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Sia LL, Sharma S, Kumar S, Ajit Singh DK. Exploring physiotherapists' perceptions of telerehabilitation for musculoskeletal disorders: Insights from focus groups. Digit Health 2024; 10:20552076241248916. [PMID: 38665882 PMCID: PMC11044802 DOI: 10.1177/20552076241248916] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/04/2024] [Indexed: 04/28/2024] Open
Abstract
Objective This study explored the perceived benefits, barriers, and recommendations of telerehabilitation for musculoskeletal disorders among physiotherapists in Malaysia. Methods This study employed an exploratory qualitative methodology to gather the perceptions of government-employed physiotherapists in Malaysia regarding the benefits, barriers, and recommendations for telerehabilitation in treating musculoskeletal disorders. The researchers conducted semistructured focus group discussions (FGDs) via Google Meet, which were recorded, transcribed, and analyzed using thematic analysis. Results Five FGDs were conducted with 24 participants, 37.5% of whom had prior experience with telerehabilitation. The data analysis returned three main themes: (1) perceived benefits, (2) barriers, and (3) recommendations. Four subthemes were derived from perceived benefits: (1a) saving time and money, (1b) convenience, (1c) clients responsible for their treatment, and (1d) alternatives for infectious diseases. Perceived barriers revealed three subthemes: (2a) technology, (2b) organization, and (2c) personal barriers. Finally, participants provided recommendations for improving telerehabilitation services, including training programs to facilitate greater acceptance of this modality. Conclusion The findings of this study offer crucial insights into the evolving landscape of telerehabilitation in Malaysia. These findings revealed a greater prevalence of barriers to enablers among Malaysian physiotherapists, potentially influenced by varying experience levels. Despite the prevailing lack of experience among participants, this research underscores the significance of identifying barriers and enablers in implementing telerehabilitation with participants offering recommendations for integrating telerehabilitation into their practices. This study provides clear insights and a roadmap for stakeholders aiming to shape the future of telerehabilitation among physiotherapists in Malaysia.
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Affiliation(s)
- Lee Lee Sia
- Universiti Kebangsaan Malaysia, Physiotherapy Program, Centre of Healthy Ageing & Wellness, Faculty of Health Sciences, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
- Physiotherapy Unit, Hospital Miri, Ministry of Health Malaysia, Miri, Sarawak, Malaysia
| | - Shobha Sharma
- Universiti Kebangsaan Malaysia, Speech Sciences Program, Centre for Healthy Ageing & Wellness, Faculty of Health Sciences, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
| | - Saravana Kumar
- Allied Health and Human Performance Unit, University of South Australia (City East Campus), South Australia, Australia
| | - Devinder Kaur Ajit Singh
- Universiti Kebangsaan Malaysia, Physiotherapy Program, Centre of Healthy Ageing & Wellness, Faculty of Health Sciences, Jalan Raja Muda Abdul Aziz, Kuala Lumpur, Malaysia
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Teo PL, Bennell KL, Lawford B, Egerton T, Dziedzic K, Hinman RS. Patient experiences with physiotherapy for knee osteoarthritis in Australia-a qualitative study. BMJ Open 2021; 11:e043689. [PMID: 34006028 PMCID: PMC7942256 DOI: 10.1136/bmjopen-2020-043689] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/05/2022] Open
Abstract
OBJECTIVE Physiotherapists commonly provide non-surgical care for people with knee osteoarthritis (OA). It is unknown if patients are receiving high-quality physiotherapy care for their knee OA. This study aimed to explore the experiences of people who had recently received physiotherapy care for their knee OA in Australia and how these experiences aligned with the national Clinical Care Standard for knee OA. DESIGN Qualitative study using semistructured individual telephone interviews and thematic analysis, where themes/subthemes were inductively derived. Questions were informed by seven quality statements of the OA of the Knee Clinical Care Standard. Interview data were also deductively analysed according to the Standard. SETTING Participants were recruited from around Australia via Facebook and our research volunteer database. PARTICIPANTS Interviews were conducted with 24 people with recent experience receiving physiotherapy care for their knee OA. They were required to be aged 45 years or above, had activity-related knee pain and any knee-related morning stiffness lasted no longer than 30 min. Participants were excluded if they had self-reported inflammatory arthritis and/or had undergone knee replacement surgery for the affected knee. RESULTS Six themes emerged: (1) presented with a pre-existing OA diagnosis (prior OA care from other health professionals; perception of adequate OA knowledge); (2) wide variation in access and provision of physiotherapy care (referral pathways; funding models; individual vs group sessions); (3) seeking physiotherapy care for pain and functional limitations (knee symptoms; functional problems); (4) physiotherapy management focused on function and exercise (assessment of function; various types of exercises prescribed; surgery, medications and injections are for doctors; adjunctive treatments); (5) professional and personalised care (trust and/or confidence; personalised care) and (6) physiotherapy to postpone or prepare for surgery. CONCLUSION Patients' experiences with receiving physiotherapy care for their knee OA were partly aligned with the standard, particularly regarding comprehensive assessment, self-management, and exercise.
