Improving Care for People Living with ALS/MND

A special issue of Healthcare (ISSN 2227-9032). This special issue belongs to the section "Nursing".

Deadline for manuscript submissions: 30 June 2025 | Viewed by 791

Special Issue Editors


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Guest Editor
School of Population Health, University of New South Wales, Sydney, NSW 2052, Australia
Interests: motor neurone disease; amyotropic lateral sclerosis; decision-making; patient decision support tools; co-design; safety and quality of care

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Guest Editor
Faculty of Health and Behavioural Sciences, School of Health and Rehabilitation Sciences, The University of Queensland, Brisbane 4072, Australia
Interests: speech and language disorders; dysarthria; motor neuron disease; amyotrophic lateral sclerosis; speech treatment; outcome measurement; speech biomarkers

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Guest Editor Assistant
School of Health, Medical and Applied Sciences, Central Queensland University, Norman Gardens, QLD 4701, Australia
Interests: motor neuron disease; amyotrophic lateral sclerosis; communication; dysarthria; psychosocial wellbeing; third-party disability; patient-centred care; speech and language

Special Issue Information

Dear Colleagues,

1) Introduction, including scientific background and highlighting the importance of this research area.
Motor neurone disease (MND), also known as amyotrophic lateral sclerosis (ALS), is a multisystem and fatal neurodegenerative condition that continues to elude a cure or effective disease-delaying treatments. Until these are achieved, the focus remains on improving the quality of care for people living with ALS/MND and supporting their family carers. Evidence-based best practise includes care delivered by specialised multidisciplinary ALS/MND clinics. However, many people living with ALS/MND are unable to access specialised ALS/MND services, and, as a rare disease, many health professionals are unfamiliar with the often-rapid disease trajectory and the urgency of receiving care that meets patients’ needs.

We are pleased to invite you to contribute to this Special Issue on ALS/MND care.

2) Aim of the Special Issue and how the subject relates to the journal scope. Please make sure that your Special Issue is in the scope of the journal. You can check the scope in the Journal menu: Aims and Scope. Additionally, the scope should not be too broad or too narrow.
This Special Issue aims to highlight the recent research on developments in care for people living with ALS/MND, regardless of where they receive their care. Topics may include (but are by no means limited to) symptom management; palliative care; perspectives of people with lived experience of ALS/MND; models of care; service delivery; e-health; service co-design; and equitable access to care. We invite contributors to submit manuscripts that broaden our understanding of ALS/MND care and demonstrate how the delivery of care can be improved.

3) Suggested themes and article types for submissions
In this Special Issue, original research articles and reviews are welcome. Articles may include (but are not limited to) the following:

  • Original research;
  • Literature reviews, including systematic, scoping, narrative, and rapid reviews;
  • Perspectives papers.

We look forward to receiving your contributions.

Dr. Anne Vaughan Hogden
Dr. Brooke-Mai Whelan
Guest Editors

Dr. Salma Charania
Guest Editor Assistant

Manuscript Submission Information

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Keywords

  • evidence-based practise
  • patient-centred care
  • patient-centred decision making
  • multidisciplinary care
  • interprofessional care
  • regional and rural ALS/MND care
  • e-health
  • virtual care
  • co-design
  • equity of access

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Published Papers (1 paper)

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Research

20 pages, 1776 KiB  
Article
Connecting Care Closer to Home: Evaluation of a Regional Motor Neurone Disease Multidisciplinary Clinic
by Karen Hutchinson, Georgia Fisher, Anna Schutz, Sally Carr, Sophie Heard, Molly Reynolds, Nicholas Goodwin and Anne Hogden
Healthcare 2025, 13(7), 801; https://doi.org/10.3390/healthcare13070801 - 2 Apr 2025
Viewed by 398
Abstract
The optimal approach to managing motor neurone disease (MND) is through integrated, person-centred care (PCC), complemented by access to specialised MND multidisciplinary clinics (MDCs). However, in Australia, MND care is fragmented and uncoordinated. Objectives: To evaluate participant experiences of the implementation of a [...] Read more.
The optimal approach to managing motor neurone disease (MND) is through integrated, person-centred care (PCC), complemented by access to specialised MND multidisciplinary clinics (MDCs). However, in Australia, MND care is fragmented and uncoordinated. Objectives: To evaluate participant experiences of the implementation of a new regional MND MDC in New South Wales, Australia, and explore factors influencing its implementation. Methods: A qualitative evaluation was conducted. We used semi-structured interviews with people living with MND (plwMND) (n = 4), family carers (n = 2), healthcare providers (n = 6), and social care providers (n = 2). First, deductive analysis using the Theoretical Domains Framework and COM-B model was applied to identify factors influencing the adoption and sustainability of the MDC. Then, an inductive thematic analysis identified the impact of the MND MDC from participant perspectives. Results: The MND MDC was found to be appropriate and acceptable for providing equitable access to PCC MND care that was ‘closer to home’. The three main themes from the inductive analysis indicated that: 1. Implementing it was a ‘good idea’ [the MND-MDC]; 2. It ‘flushes out’ local service gaps and/or challenges; and 3. It results in positive outcomes. Key facilitators to implementation identified from the deductive analysis were staff expertise, strong trusting relationships with all clinic participants, and the belief that the MND MDC optimised care. Barriers to implementation included a lack of staff remuneration, organisational boundaries, limited representation of specialities, and anticipated difficulties in coordinating care with existing services. Conclusions: The commitment to providing equitable access to an MND MDC in a regional area is crucial to optimise care for plwMND and their families. However, overcoming complex organisational boundaries, creating local solutions, and building strong partnerships are key challenges to securing ongoing financial support and local health district ‘buy-in’ to support sustainability. Full article
(This article belongs to the Special Issue Improving Care for People Living with ALS/MND)
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