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A qualitative study of patients’ perspectives on collaboration to support self-management in routine rheumatology consultations

Overview of attention for article published in BMC Musculoskeletal Disorders, March 2016
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Title
A qualitative study of patients’ perspectives on collaboration to support self-management in routine rheumatology consultations
Published in
BMC Musculoskeletal Disorders, March 2016
DOI 10.1186/s12891-016-0984-0
Pubmed ID
Authors

Emma Dures, Sarah Hewlett, Nicholas Ambler, Remona Jenkins, Joyce Clarke, Rachael Gooberman-Hill

Abstract

Self-management of inflammatory arthritis (IA) requires patients to address the impact of symptoms, treatment, and the psychosocial consequences of a long term condition. There are several possible mechanisms for facilitating self-management, including patient-clinician interactions in routine consultations. This requires patients to collaborate in their healthcare, and clinicians to specifically encourage and help patients to do so. To design training that enables clinicians to support patients to be actively involved and self-manage requires understanding both patients' and clinicians' perspectives about what is important and feasible. Previous research explored the perspectives of clinicians who had undertaken brief training which they were putting into practice in their routine consultations. This study explored the perspectives of patients attending those routine consultations to identify aspects of the interaction that influenced collaboration and self-management. Nineteen patients with IA who had attended a routine consultation with a rheumatology clinician at one of four hospitals in England took part in semi-structured interviews. Interviews were transcribed, anonymised and analysed using inductive thematic analysis. Three themes encompass participants' thoughts about interactions that facilitated collaboration in consultations and their ability to self-manage their IA: first, patients and clinicians viewing care as a shared endeavour, including patients responding actively to their IA and clinicians exploring and negotiating with patients; second, the need for clinicians to understand the challenges faced by patients, appreciate the impact of IA and focus on patients' priorities; and third, clinicians using an open communication style, including the use of non-didactic, patient-centred approaches. A fourth theme was perceived benefits of actively engaging in consultations, including increased confidence to deal with the impact of IA and greater acceptance of a long term condition. Patients perceive that self-management can be facilitated when clinicians and patients view healthcare as a shared responsibility, underpinned by clinicians as experts in the disease and patients as experts in living with it. Clinicians can support patients' self-management by using non-didactic communication skills to identify patients' priorities, and to prompt patients to problem-solve and share in setting the consultation agenda. This should inform skills-training for rheumatology clinicians.

Twitter Demographics

The data shown below were collected from the profile of 1 tweeter who shared this research output. Click here to find out more about how the information was compiled.

Mendeley readers

The data shown below were compiled from readership statistics for 42 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United Kingdom 1 2%
Unknown 41 98%

Demographic breakdown

Readers by professional status Count As %
Student > Master 9 21%
Student > Bachelor 6 14%
Student > Ph. D. Student 6 14%
Other 5 12%
Researcher 5 12%
Other 5 12%
Unknown 6 14%
Readers by discipline Count As %
Medicine and Dentistry 10 24%
Nursing and Health Professions 10 24%
Psychology 5 12%
Business, Management and Accounting 2 5%
Economics, Econometrics and Finance 1 2%
Other 4 10%
Unknown 10 24%

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 17 March 2016.
All research outputs
#5,603,196
of 7,406,294 outputs
Outputs from BMC Musculoskeletal Disorders
#1,550
of 1,961 outputs
Outputs of similar age
#208,566
of 297,162 outputs
Outputs of similar age from BMC Musculoskeletal Disorders
#65
of 94 outputs
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We're also able to compare this research output to 94 others from the same source and published within six weeks on either side of this one. This one is in the 10th percentile – i.e., 10% of its contemporaries scored the same or lower than it.