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Perspectives on health care and self-management of osteoarthritis among patients who desire surgery: A qualitative interview study
Unit of Physiotherapy, Department of Health, Medicine and Caring Sciences, Linköping University, Linköping, Sweden; Department of Physiotherapy, Ryhov County Hospital, Jönköping, Sweden.
Jönköping University, School of Health and Welfare, HHJ, Department for Quality Improvement and Leadership. Jönköping University, School of Health and Welfare, The Jönköping Academy for Improvement of Health and Welfare. Department of Behavioral Sciences, Oslo Metropolitan University, Oslo, Norway; Department of Health Sciences, University West, Trollhättan, Sweden.ORCID iD: 0000-0002-7669-4702
Futurum - the Academy for Health and Care, Region of Jönköping County, Jönköping, Sweden.
Department of Orthopaedics, Institute of Clinical Sciences, Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden; Orthopaedics, Sahlgrenska University Hospital, Gothenburg, Sweden.
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2023 (English)In: Physiotherapy Theory and Practice, ISSN 0959-3985, E-ISSN 1532-5040Article in journal (Refereed) Epub ahead of print
Abstract [en]

BACKGROUND: Expressing a desire for surgery before participating in first-line osteoarthritis (OA) interventions (patient education and exercise therapy) has been shown to contribute to poorer outcomes from the interventions, but we lack knowledge on how these patients reflect on health care and self-management of OA.

OBJECTIVES: To explore and describe patients' perspectives of health care and self-management of OA among those expressing a desire for surgery before participating in first-line OA interventions.

METHODS: Sixteen patients with hip or knee OA referred to participate in a standardized first-line OA intervention program in primary health care in Sweden were included in the study. We used individual semi-structured interviews to collect data, which were analyzed using inductive qualitative content analysis.

RESULTS: One theme of meaning "A multifaceted picture of needs, expectations, and individual choices" and five categories were identified as perspectives from the participants regarding health care and self-management of OA: 1) lacking control and needing support; 2) standing alone in an unsupportive environment; 3) going with the flow; 4) having expectations; and 5) taking ownership.

CONCLUSION: Patients who express a desire for surgery before participating in first-line interventions for OA are not a homogeneous group. They describe a broad range of perspectives on how they reason and reflect on health care and self-management of OA based on their own needs, expectations, and choices. Findings from this study strengthen insights on the importance of exploring the patient's perspectives and individualizing OA interventions to achieve the lifestyle changes that first-line interventions strive to accomplish.

Place, publisher, year, edition, pages
Taylor & Francis, 2023.
Keywords [en]
Interview, osteoarthritis, physiotherapy, qualitative research, self-management
National Category
Physiotherapy
Identifiers
URN: urn:nbn:se:hj:diva-60837DOI: 10.1080/09593985.2023.2215302ISI: 000998415500001PubMedID: 37246837Scopus ID: 2-s2.0-85161171912Local ID: HOA;;884129OAI: oai:DiVA.org:hj-60837DiVA, id: diva2:1763566
Funder
Futurum - Academy for Health and Care, Jönköping County Council, Sweden, 933130; 933329Available from: 2023-06-07 Created: 2023-06-07 Last updated: 2023-06-21

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Areskoug Josefsson, Kristina

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