scholarly journals Consequences of Traditional Management in the Production and Quality of Copal Resin (Bursera bipinnata (Moc. & Sessé ex DC.) Engl.) in Mexico

Forests ◽  
2020 ◽  
Vol 11 (9) ◽  
pp. 991
Author(s):  
Itzel Abad-Fitz ◽  
Belinda Maldonado-Almanza ◽  
Karla María Aguilar-Dorantes ◽  
Luis Sánchez-Méndez ◽  
Leopoldo Gómez-Caudillo ◽  
...  
Keyword(s):  
Volatile Compounds ◽  
Management Strategies ◽  
Structured Interviews ◽  
Traditional Management ◽  
Selective Pressures ◽  
Silvicultural Management ◽  
Components Analysis ◽  
Incipient Domestication ◽  
Human Selection

Copal is a resin of ritual uses in Mexico that is extracted from several species of trees of the genus Bursera. The effect of traditional management on phenotypical traits of copal trees has not been sufficiently studied. This research analyzed the traditional management and human selection on populations of Bursera bipinnata, and it also examined their influence on the quantity and quality of the resin produced by wild and managed trees. The management of copal was documented through semi-structured interviews and workshops. Samples of 60 trees from six wild and managed populations were selected to quantify the production of resin during two consecutive years. Fresh resin was collected to identify organic volatile compounds through gas chromatography and Principal Components Analysis (PCA); individuals were classified according to the amount and type of organic compounds produced. We identified management strategies from simple harvesting to seeds planting. The criteria of local people for selecting managed trees and seeds are based on the quantity and quality of the resin produced per tree, which were significantly higher in managed than in wild trees: 190.17 ± 329.04 g vs. 29.55 ± 25.50 g (p = 0.003), and 175.88 ± 179.29 g vs. 63.05 ± 53.25 g (p = 0.008) for the production seasons of 2017 and 2018, respectively. Twenty organic volatile compounds were identified, and the PCA showed that managed trees produce higher percentages of compounds associated with scent. The traditional management of Bursera bipinnata involves selective pressures, which generate the differentiation of wild and managed trees that may represent incipient domestication through silvicultural management.

scholarly journals Consequences of traditional management in the production and quality of copal resin (Bursera bipinnata (Moc. & Sessé ex DC.) Engl.) in Mexico

2020 ◽  
Author(s):  
Itzel Abad-Fitz ◽  
Belinda Maldonado-Almanza ◽  
Karla María Aguilar-Dorantes ◽  
Luis Sánchez-Méndez ◽  
Leopoldo Gómez-Caudillo ◽  
...  
Keyword(s):  
Volatile Compounds ◽  
Management Strategies ◽  
Structured Interviews ◽  
Traditional Management ◽  
Selective Pressures ◽  
Silvicultural Management ◽  
Components Analysis ◽  
Incipient Domestication ◽  
Human Selection

Abstract Background Copal is a resin of ritual uses in Mexico, extracted from several species of trees of the genus Bursera. The effect of traditional management on phenotypical traits of copal trees has not been sufficiently studied. This research analyzed the traditional management and human selection on populations of Bursera bipinnata, and their influence on the quantity and quality of the resin produced by wild and managed trees.Method Management of copal were documented through semi-structured interviews and workshops. Samples of 60 trees from six wild and managed populations were selected to quantify the production of resin during two consecutive years. Fresh resin was collected to identify organic volatile compounds through gas chromatography and Principal Components Analysis (PCA); individuals were classified according to the amount and type of organic compounds produced.Results We identified management strategies from simple harvesting to seeds planting. The criteria for selecting managed trees and seeds are based on the quantity and quality of the resin produced and on higher quantity of resin yield per tree, which were much higher in managed than in wild trees: 190.17 ± 329.04 g vs 29.55 ± 25.50 g, and 175.88 ± 179.29 g vs 63.05 ± 53.25 g for the production seasons of 2017 and 2018, respectively. Twenty organic volatile compounds were identified and the PCA showed that managed trees produce higher percentages of compounds associated with scent.Conclusion Traditional management of Bursera bipinnata involves selective pressures, which generate differentiation of wild and managed trees that may represent incipient domestication through of silvicultural management.