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Affiliation(s)
- Pek Ling Teo
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - Kim L Bennell
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - Belinda Lawford
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - T Egerton
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
| | - Krysia Dziedzic
- Impact Accelerator Unit, School of Medicine, Keele University, Keele, Staffordshire, ST5 5BG, UK
| | - Rana S Hinman
- Department of Physiotherapy, University of Melbourne, Melbourne, Victoria, Australia
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3
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Moore AJ, Gooberman-Hill R. Why don't patients seek help for chronic post-surgical pain after knee replacement? A qualitative investigation. Health Expect 2020; 23:1202-1212. [PMID: 32648336 PMCID: PMC7696127 DOI: 10.1111/hex.13098] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/19/2020] [Revised: 06/16/2020] [Accepted: 06/17/2020] [Indexed: 12/15/2022] Open
Abstract
Background Although many people are satisfied with their outcome after total knee replacement surgery for osteoarthritis, around 20% report chronic post‐surgical pain. People are often disappointed and unsure about whether their pain is normal and what can be done about it. Given the high prevalence of long‐term post‐operative pain after knee replacement, there is potentially a large hidden population with an unaddressed need for care. Objective In this study, we focus on understanding why some people choose not to consult health care for chronic post‐surgical pain after knee replacement. Methods Semi‐structured interviews were conducted with people who had received total knee replacement, at either of two National Health Service hospitals in the United Kingdom, and who had chronic post‐surgical pain (n = 34, age 55‐93 years). Data were audio‐recorded, transcribed and analysed thematically. Results We found an overall sense of futility amongst participants who believed that nothing further could be done for their on‐going pain. People's perception of their pain was often discordant with that of surgeons and physicians. Other factors that contributed to decisions not to seek help included low expectations about effectiveness and the risks involved in further treatment, treatment burden, participants' prioritization of other health conditions and views about candidacy. Many accepted their on‐going pain. Conclusion Our study indicates why some people with chronic pain after knee replacement do not seek further health care. Understanding patients' beliefs and expectations about chronic post‐surgical pain can inform approaches that might enable people to seek help in the future.
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Affiliation(s)
- Andrew J Moore
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK
| | - Rachael Gooberman-Hill
- Musculoskeletal Research Unit, Translational Health Sciences, Bristol Medical School, Southmead Hospital, University of Bristol, Bristol, UK.,National Institute for Health Research Bristol Biomedical Research Centre, University Hospitals Bristol NHS Foundation Trust and University of Bristol, Bristol, UK
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Saketkoo LA, Pauling JD. Qualitative Methods to Advance Care, Diagnosis, and Therapy in Rheumatic Diseases. Rheum Dis Clin North Am 2018; 44:267-284. [PMID: 29622294 PMCID: PMC5890953 DOI: 10.1016/j.rdc.2018.01.004] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
Abstract
This article provides an overview of the basis, usefulness, and validity of qualitative methods in research. It is aimed to enhance the understanding of a broad spectrum of readers, ranging from those mystified by such approaches, to those wanting a better critical knowledge to apply to literature review, and for health care providers considering developing an interest in the field. Qualitative research is crucial in augmentation of disease knowledge as well as the development of incremental care strategies and operational aspects of care that improves health outcomes.
