5 research outputs found
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A fixed effects ordered choice model with flexible thresholds with an application to life-satisfaction
In many contexts reported outcomes in a rating scale are modeled through the existence of a latent variable that separates the categories through thresholds. The literature has not been able to separate the effect of a variable on the latent variable from its effect on threshold parameters. We propose a model which incorporates (1) individual fixed effects on the latent variable, (2) individual fixed effects on the thresholds and (3) threshold shifts across time depending on observable. Importantly, the latent variable and the threshold specifications can include common variables. In order to illustrate the estimator, we apply it to a model of life satisfaction using the GSOEP dataset. We demonstrate that important differences can arise depending on the choice of the model. Our model suggests that threshold shifts are statistically and quantitatively important. Factors which increase reported life-satisfaction are due both to positive effects on the latent variable AND to shifting thresholds to the left, while factors which decrease reported life satisfaction are due to negative effects on the latent variable AND to shifting thresholds to the right
Learning to live with Parkinson’s disease in the family unit:an interpretative phenomenological analysis of well-being
We investigated family members’ lived experience of Parkinson’s disease (PD) aiming to investigate opportunities for well-being. A lifeworld-led approach to healthcare was adopted. Interpretative phenomenological analysis was used to explore in-depth interviews with people living with PD and their partners. The analysis generated four themes: It’s more than just an illness revealed the existential challenge of diagnosis; Like a bird with a broken wing emphasizing the need to adapt to increasing immobility through embodied agency; Being together with PD exploring the kinship within couples and belonging experienced through support groups; and Carpe diem! illuminated the significance of time and fractured future orientation created by diagnosis. Findings were interpreted using an existential-phenomenological theory of well-being. We highlighted how partners shared the impact of PD in their own ontological challenges. Further research with different types of families and in different situations is required to identify services required to facilitate the process of learning to live with PD. Care and support for the family unit needs to provide emotional support to manage threats to identity and agency alongside problem-solving for bodily changes. Adopting a lifeworld-led healthcare approach would increase opportunities for well-being within the PD illness journey