scholarly journals Anxiety in autistic individuals who speak few or no words: A qualitative study of parental experience and anxiety management

Autism ◽  
2020 ◽  
pp. 136236132096236
Author(s):  
Joanne Tarver ◽  
Effie Pearson ◽  
Georgina Edwards ◽  
Aryana Shirazi ◽  
Liana Potter ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Intellectual Disability ◽  
Language Use ◽  
Management Strategies ◽  
Assessment Tools ◽  
Evidence Based ◽  
Structured Interviews ◽  
Verbal Language ◽  
Parental Recognition

Anxiety is a common co-occurring condition in autism and impacts quality of life of autistic individuals and their families; autistic individuals who speak few or no words represent an under-researched group. This qualitative study aimed to understand more about parental recognition and management of anxiety in autistic individuals who speak few or no words. Semi-structured interviews were conducted with parents/carers of 17 autistic individuals (mage = 14.29) recruited from an existing participant database and social media adverts. Using thematic analysis, 15 themes were placed under three a-priori grand themes: parental recognition of anxiety; parental management of anxiety; and anxiety impact on the autistic individual and their family. Due to reduced verbal language use and overlap with other behaviours, parents described difficulties recognising anxiety in their child. However, they also described use of a number of management strategies, including some which overlap with components of evidence-based interventions for emotional and behavioural problems in autistic individuals (e.g. exposure/sensory calming). Despite this, parents reported that anxiety continues to have significant impact on quality of life. The findings of this study can help to inform the development of targeted intervention and assessment measures for anxiety in autistic individuals who speak few or no words. Lay abstract Anxiety is a common condition in autistic individuals, including those who also have an intellectual disability. Despite this, autistic individuals who have severe to profound intellectual disability, or use few or no words, are often excluded from autism research. There are also very few assessment tools and interventions with known effectiveness for autistic individuals with intellectual disability. In this study, we aimed to learn more about parent/carers experiences of recognising and managing anxiety in autistic individuals who use few or no words. We conducted semi-structured interviews with parents and carers to address three research questions: (1) what techniques and management strategies do parents describe for anxiety-related behaviour in their child; (2) how do communication difficulties impact parental understanding and management of anxiety provoking situations and behaviours; (3) what is the impact of anxiety-related behaviours on the quality of life of autistic individuals and their families? During the interviews, parents described difficulties recognising anxiety in their child, mostly due to reduced verbal language use and anxiety behaviours overlapping with other behaviours (e.g. autism characteristics). However, parents also described use of a number of management strategies, including some which overlap with components of evidence-based interventions for emotional and behavioural problems in autistic individuals (e.g. exposure/sensory calming). Despite this, parents reported that anxiety continues to have significant impact on quality of life. We will use the findings of this study to inform future research to develop assessment tools and interventions for anxiety in autistic individuals who use few or no words.

scholarly journals Understanding the impact of incontinence on Veterans’ self-management strategies, quality of life and treatment experiences

2020 ◽  
Author(s):  
Linda Cowan ◽  
Sarah Bradley ◽  
Andrew R. Devendorf ◽  
Lelia Barks ◽  
Tatiana Orozco ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Urinary Incontinence ◽  
Fecal Incontinence ◽  
Healthcare Provider ◽  
Caregiver Burden ◽  
Management Strategies ◽  
Self Management ◽  
List Type ◽  
Structured Interviews

