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Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study

BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate ma...

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Autores principales: Herron, Daniel, Chew-Graham, Carolyn A, Hider, Samantha, Machin, Annabelle, Paskins, Zoe, Cooke, Kendra, Desilva, Erandie Ediriweera, Jinks, Clare
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047946/
https://www.ncbi.nlm.nih.gov/pubmed/33912472
http://dx.doi.org/10.1177/26335565211002402
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author Herron, Daniel
Chew-Graham, Carolyn A
Hider, Samantha
Machin, Annabelle
Paskins, Zoe
Cooke, Kendra
Desilva, Erandie Ediriweera
Jinks, Clare
author_facet Herron, Daniel
Chew-Graham, Carolyn A
Hider, Samantha
Machin, Annabelle
Paskins, Zoe
Cooke, Kendra
Desilva, Erandie Ediriweera
Jinks, Clare
author_sort Herron, Daniel
collection PubMed
description BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate management of comorbid conditions. AIM: A nested qualitative study was undertaken to examine the acceptability of the INCLUDE review. METHODS: A qualitative interview-based design in UK primary care settings. A purposive sample of 20 patients who attended an INCLUDE review, were interviewed. Inductive thematic analysis was undertaken. Themes were agreed through multidisciplinary team discussion and mapped onto constructs of the Theoretical Framework of Acceptability (TFA). RESULTS: Six themes mapped onto six of the seven TFA constructs. Patients reported the review to be effective by identifying and initiating management of previously unrecognised comorbid conditions. Some participants reported barriers to following recommendations, such as lifestyle modifications or taking more medication. CONCLUSION: A nurse-delivered review to identify comorbidities is acceptable to patients with IRCs. The TFA provided a novel analytical lens.
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spelling pubmed-80479462021-04-27 Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study Herron, Daniel Chew-Graham, Carolyn A Hider, Samantha Machin, Annabelle Paskins, Zoe Cooke, Kendra Desilva, Erandie Ediriweera Jinks, Clare J Comorb Original Article BACKGROUND: People with inflammatory rheumatological conditions (IRCs), are at increased risk of comorbidities such as cardiovascular disease, osteoporosis, anxiety and depression. The INCLUDE pilot trial evaluated a nurse-delivered review of people with IRCs which sought to identify and initiate management of comorbid conditions. AIM: A nested qualitative study was undertaken to examine the acceptability of the INCLUDE review. METHODS: A qualitative interview-based design in UK primary care settings. A purposive sample of 20 patients who attended an INCLUDE review, were interviewed. Inductive thematic analysis was undertaken. Themes were agreed through multidisciplinary team discussion and mapped onto constructs of the Theoretical Framework of Acceptability (TFA). RESULTS: Six themes mapped onto six of the seven TFA constructs. Patients reported the review to be effective by identifying and initiating management of previously unrecognised comorbid conditions. Some participants reported barriers to following recommendations, such as lifestyle modifications or taking more medication. CONCLUSION: A nurse-delivered review to identify comorbidities is acceptable to patients with IRCs. The TFA provided a novel analytical lens. SAGE Publications 2021-04-13 /pmc/articles/PMC8047946/ /pubmed/33912472 http://dx.doi.org/10.1177/26335565211002402 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by-nc/4.0/This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Original Article
Herron, Daniel
Chew-Graham, Carolyn A
Hider, Samantha
Machin, Annabelle
Paskins, Zoe
Cooke, Kendra
Desilva, Erandie Ediriweera
Jinks, Clare
Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title_full Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title_fullStr Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title_full_unstemmed Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title_short Acceptability of nurse-led reviews for inflammatory rheumatological conditions: A qualitative study
title_sort acceptability of nurse-led reviews for inflammatory rheumatological conditions: a qualitative study
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8047946/
https://www.ncbi.nlm.nih.gov/pubmed/33912472
http://dx.doi.org/10.1177/26335565211002402
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