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Patient priorities in osteoarthritis and co-morbid conditions: a secondary analysis of qualitative data

Patient priorities in osteoarthritis and co-morbid conditions: a secondary analysis of qualitative data
Patient priorities in osteoarthritis and co-morbid conditions: a secondary analysis of qualitative data
Objectives

A lack of agreement between clinician and patient priorities can impact on the clinician-patient relationship, treatment concordance and potentially health outcomes. Studies have suggested that patients with OA may prioritise co-morbidities over their OA, but as yet no explicit systematic exploration of OA patients' priorities in relation to co-morbidities exists. This paper aims to explore how patients prioritise OA amongst their conditions, what factors underlie this prioritisation and whether and why these priorities change over time.

Methods

A secondary analysis of qualitative data was conducted utilising 4 existing datasets collated from the 3 research centres involved. Purposive sampling provided a sample of 30 participants who all had OA and co-morbidities. The research team collectively coded and analysed the data thematically.

Results

Three groups of patient emerged from the analysis. The two smaller groups had stable priorities (where OA was or was not prioritised) and illustrated the importance of factors such as personal social context and the specific nature of the co-morbid conditions. The third and largest group reported priorities that shifted over time. Shifting appeared to be influenced by participants' perceptions of control and/or interactions with clinical professionals, and could have important consequences for self-management behaviour.

Conclusions

The various factors underlying patients' priorities amongst their conditions and the fluctuating nature of these priorities highlights the importance of regular assessments during clinician-patient consultations to allow better communication and treatment planning and ultimately optimise patient outcomes.
osteoarthritis, co-morbidity, priorities, secondary qualitative analysis
0004-3591
Cheraghi-Sohi, Sudeh
bd462e0d-2cc4-4428-810d-ace86af4689b
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Morden, Andrew
b2df376a-8870-4ade-a009-dfddb3aa82a0
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Richardson, Jane
f2e22d87-2d2d-485d-98da-df14a28eba04
Sanders, Tom
254c24d2-c212-4fc4-a26f-5fc2b20f883f
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Ong, Bie Nio
f967326a-f5e0-4571-821e-57f44e726d02
Cheraghi-Sohi, Sudeh
bd462e0d-2cc4-4428-810d-ace86af4689b
Bower, Peter
ec553157-a170-4219-8b55-2df813846e44
Kennedy, Anne
e059c1c7-d6d0-41c8-95e1-95e5273b07f8
Morden, Andrew
b2df376a-8870-4ade-a009-dfddb3aa82a0
Rogers, Anne
105eeebc-1899-4850-950e-385a51738eb7
Richardson, Jane
f2e22d87-2d2d-485d-98da-df14a28eba04
Sanders, Tom
254c24d2-c212-4fc4-a26f-5fc2b20f883f
Stevenson, Fiona
881eb2a9-d7a8-449d-be50-ead6fda5cd3e
Ong, Bie Nio
f967326a-f5e0-4571-821e-57f44e726d02

Cheraghi-Sohi, Sudeh, Bower, Peter, Kennedy, Anne, Morden, Andrew, Rogers, Anne, Richardson, Jane, Sanders, Tom, Stevenson, Fiona and Ong, Bie Nio (2012) Patient priorities in osteoarthritis and co-morbid conditions: a secondary analysis of qualitative data. Arthritis & Rheumatism. (doi:10.1002/acr.21897). (PMID:23203840)

Record type: Article

Abstract

Objectives

A lack of agreement between clinician and patient priorities can impact on the clinician-patient relationship, treatment concordance and potentially health outcomes. Studies have suggested that patients with OA may prioritise co-morbidities over their OA, but as yet no explicit systematic exploration of OA patients' priorities in relation to co-morbidities exists. This paper aims to explore how patients prioritise OA amongst their conditions, what factors underlie this prioritisation and whether and why these priorities change over time.

Methods

A secondary analysis of qualitative data was conducted utilising 4 existing datasets collated from the 3 research centres involved. Purposive sampling provided a sample of 30 participants who all had OA and co-morbidities. The research team collectively coded and analysed the data thematically.

Results

Three groups of patient emerged from the analysis. The two smaller groups had stable priorities (where OA was or was not prioritised) and illustrated the importance of factors such as personal social context and the specific nature of the co-morbid conditions. The third and largest group reported priorities that shifted over time. Shifting appeared to be influenced by participants' perceptions of control and/or interactions with clinical professionals, and could have important consequences for self-management behaviour.

Conclusions

The various factors underlying patients' priorities amongst their conditions and the fluctuating nature of these priorities highlights the importance of regular assessments during clinician-patient consultations to allow better communication and treatment planning and ultimately optimise patient outcomes.

Full text not available from this repository.

More information

e-pub ahead of print date: 30 November 2012
Keywords: osteoarthritis, co-morbidity, priorities, secondary qualitative analysis
Organisations: Faculty of Health Sciences

Identifiers

Local EPrints ID: 346338
URI: https://eprints.soton.ac.uk/id/eprint/346338
ISSN: 0004-3591
PURE UUID: e93d90ba-4911-4a60-baea-e18470bb69d6
ORCID for Anne Kennedy: ORCID iD orcid.org/0000-0003-4570-9104

Catalogue record

Date deposited: 17 Dec 2012 16:38
Last modified: 06 Jun 2018 12:28

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Contributors

Author: Sudeh Cheraghi-Sohi
Author: Peter Bower
Author: Anne Kennedy ORCID iD
Author: Andrew Morden
Author: Anne Rogers
Author: Jane Richardson
Author: Tom Sanders
Author: Fiona Stevenson
Author: Bie Nio Ong

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