Perceived Barriers and Facilitators to Radiology Examinations Among Patients with Parkinson's Disease in Ireland

Introduction: Parkinson's disease (PD) is a progressive neurodegenerative disorder with motor and non-motor symptoms that necessitate frequent radiology examinations for monitoring and management. Despite this, limited research explores the lived experiences of patients with PD in radiology settings, where symptoms may pose unique challenges. This study aimed to investigate perceived barriers and facilitators to radiology examinations among patients with PD to inform patient-centred improvements. Methods: A qualitative study utilising a semi-structured, experience-based focus group was conducted with eight patients with PD recruited from a rural Irish support group. Data collection occurred virtually via Microsoft Teams from March to April 2023. Audio recordings were transcribed and independently analysed by two reviewers using Braun and Clarke's reflexive thematic analysis framework. Results: Six participants completed the focus group. Three facilitator themes emerged: Supportive Hospital Staff (encompassing behaviour, awareness, and efficient care), Communication (clear explanations and time for discourse), and Knowledge (student-patient interactions, self-coping mechanisms, and understanding imaging importance). Three barrier themes were identified: Anxiety (diagnostic and disease-induced), Communication (lack of details and unvoiced concerns), and Knowledge (lack of PD awareness and service information). Communication and Knowledge exhibited dual roles, enhancing or impeding experiences contextually in a contextual manner. Conclusion: Addressing these barriers through enhanced staff training, improved communication, and knowledge dissemination can foster a more supportive radiology environment for patients with PD. Future research should validate these findings across diverse settings to guide policy and practice. Implications for practice: Enhancing staff training on PD-specific challenges, implementing clear communication protocols, and disseminating educational resources for patients can improve accessibility and reduce anxiety in radiology settings. Integrating multidisciplinary teams and patient input on appointment scheduling could further optimise service delivery in clinical practice.