AbstractBackgroundUrinary and fecal incontinence contribute to significant quality of life impairments for patients and caregivers. Preliminary research suggests that incontinence rates may be higher among Veterans. However, few studies have examined incontinence experiences among Veterans and their caregivers.ObjectivesWe aimed to demonstrate the feasibility of conducting a one-year, telephone survey with Veterans and their caregivers to help inform larger studies. By including both Veteran and caregiver perspectives, we explored how incontinence impacts Veterans’ self-management strategies, quality of life, and treatment experiences.DesignWe used a mixed methods design, employing quantitative (i.e., cross-sectional survey) and qualitative approaches (i.e., semi-structured interviews).ParticipantsOur sample included 64 Veterans with urinary incontinence, fecal incontinence, or mixed incontinence, and 36 caregivers. A subset of 18 Veterans and 8 caregivers completed semi-structured interviews.MethodsData were collected via telephone surveys over the course of 1-year from a small research team at the Veterans Health Administration (VHA). Participants completed measures about the Veteran’s incontinence severity, quality of life, and VHA treatment experiences. Interviews asked participants about their perceptions and satisfaction in receiving treatment for the Veterans’ incontinence. Qualitative themes were extracted using a Rapid Assessment Process model.ResultsVeterans’ self-reported physical quality of life correlated negatively and significantly with both urinary and fecal incontinence severity, as well as negatively and significantly with urinary continence bother (rs range: −.36 to −.47, ps < .01). Veterans’ mental quality of life correlated negatively and significantly with urinary incontinence bother (r = −.43, p < .001). About 67% Veterans experienced incontinence symptoms for 5-years or more, yet 44% waited at least 1-year to discuss incontinence with a VHA provider. Most Veterans (92%) reported speaking with a VHA provider about incontinence, while only 42% reported speaking with a non-VHA provider. Qualitative findings revealed that, upon speaking to a provider, Veterans felt comfortable but also desired more incontinence education from their providers, including obtaining more appropriate and tailored treatment options. While most Veterans followed their provider’s treatment recommendations, some felt unsatisfied with treatments that they perceived as embarrassing.ConclusionsRecruiting a substantial sample of Veterans with incontinence, and their caregivers, is feasible using our recruitment methods, which can inform larger studies. Our study revealed that incontinence symptoms interfere significantly with the quality of life of Veterans and their caregivers. Intervening at the healthcare level by educating providers and systematizing inquiry into incontinence for higher risk populations would be fruitful to explore.Contribution of the PaperWhat is already known about this topic?Urinary incontinence is more prevalent than fecal incontinence, and both are associated with significant impairments in physical, mental, and social functioning.Urinary and fecal incontinence become more prevalent with older age and additional chronic health conditions.There is a lack of incontinence diagnoses documented in Veteran’s medical records, even when incontinence is present. Few studies have reported on caregiver burden related to incontinence care.What this paper addsThis study is the first to report on the potential delay between Veteran’s experiencing symptoms of incontinence and informing their healthcare provider or caregiver about those symptoms (sometimes 5-years or more).Insights on Veteran and caregiver satisfaction with incontinence care can guide healthcare interventions to improve incontinence care.Both Veteran quality of life and caregiver burden correlated significantly and negatively with satisfaction with incontinence treatments tried and number of treatments tried. Only 21% of Veterans were satisfied with the treatment plan they were given, suggesting a potential knowledge gap or opportunity for improvement in healthcare provider approaches to incontinence management.

The Quality Of Service Delivery In Zimbabwean Urban Councils: A Case Study Of Bindura Municipality 2009 To 2011.

2012 ◽  
Vol 5 ◽  
Author(s):  
Denhere Webster ◽  
Tafirei Felex ◽  
Onias Zivanai ◽  
Muchingami Lovemore
Keyword(s):  
Quality Of Service ◽  
Quality Management ◽  
Service Quality ◽  
Service Delivery ◽  
Survey Design ◽  
Management Strategies ◽  
Total Quality ◽  
Structured Interviews