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Affiliation(s)
- Lesley Ann Saketkoo
- Division of Pulmonary Medicine and Critical Care, Tulane University School of Medicine, Lung Center, 1430 Tulane Avenue, New Orleans, LA 70112, USA; New Orleans Scleroderma and Sarcoidosis Patient Care and Research Center, New Orleans, LA 70112, USA; University Medical Center, Comprehensive Pulmonary Hypertension Center, New Orleans, LA 70112, USA.
| | - John D Pauling
- Royal National Hospital for Rheumatic Diseases, Royal United Hospitals, Upper Borough Walls, Bath BA1 1RL, UK; Department of Pharmacy and Pharmacology, University of Bath, Bath BA11RL, UK
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Quinn BL, Fantasia HC. Forming Focus Groups for Pediatric Pain Research in Nursing: A Review of Methods. Pain Manag Nurs 2017; 19:303-312. [PMID: 28844840 DOI: 10.1016/j.pmn.2017.07.002] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2016] [Revised: 05/26/2017] [Accepted: 07/12/2017] [Indexed: 10/19/2022]
Abstract
BACKGROUND Within current priorities for pain research set by the American Society for Pain Management Nursing, there is a paucity of pediatric pain research. Qualitative approaches are helpful when researching topics about which little is known. Focus groups are one method of qualitative data collection and have been successfully implemented with children and parents. AIMS The purpose of this paper was to identify ideal conditions for nurse researchers to employ when using focus groups as a data collection method for studies aiming to investigate pain in children. The aims of this paper are to identify focus group conditions (1) facilitating adequate scientific rigor and trustworthiness and (2) eliciting the richest data from participants. METHODS A critique of research studies that used focus groups with children, parents/caregivers, or nurses in hospital or community settings was performed to achieve the stated aims. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines directed the process of selecting studies for inclusion in this review. RESULTS The final sample for critique included four studies. Methods such as transcription processes and approaches to analysis used in the four publications were appraised for scientific rigor and usefulness in pediatric pain research. CONCLUSIONS Researchers investigating priority areas must consider trustworthiness and strategies to eliciting quality data when planning to employ focus groups as a data collection method. Nurses in the clinical setting can use findings of this report to strengthen pain assessment practices as well as evaluate qualitative work for inclusion in evidence-based policies.
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Affiliation(s)
- Brenna L Quinn
- School of Nursing, University of Massachusetts Lowell, Lowell, Massachusetts.
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6
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Farinha F, Freitas F, Águeda A, Cunha I, Barcelos A. Concerns of patients with systemic lupus erythematosus and adherence to therapy - a qualitative study. Patient Prefer Adherence 2017; 11:1213-1219. [PMID: 28761334 PMCID: PMC5522825 DOI: 10.2147/ppa.s137544] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/09/2023] Open
Abstract
PURPOSE The objectives of this study were 1) to identify the impact of systemic lupus erythematosus (SLE) on patients' lives and their reactions to this, as well as their main concerns and expectations regarding their disease and treatments; and 2) to assess the relationship between these concerns and the adherence to treatments, medical visits, and diagnostic tests. PATIENTS AND METHODS Qualitative study, using a convenient sample of SLE patients attending an outpatient rheumatology clinic. Semistructured interviews were conducted and audiotaped. The full transcripts were analyzed by two different coders using content analysis methodology. RESULTS Fifteen participants were included. SLE had a major impact on these patients' lives. Their main concerns were fear of disease worsening and becoming dependent on other people, fear of not being able to take care of their children or provide for the family, and the possibility of transmitting SLE to their offspring. The main reasons for adherence to therapy were the wish to avoid manifestations of SLE and trust in the rheumatologist and routine. Nonadherence was more common in the beginning of the treatment because of the difficulty in accepting a chronic disease that requires lifelong therapy. CONCLUSION Our data underlined the important interplay between adherence to medication and the possibility to gather accurate information and proper support during the treatment process. Good communication and efficient patient education strategies, focused on improving their knowledge about the disease and its treatments, may be important to improve adherence to therapy in SLE.
