Digital legacies with people affected by motor neurone disease: The views, experiences and perceptions of healthcare professionals, specialists and experts for use with bereaved young people

Authors

  • Oliver Clabburn
  • Katherine Knighting
  • Mary O’Brien
  • Barbara Jack

Keywords:

Digital legacy, Motor neurone disease, MND, Parental bereavement, Healthcare professional, Qualitative

Abstract

Abstract

Background: Motor neurone disease is a terminal neurological illness with no known cure. It is often referred to as a ‘family disease’ with the ripples causing additional implications for children and young people. As such, little is known about how to best support young people (24 years old and under) (WHO, 2019)) when a family member dies from the disease. One potential solution is through use of a digital legacy whereby videos which document a person’s life, memories and achievements are purposefully recorded by an adult during their illness. However, due to this being an emerging area of research, little is known about whether a digital legacy may support or hinder bereavement for young people affected by the disease.

Aim: To investigate healthcare professionals, specialists and experts views, perceptions and experiences of using digital legacies with bereaved young people due to motor neurone disease.

Design: A qualitative study underpinned by interpretative phenomenological analysis.

Setting/participants: Twenty healthcare professionals, specialists and experts were recruited using a maximum purposive sampling method. Open-ended interviews were conducted in participants’ place of work either over the telephone or by the lead researcher. Ethical approval was granted by a university ethics committee and Health Research Authority (HRA).

Findings: Two key overarching themes were identified from the data: perceived benefit and value for bereaved young people using a digital legacy and challenges and barriers for bereaved young people using a digital legacy.

Conclusion: A number of potential challenges and considerations were identified. However, the use of a digital legacy was perceived to be a feasible and valuable method of support for young people bereaved as a result of motor neurone disease.

References

Allen, R., Hilgeman, M., Ege, M., Shuster, J., John, L., & Burgio, L. (2008). Legacy activities as interventions approaching the end of life. Journal of Palliative Medicine, 11(7), 1029–1038. doi: 10.1089/jpm.2007.0294

Ando, M., Morita, T., Akechi, T., & Okamoto, T. (2010). Efficacy of short-term life-review interviews on the spiritual well-being of terminally ill cancer patients. Journal of Pain and Symptom Management, 39(6), 993–1002. doi: 10.1016/j.jpainsymman.2009.11.320

Bassett, D. (2015). Who wants to live forever? Living, dying and grieving in our digital society. Social Sciences, 4(4), 1127–1139. doi: 10.3390/socsci4041127

Breibart, W. (2016). Legacy in palliative care: Legacy that is lived. Palliative Supportive Care, 14(5), 453–454. doi: 10.1017/S1478951516000705

Chochinov, H., Hack, T., Hassard, T., Kristjanson, L., Mcclement, S., & Harlos, M. (2005). Dignity therapy: A novel psychotherapeutic intervention for patients near the end of life. Journal of Clinical Oncology, 23(24), 5520–5525. doi: 10.1200/JCO.2005.08.391

Clabburn, O., Knighting, K., Jack, B. & O’Brien, M. (2019). The use of digital legacies with people affected by motor neurone disease for continuing bonds: An interpretative phenomenological analysis study. Palliative Medicine. [online first]. Retrieved from https://doi.org/10.1177/0269216319845805 [accessed 23 July 2019].

Fearnley, R. (2015). Writing the ‘penultimate chapter’: How children begin to make sense of parental terminal illness. Mortality, 20(2), 163–177. doi: 10.1080/13576275.2014.996209

Field, N., Gao, B., & Paderna, L. (2005). Continuing bonds in bereavement: An attachment theory based perspective. Death Studies, 29(4), 277–299. doi: 10.1080/07481180590923689

Foster, T., Gilmer, M., Davies, B., Dietrich, M., Barrera, M., Fairclough, D., … Gerhardt, C. (2011). Comparison of continuing bonds reported by parents and siblings after a child’s death from cancer. Death Studies, 35(5), 420–440. doi: 10.1080/07481187.2011.553308

Gibson, M. (2014). Digital objects of the dead. In L.Van Brussel, & N.Carpenter (Eds.), The social construction of death: Interdisciplinary perspectives (pp. 231–238). Basingstoke: Palgrave Macmillan.

Motor Neurone Disease Association (2018). What is MND? [online]. Retrieved from www.mndassociation.org/about-mnd/where-do-i-start/what-is-mnd [accessed 15 August 2018].

O’Brien, M., & Clabburn, O. (2016). Motor neurone disease/amyotrophic lateral sclerosis: What’s in a name? British Journal of Neuroscience Nursing, 12(2), 82–84. doi: 10.12968/bjnn.2016.12.2.82

Oh, J., & Kim, J. (2017). Supportive care needs of patients with amyotrophic lateral sclerosis/motor neuron disease and their caregivers: A scoping review. Journal of Clinical Nursing. Retrieved from https://doi.org/10.1111/jocn.13945. [accessed 1 August 2019].

Root, R., & Exline, J. (2014). The role of continuing bonds in coping with grief: Overview and future directions. Death Studies, 38(1), 1–8. doi: 10.1080/07481187.2012.712608

Saunders, M. (2012). Choosing research participants. In C.Cassell, & G.Symon (Eds.), The practice of qualitative organisational research: Core methods and current challenges (pp. 37–55). London: Sage.

Silverman, P., Klass, D., & Nickman, S. (1996). Continuing bonds: New understandings of grief. New York: Routledge.

Smith, J., Flowers, P., & Larkin, M. (2009). Interpretative phenomenological analysis: Theory, method and research. London: Sage.

Vukasanovic, D., Green, H., Dyck, M., & Morrissey, S. (2016). Dignity therapy and life review for palliative care patients: A randomized controlled trial. Journal of Pain and Symptom Management, 53(2), 162–170. doi: 10.1016/j.jpainsymman.2016.09.005

Walter, T. (1996). A new model of grief: Bereavement and biography. Mortality, 1(1), 7–25. doi: 10.1080/713685822

Wood, L., Byram, V., Gosling, S., & Stokes, J. (2012). Continuing bonds after suicide bereavement in childhood. Death Studies, 36(10), 873–898. doi: 10.1080/07481187.2011.584025

World Health Organization (2019). Adolescent health and development. [Online]. Retrieved from www.searo.who.int/entity/child_adolescent/topics/adolescent_health/en [accessed 17 June 2019].

Downloads

Published

2019-09-02

Issue

Section

Article