The study sought to assess the quality of service delivery in Zimbabwean urban councils using Bindura Municipality as a case study. The objectives of the study were to establish the levels of service quality, determine the challenges that hindered quality service delivery, analyse the service quality management strategies and propose suitable strategies Bindura municipality can adopt to enhance service quality delivery.A descriptive survey design was used and questionnaires and structured interviews were used as data collection instruments. A sample of 300 householdswas drawn from the municipality rate payers’ data base. The population was stratified into low, medium and high density residents. Systematic random sampling was used to draw the participants in each stratum. Ten interviews were conducted with senior management using convenience sampling and documentary evidence was generated from menus, minutes and reports. The major findings were that the quality of service delivery was generally poor. This was mainly attributed to inadequate and disintegrated service delivery and management strategies. In addition human resource issues, poor governance structures and political interferences were causes of concern. It was concluded that the quality of service delivery by Bindura Municipality fell far short of residents’ expectations.The study recommended that for effective service delivery the municipality should among other strategies, adopt blue printing and total quality management. 

scholarly journals Pengelolaan Ekowisata Leang Londrong Berbasis Desa Di Kabupaten Pangkep Sulawesi Selatan

2019 ◽  
Vol 2 (1) ◽  
pp. 88-96
Author(s):  
Nur Hayati
Keyword(s):  
Management Strategies ◽  
Structured Interviews ◽  
Literature Study ◽  
Purposive Sampling ◽  
Visitor Satisfaction ◽  
Natural Beauty ◽  
Convenience Sampling ◽  
Village Government ◽  
Tourism Services

Kawasan wisata Leang Londrong selama ini telah dikelola oleh Desa Panaikang Kecamatan  Minasatene Kabupaten Pangkep. Daya tarik utama objek wisata ini adalah panorama keindahan alam dan aliran air sungai yang mengalir dari Gua Leang Londrong. Sungai yang mengalir sepanjang tahun ini sangat cocok untuk berwisata air. Untuk mendukung kenyamanan pengunjung, di lokasi ini telah tersedia shelter, jembatan dan jalur tracking. Tujuan penelitian ini untuk mengetahui karakteristik pengunjung dan kepuasan pengunjung terhadap pengelolaan ekowisata Leang Londrong yang dilakukan oleh pemerintah Desa Panaikang. Penelitian menggunakan metode observasi, studi literatur dan wawancara terstruktur dengan 40 orang. Data karakteristik pengunjung dan kepuasan pengunjung diperoleh secara purposive sampling  dari pengunjung secara convenience sampling. Hasil penelitian menunjukkan bahwa karakter pengunjung wisata alam Leang Londrong 57,5% berjenis kelamin laki-laki, 45% berusia sekitar 19 tahun sampai dengan 23 tahun, 57,5% berpendidikan SMA, 35% pengunjung bekerja wiraswasta, 32,5% pengunjung berpendapatan sekitar Rp. 3,5 juta per tahun dan 77,5% pengunjung berasal dari daerah sekitar lokasi wisata. Sekitar 95% pengunjung merasa sangat tidak puas terhadap sarana  prasarana dan kualitas ekowisata di Leang Londrong tetapi 92,5% pengunjung setuju bahwa Leang Londrong dijadikan sebagai tempat wisata, dan 87,5% pengunjung sangat setuju wisata alam Leang Londrong sebagai penyedia lapangan kerja bagi masyarakat sekitar obyek wisata tersebut. Hal ini menunjukkan bahwa Leang Londrong merupakan obyek wisata alam yang sangat potensial dikembangkan oleh pihak pemerintah Desa Panaikang. Karakteristik pengunjung dan tingkat kepuasan pengunjung ini diperlukan oleh pihak pemerintah desa dan pihak Taman Nasional Bantimurung Bulusaraung untuk merencanakan strategi pengelolaan yang tepat dalam upaya meningkatkan tingkat kepuasan pengunjung melalui peningkatkan kualitas pelayanan wisata.   Leang Londrong tourism area has been managed by Panaikang Village, Minasatene sub-district, Pangkep district. The main attraction of this tourist attraction is a view of natural beauty and the flow of river water flowing from Leang Londrong cave. The river flowing through this year is very suitable for water tourism. To support the convenience of visitors, shelter, bridges and tracking lines are available at this location. The purpose of this study was to determine the characteristics of visitors and visitor satisfaction with the management of Leang Londrong ecotourism conducted by the Panaikang Village government. The study used the method of observation, literature study and structured interviews with 40 respondents. Data on visitor characteristics and visitor satisfaction were obtained by purposive sampling from visitors by convenience sampling. The results showed that the characteristics of visitors to Leang Londrong were 57.5% male, 45% were around 19 years to 23 years old, 57.5% had high school education, 35% were working entrepreneurs, 32.5% were income-earning visitors around Rp. 3.5 million per year and 77.5% of visitors come from the area around tourist sites. About 95% of visitors felt very dissatisfied with the infrastructure and quality of ecotourism in Leang Londong but 92.5% of visitors agreed that Leang Londrong was used as a tourist spot, and 87.5% of visitors strongly agreed that Leang Londrong tourism was a provider of employment for the community around these attractions. This shows that Leang Londrong is a natural tourism object that has the potential to be developed by the Panaikang Village government. The characteristics of visitors and the level of visitor satisfaction are needed by the village government and the Bantimurung Bulusaraung National Park to plan appropriate management strategies in an effort to increase the level of visitor satisfaction through improving the quality of tourism services.