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Affiliation(s)
- Filipa Farinha
- Rheumatology Department, Centro Hospitalar do Baixo Vouga EPE, Aveiro, Portugal
- Correspondence: Filipa Farinha, Serviço de Reumatologia – Centro Hospitalar do Baixo Vouga, Av. Artur Ravara, 3810–501 Aveiro, Portugal, Tel +351 234 378 300, Fax +351 234 378 395, Email
| | - Francisco Freitas
- Centre for Social Studies, Universidade de Coimbra, Coimbra, Portugal
| | - Ana Águeda
- Rheumatology Department, Centro Hospitalar do Baixo Vouga EPE, Aveiro, Portugal
| | - Inês Cunha
- Rheumatology Department, Centro Hospitalar do Baixo Vouga EPE, Aveiro, Portugal
| | - Anabela Barcelos
- Rheumatology Department, Centro Hospitalar do Baixo Vouga EPE, Aveiro, Portugal
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Hart RI, Ng WF, Newton JL, Hackett KL, Lee RP, Thompson B. What impact does written information about fatigue have on patients with autoimmune rheumatic diseases? Findings from a qualitative study. Musculoskeletal Care 2016; 15:230-237. [PMID: 27860255 PMCID: PMC5600097 DOI: 10.1002/msc.1164] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
OBJECTIVES Although fatigue is a common symptom for people with rheumatic diseases, limited support is available. This study explored the impact of written information about fatigue, focusing on a booklet, Fatigue and arthritis. METHODS Thirteen patients with rheumatic disease and fatigue were recruited purposively from a rheumatology outpatient service. They were interviewed before and after receiving the fatigue booklet. Two patients, plus six professionals with relevant interests, participated in a focus group. Transcripts were analysed thematically and a descriptive summary was produced. RESULTS Interviewees consistently reported that fatigue made life more challenging, and none had previously received any support to manage it. Reflecting on the booklet, most said that it had made a difference to how they thought about fatigue, and that this had been valuable. Around half also said that it had affected, or would affect, how they managed fatigue. No one reported any impact on fatigue itself. Comments from interviewees and focus group members alike suggested that the research process may have contributed to the changes in thought and behaviour reported. Its key contributions appear to have been: clarifying the booklet's relevance; prompting reflection on current management; and introducing accountability. CONCLUSIONS This study indicated that written information can make a difference to how people think about fatigue and may also prompt behaviour change. However, context appeared to be important: it seems likely that the research process played a part and that the impact of the booklet may have been less if read in isolation. Aspects of the research appearing to facilitate impact could be integrated into routine care, providing a pragmatic (relatively low-cost) response to an unmet need.
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Affiliation(s)
| | - Wan-Fai Ng
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | - Julia L Newton
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | - Katie L Hackett
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
| | | | - Ben Thompson
- Newcastle University, Newcastle-upon-Tyne, UK.,Newcastle-upon-Tyne Hospitals NHS Foundation Trust, Newcastle-upon-Tyne, UK
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8
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Vinall-Collier K, Madill A, Firth J. A multi-centre study of interactional style in nurse specialist- and physician-led Rheumatology clinics in the UK. Int J Nurs Stud 2016; 59:41-50. [DOI: 10.1016/j.ijnurstu.2016.02.009] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2014] [Revised: 01/05/2016] [Accepted: 02/12/2016] [Indexed: 11/25/2022]
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Hondras M, Myburgh C, Hartvigsen J, Johannessen H. Botlhoko, botlhoko! How people talk about their musculoskeletal complaints in rural Botswana: a focused ethnography. Glob Health Action 2015; 8:29010. [PMID: 26689457 PMCID: PMC4685300 DOI: 10.3402/gha.v8.29010] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/30/2015] [Revised: 10/19/2015] [Accepted: 11/28/2015] [Indexed: 11/21/2022] Open
Abstract
Background Conflicting interpretations about the structure and function of the body contribute to discordance in communication between healthcare professionals and lay people. Understanding musculoskeletal (MSK) complaints presents additional complexities when discussed in more than one language or in cross-cultural settings. In low- and middle-income countries (LMICs), few healthcare professionals have specialist MSK training and not all practitioners speak the primary language of patients. Objective Our goal was to understand how people in rural Botswana perceive and express MSK complaints. Design Ethnographic fieldwork for 8 months in the Botswana Central District included participant observations and interviews with 34 community members with MSK complaints. Audio-recorded interviews were typically conducted in Setswana with an interpreter, transcribed verbatim, and contextually translated into English. Abductive qualitative analysis was used as the interpretive methodology. Results Whereas initial responses about MSK troubles yielded the exclamation botlhoko, botlhoko! combined with animated non-verbal gestures and facial expressions indicating widespread body pains, in-depth interviews revealed the complexities of pain expression among respondents. MSK pains were described as ‘bursting, exploding, aching, numbness, hot, pricking, stabbing, swollen, and pain in the heart’. Language subtleties manifested during interviews, where ‘meat’ or ‘flesh’ implied soft tissue pains; waist pains were voiced yet portrayed as low back or sacroiliac pain; and ‘veins’ variously referred to structural and functional types of pain. Psychological and social stressors accompanied many accounts of MSK troubles. Conclusions Respondents offered diverse MSK symptom descriptions consistent with biopsychosocial illness models, yet few communicated complaints using the biomedical language of healthcare providers. Although research interview and transcription processes may not be practical for clinicians, working with interpreters who communicate detailed patient accounts for MSK troubles will complement patient–provider encounters. Community member perceptions of their MSK pain and associated conditions should be explored and incorporated into healthcare interventions and innovations for rural communities in LMICs.
