scholarly journals Experiences of using an activating spinal orthosis in women with osteoporosis and back pain in primary care

2020 ◽  
Vol 15 (1) ◽  
Author(s):  
Christina Kaijser Alin ◽  
Nathalie Frisendahl ◽  
Ann-Charlotte Grahn Kronhed ◽  
Helena Salminen

Abstract Summary Women with osteoporosis and back pain took part in focus group interviews and described their experiences of using and handling an activating spinal orthosis. The women described the back orthosis as being like a “close friend”, a support in everyday life and a reminder to maintain a good posture. Purpose The purpose of this study was to describe and gain a deeper understanding of the views of older women with osteoporosis and back pain seeking primary care regarding their use and handling of an activating spinal orthosis. Method We chose a qualitative method whereby information was gathered via focus group interviews and analysed using inductive content analysis. Women who previously participated in a randomised controlled trial and wore an activating spinal orthosis for 6 months were asked. Out of 31 women, 18 agreed to participate. Five focus group interviews were conducted. Results The analysis resulted in an overall theme in which the experiences of wearing the spinal orthosis were described as follows: “A well-adapted spinal orthosis could develop into a long-lasting friendship that provided support and help in daily life”. The overall theme was based on three main categories: impact on daily life, individual adaptation and personal relationship. The main categories were well differentiated from each other but had an interdependency. All three categories involved cases in which the spinal orthosis was perceived as relieving symptoms and making daily life easier, as well as when it was perceived as being hard to manage and provided no symptom relief. Conclusion In older women with osteoporosis and back pain, an activating spinal orthosis could be perceived as being a “close friend” and a support in everyday life. To facilitate acceptance of the spinal orthosis, it was important for it to be well adapted and for follow-ups to be carried out regularly.

Author(s):  
Christine Hudson

AbstractOlder women are often portrayed as particularly vulnerable and in need of protection, producing processes of ageist “othering” that deny agency, foster “appropriate” behaviors, and work to exclude them from everyday life. While not denying many women face a precarious situation in later life, some older women resist their subjectivation as vulnerable. Drawing on a concept of precarity as governmentality, older women’s acceptance and resistance to being characterized as “vulnerable” and in need of protection are explored in relation to focus group interviews with female pensioners in four Swedish municipalities.


Author(s):  
Yeşim Kaptan

This article investigates how Turkish audiences conceptualize authenticity in their engagement with foreign television (TV) productions in the case of Danish TV dramas. The theoretical notion of authenticity is juxtaposed with empirical material from fieldwork interactions, focus group interviews, and one-on-one interviews conducted with Turkish audiences between 2016 and 2018. By employing a semiotic analysis of fieldwork data, I argue that Turkish audiences attribute authenticity to the Danish TV drama series according to a socially created modality (truth value of a sign). This article draws on accounts about modality markers in TV drama series such as authentic portrayals of Danish TV characters and plausible-realistic depictions as a verisimilitudinous representation of everyday life. In the context of cross-cultural television viewing practices, the way Turkish audiences attribute meaning to Danish TV series in terms of authenticity, realism, and modality reveals a distinct differentiation between Danish TV dramas and other nationally and globally circulating media products.


2020 ◽  
Vol 56 (1) ◽  
pp. 14-39
Author(s):  
Sarah M Oros ◽  
Lillian M Christon ◽  
Kelly S Barth ◽  
Carole R Berini ◽  
Bennie L Padgett ◽  
...  

Objective Utilization of medications for opioid use disorder (MOUD) has not been widely adopted by primary care providers. This study sought to identify interprofessional barriers and facilitators for use of MOUD (specifically naltrexone and buprenorphine) among current and future primary care providers in a southeastern academic center in South Carolina. Method Faculty, residents, and students within family medicine, internal medicine, and a physician assistant program participated in focus group interviews, and completed a brief survey. Survey data were analyzed quantitatively, and focus group transcripts were analyzed using a deductive qualitative content analysis, based upon the theory of planned behavior. Results Seven groups ( N = 46) completed focus group interviews and surveys. Survey results indicated that general attitudes towards MOUD were positive and did not differ significantly among groups. Subjective norms around prescribing and controllability (i.e., beliefs about whether prescribing was up to them) differed between specialties and between level of training groups. Focus group themes highlighted attitudes about MOUD (e.g., “opens the flood gates” to patients with addiction) and perceived facilitators and barriers of using MOUD in primary care settings. Participants felt that although MOUD in primary care would improve access and reduce stigma for patients, prescribing requires improved provider education and an integrated system of care. Conclusions The results of this study provide an argument for tailoring education to specifically address the barriers primary care prescribers perceive. Results promote the utilization of active, hands-on learning approaches, to ultimately promote uptake of MOUD prescribing in the primary care setting in South Carolina.


2010 ◽  
Vol 8 (1) ◽  
pp. 5 ◽  
Author(s):  
Lisette van den Bemt ◽  
Sabine Kooijman ◽  
Vinca Linssen ◽  
Peter Lucassen ◽  
Jean Muris ◽  
...  