scholarly journals The quality of sustainability reports and impression management

2017 ◽  
Vol 30 (3) ◽  
pp. 643-667 ◽  
Author(s):  
Dominique Diouf ◽  
Olivier Boiral
Keyword(s):  
Impression Management ◽  
Management Strategies ◽  
Sustainability Reporting ◽  
Global Reporting Initiative ◽  
Structured Interviews ◽  
Content Type ◽  
Responsible Investment ◽  
Sustainability Performance ◽  
Sustainability Reports

Purpose The purpose of this research is to analyze the perceptions of stakeholders – more specifically, socially responsible investment (SRI) practitioners – of the quality of sustainability reports using the Global Reporting Initiative (GRI) framework. Design/methodology/approach This paper is based on 33 semi-structured interviews carried out with different stakeholders and experts (e.g. consultants, fund managers, analysts, consultants) in the field of SRI in Canada. Findings The perceptions of SRI practitioners shed more light on the elastic and uncertain application of the GRI principles in determining the quality of sustainability reports. Their perceptions tend to support the argument that sustainability reports reflect the impression management strategies used by companies to highlight the positive aspects of their sustainability performance and to obfuscate negative outcomes. Originality/value First, undertake empirical research on stakeholders’ perceptions – which have been largely overlooked – of the quality of sustainability reports. Second, shed new light on the impression management strategies used in sustainability reporting. Third, show the reflexivity and the degree of skepticism of practitioners with regard to the reliability of information on sustainability performance.

scholarly journals How Different Fermentation Type Affects Volatile Composition of Plum Jerkums

2021 ◽  
Vol 11 (10) ◽  
pp. 4658
Author(s):  
Magdalena Januszek ◽  
Paweł Satora
Keyword(s):  
Volatile Compounds ◽  
Current Paper ◽  
Higher Alcohols ◽  
High Quality ◽  
Volatile Composition ◽  
Spontaneous Fermentation ◽  
Fermentation Efficiency ◽  
Yeast Strains ◽  
The Impact

Quality of plum jerkum is significantly associated to the profile of volatile compounds. Therefore, we decided to assess the impact of various fermentation types on selected properties of plum jerkums, especially compounds which contribute to the aroma of the finished product. We used the following yeast strains: S. cerevisiae S1, H. uvarum H2, and Ethanol RED (S. cerevisiae). Moreover, we considered spontaneous fermentation. S. cerevisiae and H. uvarum strains were isolated during the fermentation of Čačanska Lepotica or Węgierka Dąbrowicka (plum cultivars), respectively. As for fermentation type, spontaneous fermentation of H. uvarum H2 provided the best results. It could be associated to the fact that plum juices fermented with H. uvarum H2 presented the highest concentration of terpenoids, esters, or some higher alcohols. In the current paper, application of indigenous strains of yeasts resulted in the required oenological characteristics, e.g., highest fermentation efficiency and concentration of ethanol was determined in juices fermented with Ethanol RED (S. cerevisiae) and also with S. cerevisiae S1. Our results suggested that indigenous strains of yeasts present in plums demonstrate great potential for the production of plum jerkums of high quality.