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Affiliation(s)
- Maria Hondras
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark;
| | - Corrie Myburgh
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
| | - Jan Hartvigsen
- Department of Sports Science and Clinical Biomechanics, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark.,Nordic Institute of Chiropractic and Clinical Biomechanics, Odense, Denmark
| | - Helle Johannessen
- Department of Public Health, Faculty of Health Sciences, University of Southern Denmark, Odense, Denmark
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Edwards MJ, Tang NK, Wright AM, Salkovskis PM, Timberlake CM. Thinking about thinking about pain: a qualitative investigation of rumination in chronic pain. Pain Manag 2014; 1:311-23. [PMID: 24645658 DOI: 10.2217/pmt.11.29] [Citation(s) in RCA: 16] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
UNLABELLED SUMMARY AIMS A thinking process central to the etiology of emotional disorders, rumination is commonly observed in chronic pain. However, very little is understood about the characteristics of pain-related rumination and the mechanisms through which rumination impacts on pain perception and disability. This study began investigating this cognitive phenomenon by qualitatively examining chronic pain patients' experience of rumination. METHODS Semistructured interviews were conducted with 20 chronic pain patients. Themes were extracted from interview transcripts using thematic analysis. RESULTS Six themes were extracted from interviews with frequent ruminators. These elucidated the pattern of rumination and suggested a reciprocal relationship of rumination with not only pain, but also negative emotions and sleeplessness. Frequent ruminators appeared to hold positive beliefs about rumination and negative beliefs about self in overcoming pain. Two themes were extracted from interviews with infrequent ruminators: implicating negative beliefs about rumination and the flexible use of disengagement strategies in these individuals. CONCLUSION Rumination occurs frequently and can be easily triggered by pain, negative emotions and sleeplessness in patients who lack alternative coping strategies and believe rumination is a way to problem-solve. A tentative model of pain-related rumination has been proposed, outlining interesting hypotheses for rigorous empirical investigations.
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Affiliation(s)
- Melanie J Edwards
- Department of Psychology, Institute of Psychiatry, King's College London, UK
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Sandelowski M, Leeman J. Writing usable qualitative health research findings. QUALITATIVE HEALTH RESEARCH 2012; 22:1404-13. [PMID: 22745362 DOI: 10.1177/1049732312450368] [Citation(s) in RCA: 202] [Impact Index Per Article: 16.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/09/2023]
Abstract
Scholars in diverse health-related disciplines and specialty fields of practice routinely promote qualitative research as an essential component of intervention and implementation programs of research and of a comprehensive evidence base for practice. Remarkably little attention, however, has been paid to the most important element of qualitative studies--the findings in reports of those studies--and specifically to enhancing the accessibility and utilization value of these findings for diverse audiences of users. The findings in reports of qualitative health research are too often difficult to understand and even to find owing to the way they are presented. A basic strategy for enhancing the presentation of these findings is to translate them into thematic statements, which can then in turn be translated into the language of intervention and implementation. Writers of qualitative health research reports might consider these strategies better to showcase the significance and actionability of findings to a wider audience.
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Affiliation(s)
- Margarete Sandelowski
- School of Nursing, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina 27599, USA.
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Smythe E, Larmer PJ, McNair PJ. Insights from a physiotherapist's lived experience of osteoarthritis. Physiother Theory Pract 2012; 28:604-16. [PMID: 22288657 DOI: 10.3109/09593985.2011.654320] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
Osteoarthritis (OA) of a hip joint, with subsequent total hip joint replacement surgery, is portrayed in the literature in terms of quantitative research studies, where the person living with the hip disappears in objective statistical analyses, or in qualitative studies where one person's story is fragmented within thematic findings. This phenomenological study of a physiotherapist's (Peter) lived experience of OA offers insights relevant to practice. In the initial stages of the disease, Peter was too close to 'see' the possibility of OA as a diagnosis. As the pain limited what he could do, he needed to reinvent ways of retaining his sense of 'self'. The pain worsened; there was nothing that relieved it. The experience became one of endurance, leading to a moment when he decided the time had come to have surgery. Post-surgery, the journey of recovery was one of the feelings vulnerable. He wanted guidance and re-assurance. Paradoxically, recovery showed itself as 'forgetting' the body. The insights call for therapists to listen to the experience of clients and be alongside side them as they struggle with vulnerability. Sharing an understanding of the nature of the experience can bring confidence to clients.
