Facilitating Care of Children with Juvenile Idiopathic Arthritis, Orofacial Pain, and Dysfunction: An Interview Study of Specialized Health Professionals

2021 ◽  
pp. 278-287
Author(s):  
Eva Leksell ◽  
Catharina Eriksson ◽  
Malin Ernberg ◽  
Britt Hedenberg-Magnusson
Keyword(s):  
Juvenile Idiopathic Arthritis ◽  
Health Professionals ◽  
Orofacial Pain ◽  
Interview Study

What Matters Most for Patients, Parents, and Clinicians in the Course of Juvenile Idiopathic Arthritis? A Qualitative Study

2014 ◽  
Vol 41 (11) ◽  
pp. 2260-2269 ◽  
Author(s):  
Jaime Guzman ◽  
Oralia Gómez-Ramírez ◽  
Roman Jurencak ◽  
Natalie J. Shiff ◽  
Roberta A. Berard ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Juvenile Idiopathic Arthritis ◽  
Clinical Features ◽  
Health Professionals ◽  
Global Assessment ◽  
Active Joint ◽  
Allied Health Professionals ◽  
Medication Side Effects ◽  
Medication Side

Objective.To assess which clinical features are most important for patients, parents, and clinicians in the course of juvenile idiopathic arthritis (JIA).Methods.Forty-nine people participated in 6 audience-specific focus group discussions and 112 reciprocal interviews in 3 Canadian cities. Participants included youth with JIA, experienced English- and French-speaking parents, novice parents (< 6 mos since diagnosis), pediatric rheumatologists, and allied health professionals. Participants discussed the importance of 34 JIA clinical features extracted from medical literature. Transcripts and interview reports underwent qualitative analysis to establish relative priorities for each group.Results.Most study participants considered medication requirements, medication side effects, pain, participant-defined quality of life, and active joints as high priority clinical features of JIA. Active joint count was the only American College of Rheumatology core variable accorded high or medium priority by all groups. Rheumatologists and allied health professionals considered physician global assessment as high priority, but it had very low priority for patients and parents. The parent global assessment was considered high priority by clinicians, medium to high by parents, and low by patients. Child Health Assessment Questionnaire scores were considered low priority by patients and parents, and moderate or high by clinicians. The number of joints with limited motion was given low to very low priority by all groups. Parents gave high priority to arthritis flares.Conclusion.If our findings are confirmed, medication requirements, medication side effects, pain, participant-defined quality of life, and active joint counts should figure prominently in describing the course of JIA.

Temporomandibular disorder in otolaryngology: systematic review

2016 ◽  
Vol 131 (S1) ◽  
pp. S50-S56 ◽  
Author(s):  
L Stepan ◽  
C-K L Shaw ◽  
S Oue
Keyword(s):  
Systematic Review ◽  
Health Professionals ◽  
Pharmacological Treatment ◽  
Orofacial Pain ◽  
Temporomandibular Disorder ◽  
Diagnostic Challenge ◽  
Detailed Evaluation ◽  
Examination Techniques ◽  
Missed Diagnosis ◽  
Disorder Treatment

AbstractBackground:Temporomandibular disorder poses a diagnostic challenge to otolaryngologists as orofacial pain, headache and otology symptoms are very common in temporomandibular disorder, and mimic a number of otolaryngological conditions. Missed diagnosis of temporomandibular disorder can lead to unnecessary investigation and treatment, resulting in further patient suffering.Objectives:To review the current literature and propose management pathways for otolaryngologists to correctly differentiate temporomandibular disorder from other otolaryngological conditions, and to initiate effective treatment for temporomandibular disorder in collaboration with other health professionals.Method:A systematic review using PubMed and Medline databases was conducted, and data on temporomandibular disorder in conjunction with otolaryngological symptoms were collected for analysis.Results:Of 4155 potential studies, 33 were retrieved for detailed evaluation and 12 met the study criteria. There are questionnaires, examination techniques and radiological investigations presented in the literature to assist with distinguishing between otolaryngological causes of symptoms and temporomandibular disorder. Simple treatment can be initiated by the otolaryngologist.Conclusion:Initial temporomandibular disorder treatment steps can be undertaken by the otolaryngologist, with consideration of referral to dentists, oral and maxillofacial surgeons, or physiotherapists if simple pharmacological treatment or temporomandibular disorder exercise fails.

scholarly journals Initiating Insulin as Part of the Treating To Target in Type 2 Diabetes (4-T) Trial: An interview study of patients' and health professionals' experiences

Diabetes Care ◽  
2010 ◽  
Vol 33 (10) ◽  
pp. 2178-2180 ◽  
Author(s):  
N. Jenkins ◽  
N. Hallowell ◽  
A. J. Farmer ◽  
R. R. Holman ◽  
J. Lawton
Keyword(s):  
Type 2 Diabetes ◽  
Health Professionals ◽  
Interview Study

scholarly journals Health professionals’ identified barriers to trans healthcare: a qualitative interview study

2021 ◽  
pp. BJGP.2021.0179
Author(s):  
Magdalena Mikulak ◽  
Sara Ryan ◽  
Richard Ma ◽  
Sam Martin ◽  
Jay Stewart ◽  
...  
Keyword(s):  
Professional Education ◽  
Health Professionals ◽  
Qualitative Interview ◽  
Interview Study ◽  
Structural Level ◽  
Snowball Sampling ◽  
Gender Diverse ◽  
Trans People ◽  
Qualitative Interview Study ◽  
And Gender

Background: Trans people face multiple barriers within healthcare. Primary care practitioners are key to trans healthcare but they often lack training in, and understanding of trans identities, and healthcare options. Few studies have examined health professionals’ understanding of the barriers that exist in healthcare for trans people. Aim: To map out barriers to providing good quality healthcare to trans and gender diverse people and ways to address them. Design and setting: A qualitative interview study involving 20 health professionals working with trans and gender diverse people. Method: Participants were recruited through purposive and snowball sampling. Data were generated using semi-structured qualitative interviews. A thematic analysis involved coding and categorising data using Nvivo software and further conceptual analysis in which developing themes were identified. Results: The study identified four barrier domains to good quality care for trans and gender diverse people: structural (related to lack of guidelines, long waiting times, shortage of specialist centres), educational (based on lack of training on trans health), cultural and social (reflecting negative attitudes towards trans people) and technical (related to information systems and technology). Conclusion: There is an urgent need to address the barriers trans and gender diverse people face in healthcare. Structural level solutions include health policy, professional education and standards; at the practice level, GPs can act as potential drivers of change in addressing the cultural and technical barriers to better meet the needs of their trans and gender diverse patients.

scholarly journals Culture of antibiotic use in Kosovo - an interview study with patients and health professionals

2019 ◽  
Vol 17 (3) ◽  
pp. 1540 ◽  
Author(s):  
Arianit Jakupi ◽  
Denis Raka ◽  
Susanne Kaae ◽  
Sofia K. Sporrong
Keyword(s):  
Health Professionals ◽  
Antibiotic Use ◽  
Interview Study

scholarly journals Herbal medicine for acute bronchitis: A qualitative interview study of patients’ and health professionals’ views

2020 ◽  
Vol 55 ◽  
pp. 102613
Author(s):  
Dia Soilemezi ◽  
Geraldine M. Leydon ◽  
Ruiyang Yan ◽  
Catherine Simpson ◽  
Margaret Bell ◽  
...  
Keyword(s):  
Herbal Medicine ◽  
Health Professionals ◽  
Acute Bronchitis ◽  
Qualitative Interview ◽  
Interview Study ◽  
Qualitative Interview Study
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