scholarly journals Linking Conservation, Community Knowledge, and Adaptation to Extreme Climatic Events: A Case Study in Gorongosa National Park, Mozambique

2021 ◽  
Vol 13 (11) ◽  
pp. 6478
Author(s):  
Amemarlita Matos ◽  
Laura Barraza ◽  
Isabel Ruiz-Mallén
Keyword(s):  
National Park ◽  
Animal Species ◽  
Human Life ◽  
Management Strategies ◽  
Forest Products ◽  
Buffer Zone ◽  
Structured Interviews ◽  
Extreme Climatic Events ◽  
Water Provision

This study is based on ethnographic research that analyzes how traditional knowledge and local beliefs on biodiversity conservation relates to the local ability to adapt and be resilient to climatic changes in two communities around Gorongosa National Park, Mozambique: Nhanfisse in the buffer zone and Muanandimae in the core area. A total of 78 semi-structured interviews with heads of households were conducted. We found that both communities carried out practices and held beliefs associated with conservation, such as protecting trees and animal species considered sacred or perceived as beneficial for human life in terms of water provision and agricultural production. In addition to traditional ceremonies that respond to extreme climatic events such as drought and flood, other adaptation strategies used by the communities include moving to neighboring areas in search of better living conditions and using forest products in times of scarcity. We discuss that the management of the park should be agreed on, in a shared way, between local communities and conservation agents to ensure that these areas continue to perform the ecological, subsistence, and spiritual functions required. Our research results contribute to a better understanding of local adaptation dynamics towards extreme climatic events and improvement of management strategies.

scholarly journals POS0160-HPR THE CARE PROCESS OF HIP AND KNEE OSTEOARTHRITIS: GIVING AN ACCOUNT OF PATIENTS’ EXPERIENCE

2021 ◽  
Vol 80 (Suppl 1) ◽  
pp. 292.2-293
Author(s):  
S. Battista ◽  
M. Manoni ◽  
A. Dell’isola ◽  
M. Englund ◽  
A. Palese ◽  
...  
Keyword(s):  
Knee Osteoarthritis ◽  
Health Professionals ◽  
Emotional Experience ◽  
Functional Limitations ◽  
Care Quality ◽  
Care Process ◽  
Exact Science ◽  
Structured Interviews ◽  
Patients Experience