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Affiliation(s)
- Elizabeth Smythe
- Division of Health Care Practice, Auckland University of Technology, Private Bag 92006, Auckland 1142, New Zealand.
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Côté D, Coutu MF. A critical review of gender issues in understanding prolonged disability related to musculoskeletal pain: how are they relevant to rehabilitation? Disabil Rehabil 2011; 32:87-102. [PMID: 21495273 DOI: 10.3109/09638280903026572] [Citation(s) in RCA: 44] [Impact Index Per Article: 3.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
PURPOSE The purpose of this critical review is to describe the available theoretical models for understanding the gender issues in prolonged work disability related to persistent musculoskeletal (MSK) pain. METHOD A critical literature review was conducted in medicine, health sciences, and social sciences databases (MEDLINE, CINHAL, PsychINFO and SOCINDEX) using specific keywords. After screening titles and abstracts, followed by methodological quality assessment, a total of 55 references were retained for content analysis. RESULTS Gender issues in disability related to persistent MSK pain show that men and women may experience pain and rehabilitation process in different ways. Three main themes were exftracted and further described: (1) the experience of distrust; (2) the self-identity process; and (3) the domestic strain. Each of these themes has a specific and potentially different impact on men and women, and we report that experiential differences may strongly impact the rehabilitation process and outcomes such as return to work. CONCLUSIONS This critical review provides insight into gender issues in the process of rehabilitation and outcomes such as return to work. We suggest that work and family considerations are the two most important issues in the rehabilitation process and that differences between men and women are likely to occur.
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Affiliation(s)
- Daniel Côté
- Faculty of Medicine and Health Sciences, School of Rehabilitation, Université de Sherbrooke, Longueuil, Qubecé, Canada.
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15
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Stevenson K, Ryan S, Masterson A. Nurse and allied health professional consultants: perceptions and experiences of the role. J Clin Nurs 2011; 20:537-44. [DOI: 10.1111/j.1365-2702.2010.03506.x] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
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Silva FCM, Sampaio RF, Mancini MC, Luz MT, Alcântara MA. A qualitative study of workers with chronic pain in Brazil and its social consequences. Occup Ther Int 2010; 18:85-95. [DOI: 10.1002/oti.302] [Citation(s) in RCA: 12] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/12/2010] [Revised: 07/19/2010] [Accepted: 07/19/2010] [Indexed: 11/06/2022] Open
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17
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Gooberman-Hill R, French M, Dieppe P, Hawker G. Expressing pain and fatigue: A new method of analysis to explore differences in osteoarthritis experience. ACTA ACUST UNITED AC 2009; 61:353-60. [DOI: 10.1002/art.24273] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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18
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Hale ED, Treharne GJ, Kitas GD. Qualitative methodologies I: asking research questions with reflexive insight. Musculoskeletal Care 2007; 5:139-47. [PMID: 17610235 DOI: 10.1002/msc.109] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
The purpose of this paper, the first of a series of two discussion pieces, is to introduce some of the issues in the debate surrounding qualitative research to the readers of Musculoskeletal Care. Recent issues of the Journal have seen an informative focus on quantitative methods and statistical analysis, and here we provide an equivalent introduction to semi-structured interviewing and qualitative analysis in this series. In the qualitative tradition, we have tried to keep our discussion reflexive, transparent and contextualized within the history of the approach and the theoretical considerations that underlie it, including the origins, nature, methods and limits of the approach. We provide information that we hope is useful for readers with all levels of familiarity with qualitative research, building from an introduction to some basic assumptions and ethical issues. We also introduce one specific qualitative approach, interpretative phenomenological analysis, which researchers might wish to apply. In the accompanying paper in a subsequent issue of Musculoskeletal Care, we will describe the potential application of this approach.
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Affiliation(s)
- Elizabeth D Hale
- Department of Rheumatology, Dudley Group of Hospitals NHS Trust, UK.
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