautious neurodiversity-disability categorization.

Dev Med Child Neurol. 2024-6

[4]
Patients' experience of accessing support for tics from primary care in the UK: an online mixed-methods survey.

BMC Health Serv Res. 2023-7-24

[5]
Scoping Review of Multidisciplinary Care in Tourette Syndrome.

Mov Disord Clin Pract. 2023-4-6

[6]
Letting Tourette's be: The importance of understanding lived experience in research and the clinic.

Dev Med Child Neurol. 2023-11

[7]
How do children with Tourette's syndrome and their caregivers live with the disorder? A systematic review of qualitative evidence.

Front Psychiatry. 2022-9-29

[8]
Boom in private healthcare piles pressure on GPs.

BMJ. 2022-10-6

[9]
"I'm in pain and I want help": An online survey investigating the experiences of tic-related pain and use of pain management techniques in people with tics and tic disorders.

Front Psychiatry. 2022-8-5

[10]
Digital and remote behavioral therapies for treating tic disorders: Recent advances and next steps.

Front Psychiatry. 2022-7-15

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