Background:The care process is often a complex and intimate process experienced by patients. Osteoarthritis (OA) care is usually characterised by multimodal interventions that consider the broader array of symptoms and functional limitations and often require a high level of patients’ compliance. Despite efforts to improve the quality of care of patients suffering from OA, and the publication of state-of-the-art clinical practice guidelines [1], the quality of the care process, as experienced by patients, seems to be suboptimal [2]. Hence, it is essential to investigate how patients experience this process to highlight potential elements that can enhance or spoil it to optimise the care quality.Objectives:To explore the patients’ experience of the received OA care process.Methods:Qualitative study, 10 semi-structured interviews were performed. The interview guide was created by a pool of healthcare professionals (physiotherapists, psychologists, nurses) and expert patients. It investigated the emotional experience, beliefs, expectations, perceived barriers and facilitators towards conservative treatments perceived by patients suffering from OA. The interviews lasted approximately one hour, were transcribed verbatim and analysed independently by two authors, who labelled their core parts to find categories and subcategories. A theme-based analysis was performed following an ecological paradigm, naturalistic epistemology, philosophy of phenomenological research.Results:Our analysis revealed 7 main categories with several subcategories (Fig. 1). 1) Uncertainty as some patients perceived treatment choice not to be based on medical evidence “there is an almost religious way of thinking on how to deal with the pathology. It is not an exact science when you choose the physicians you choose the treatment”. 2) Relationship with the self and the others as some patients did not feel understood or even shameful and hopeless about their condition. 3) Patients’ and Health Professionals’ beliefs about the pathology management where common thoughts were the perceived (ab)use of passive therapies, the movement as something dangerous and that OA is “something that you try to resist to, but (surgery) is your destiny”. 4) facilitators and 5) barriers of the adherence to therapeutic exercise that revolve around the cost of the therapy, the time needed and the willingness to change life habits. 6) Patients’ attitudes towards pathology in which the oldest patients perceive OA as “something I have to accept since I am getting old” and the youngest as “Something I have to fight”. 7) Relationship with food in which diet is seen as something that “you force yourself to follow” which is useful only to lose weight and not to preserve a high health status and where overeating is used “to eat your feelings”.Figure 1.Categories and Subcategories stemmed from the analysis of the patients’ interviewsConclusion:Patients suffering from hip and knee OA seem to experience an uncertain care process. The lack of clear explanations and the attitude towards conservative treatment, which is considered as “a pastime while waiting for surgery,” fosters the importance of providing patients with adequate information about the treatment, to shift their beliefs and improve their awareness. This will enhance a patient-centred and shared decision-making treatments.References:[1]Fernandes L, Hagen KB, Bijlsma JWJ, et al. EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann. Rheum. Dis. 2013;72:1125–35.[2]Basedow M, Esterman A. Assessing appropriateness of osteoarthritis care using quality indicators: a systematic review. J Eval Clin Pract 2015;21:782–9.Acknowledgements:This work is part of the project funded by EULAR Health Professionals Research Grant 2020.Disclosure of Interests:None declared

scholarly journals PARE0023 ORAL HEALTH IN RHEUMATOID ARTHRITIS: LISTENING TO PATIENTS

2020 ◽  
Vol 79 (Suppl 1) ◽  
pp. 1297.2-1297
Author(s):  
J. Protudjer ◽  
C. Billedeau ◽  
C. Stavropoulou ◽  
A. Cholakis ◽  
R. Schroth ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Oral Health ◽  
Periodontal Disease ◽  
Oral Care ◽  
Structured Interviews ◽  
Face To Face ◽  
Oral Health Education ◽  
To Receive ◽  
Latent Content

Background:Rates of periodontal disease and tooth loss are increased in rheumatoid arthritis (RA). Periodontal disease may exacerbate RA inflammation and complicate RA care. Understanding factors that contribute to the increased burden of periodontal disease in RA is critical to improving oral health and possibly arthritis outcomes. People with RA may have unique needs and/or barriers to maintain oral health.Objectives:To determine from people with RA what are their experiences and perceptions about their oral health, their most important questions relating to oral health, and how they wish to receive oral health information.Methods:Semi-structured interviews were conducted with RA patients. Recorded interview transcripts underwent iterative content analysis. Transcripts were initially reviewed to develop a coding guide. Latent content, or larger themes, were then applied to the transcripts. Constructs were considered saturated when no new themes were identified with subsequent interviews. We report identified themes with representative quotes.Results:Interviews with 11 RA (10[91%] female; all on RA medication) averaged 19 minutes (range 8-31 minutes) and were mostly conducted face-to-face. Many believed RA medication contributed to dry mouth. Most participants had not previously considered other links between oral health and RA. Themes identified included the need for complicated oral health routines, barriers of cost and access to dental care, and shame relating to oral health (Table 1). Participants preferred to receive oral health education from their rheumatologists or dentists over printed or online resources.Conclusion:RA patients have unique needs relating to oral health and report poor oral quality of life. Strategies to optimize oral health in RA may include educational tools for optimizing oral self-care appropriate for RA, and improved access to oral care professionals who are aware of the needs of arthritis patients.Disclosure of Interests:Jennifer Protudjer: None declared, Corrie Billedeau: None declared, Chrysi Stavropoulou: None declared, Anastasia Cholakis: None declared, Robert Schroth: None declared, Carol Hitchon Grant/research support from: UCB Canada; Pfizer Canada

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