Everyday Life with Rheumatoid Arthritis and Implications for Patient Education and Clinical Practice: A Focus Group Study

2011 ◽  
Vol 10 (1) ◽  
pp. 29-38 ◽  
Author(s):  
Tine Mechlenborg Kristiansen ◽  
Jette Primdahl ◽  
Rasmus Antoft ◽  
Kim Hørslev-Petersen
2017 ◽  
Vol 73 (2) ◽  
pp. 110-118 ◽  
Author(s):  
Benoit Pétré ◽  
Nicolas Gillain ◽  
Nadine Jacqmin ◽  
Jef Adriaenssens ◽  
Kristel Vandenbosch ◽  
...  

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Gabriele Gäbler ◽  
Michaela Coenen ◽  
Katrin Fohringer ◽  
Michael Trauner ◽  
Tanja A. Stamm

Abstract Background & Aims In order to assure high quality of nutrition and dietetic care as well as research, the implementation of a standardized terminology, such as the World Health Organization (WHO) International Classification of Functioning, Disability and Health for Dietetics (ICF-Dietetics) is indispensable. The aim of this study was to explore the clinical practicability and applicability of the ICF-Dietetics in the field of nutrition and dietetic practice prior to the implementation in order to develop criteria (points to consider) for a targeted implementation strategy. Methods A focus group study including a pretest of the ICF-Dietetics was conducted. Subsequently, facilitators and barriers for a nationwide implementation of the ICF-Dietetics in clinical nutrition and dietetic practice were identified and linked to interventions (combining theory-based and group-based approach) using the Consolidated Framework of Implementation Research (CFIR) to organize and represent data and summarized in a logic model. Results In the pretest 55 clinical documentations which consisted of 248 different ICF-Dietetics categories were received. In four focus groups with 22 health professionals, 66 relevant higher-level themes and implementation strategy criteria (points to consider) were identified. These themes referred to all five domains of the CFIR, namely intervention characteristics, inner setting, outer setting, characteristics of individuals and implementation process and contained important barriers and facilitators that were linked to six implementation objectives as well as six context requirements and five main actors. Conclusions This study provides facilitators and barriers to be addressed when implementing the ICF-Dietetics in clinical practice and shows potential interventions based on this analysis. A nationwide implementation was mainly seen as a great advantage for enhancing quality and continuity of care and for providing comparable data. However, it requires further refinements and a multifaceted implementation strategy where the engagement of leadership of institutions plays a crucial role. These results have provided a foundation for a targeted implementation strategy to increase the success, reproducibility and comparability.


2007 ◽  
Vol 30 (4) ◽  
pp. 38
Author(s):  
S. Bernatsky ◽  
D. Feldman ◽  
M. Roper ◽  
E. Rosenberg

The objective of our work was to identify facilitators of optimal care, as well as potential barriers, for patients with rheumatoid arthritis (RA). The design was a focus group study. Individuals with established RA were identified through invitation letters sent using a random sample of the Quebec Arthritis Society mailing list. Patients were eligible for participation if they had a diagnosis of RA confirmed by a rheumatologist and if they had sought care within the McGill Réseau Universitaire Intégré de Santé network. We planned a series of focus group meetings (90 minutes each) to obtain sufficient data in terms of spectrum of ideas. In each moderator-led group, participants were asked to discuss five questions related to quality care. A co-moderator was available to document non-verbal communication, with audio-taping of all sessions and professional transcription for data analysis. Qualitative content analysis, based on grounded theory, was the chosen means of identifying recurring themes and categories. Two focus group sessions have been completed with two more scheduled. Preliminary findings indicate the importance of good communication between family physicians, specialists, and allied health care workers. Final coding of transcripts and computer-assisted content analysis is being completed. However it appears that focus group may be useful in studying optimal care for chronic diseases such as RA. Our preliminary findings emphasize the necessity of good communication among health care providers. Ultimately we hope to generate knowledge that can be transformed into better health for Canadians with arthritis and other chronic diseases.


2013 ◽  
Vol 32 (5) ◽  
pp. 557-566 ◽  
Author(s):  
Caroline Feldthusen ◽  
◽  
Mathilda Björk ◽  
Helena Forsblad-d’Elia ◽  
Kaisa Mannerkorpi

2012 ◽  
Vol 10 (4) ◽  
pp. 240-247 ◽  
Author(s):  
Laurien Buitinga ◽  
Louise M. A. Braakman-Jansen ◽  
Erik Taal ◽  
Mart A. F. J. van de Laar

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