2020 ◽  
Author(s):  
Rieka von der Warth ◽  
Vanessa Kaiser ◽  
Christina Reese ◽  
Boris A. Brühmann ◽  
Erik Farin-Glattacker

Abstract BackgroundWith increasing numbers of the elderly living in nursing homes in Germany, the need for on-site primary care increases. A lack of primary care in nursing homes can lead to unnecessary hospitalization, higher mortality, and morbidity in the elderly. Therefore, project CoCare (“coordinated medical care”) implements a complex health intervention in nursing homes, using among others regular medical rounds, a shared patient medical record and medication checks, aiming to improve the coordination of medical care. This study reports the results of a process evaluation assessing the perceived acceptance and barriers of the project by stakeholders.MethodsFocus group interviews were held between the fall of 2018 and the fall of 2019 with nursing staff, general practitioners and medical assistants working in or consulting a participating nursing home. A half-structured modular guideline was used to ask participants about their opinion on different aspects of CoCare. Focus groups were analyzed using qualitative content analysis. ResultsIn total, N=11 focus group interviews with N= 74 participants were conducted. Ten main themes with seven subthemes were identified, encompassing all aspects of CoCare. The overall acceptance of the project was good. Participants elected to talk most often about the project modules “communication and collaboration” and “medical rounds”, with participants concluding CoCare had prevented unnecessary hospitalizations. Main barriers were understaffing and complexity of the program.ConclusionImplementation of CoCare in nursing homes is complex and holds some barriers. However, the overall acceptance was good and first positive results were reported by participants. Furthermore, the project provides a good structure to overcome potential barriers.Trial Registration: German Clinical Trial Register (DRKS00012703)


2020 ◽  
Author(s):  
Rieka von der Warth ◽  
Vanessa Kaiser ◽  
Christina Reese ◽  
Boris A. Brühmann ◽  
Erik Farin-Glattacker

Abstract BackgroundWith rising numbers of the elderly living in nursing homes in Germany, the need for on-site primary care is on the increase. A lack of primary care in nursing homes can lead to unnecessary hospitalization, higher mortality, and morbidity in the elderly. The CoCare (“coordinated medical care”) project has therefore implemented a complex health intervention in nursing homes, using inter alia, regular medical rounds, a shared patient medical record and medication checks, aiming to improve the coordination of medical care. This study reports upon the results of the process evaluation assessing the perceived acceptance and barriers of the project by stakeholders.MethodsFocus group interviews were held between the fall of 2018 and the fall of 2019 with nurses, general practitioners and GP´s assistants working in or consulting a participating nursing home. A semi-structured modular guideline was used to ask participants about their opinion on different aspects of CoCare. Focus groups were analyzed using qualitative content analysis. ResultsIn total, N=11 focus group interviews with N=74 participants were conducted. Eleven main themes with four subthemes were identified, encompassing all aspects of CoCare. The overall acceptance of the project was good. Participants elected to speak most often about the project modules “communication and collaboration” and “medical rounds”, with participants concluding that CoCare had prevented unnecessary hospitalizations. The main barriers were understaffing and complexity of the program.ConclusionImplementation of CoCare in nursing homes is complex and presents some barriers. However, the overall acceptance was good and participants reported the first positive results. Furthermore, the project provides a good structure to overcome potential barriers. However, some adaptions to the implementation process should be made.


2016 ◽  
Vol 170 (9) ◽  
pp. 2349-2356 ◽  
Author(s):  
Ellen A. Croonen ◽  
Mirjam Harmsen ◽  
Ineke Van der Burgt ◽  
Jos M. Draaisma ◽  
Kees Noordam ◽  
...  

2020 ◽  
Author(s):  
Svein O. Tjøsvoll ◽  
Paul J. Mork ◽  
Vegard M. Iversen ◽  
Marit B. Rise ◽  
Marius S. Fimland

Abstract Background: We investigated the feasibility of a 16-week supervised heavy resistance training program with weekly undulating periodization for individuals with persistent non-specific low-back pain (LBP). Methods: Twenty-five adults with persistent non-specific LBP participated in this mixed methods feasibility study. Participants trained a whole-body program consisting of squat, bench press, deadlift and pendlay row two times per week for 16 weeks. We assessed pain intensity, pain-related disability, pain self-efficacy and one-repetition maximum strength at baseline, 8 weeks and 16 weeks. Three focus group interviews were conducted at the end of the program. Linear mixed models were used to assess changes in outcomes, and the qualitative data was assessed using systematic text condensation. Results: We observed clinically meaningful reductions in pain intensity after 8 and 16 weeks of training. The mean difference on the numeric pain rating scale (0-10) in the last two weeks from baseline to 8 weeks was 2.6 (95% CI: 1.8-3.6) and from baseline to 16 weeks 3.4 (95% CI: 2.5-4.4). In addition, there were improvements in pain-related disability (3.9, 95% CI: 2.3-5.5), pain self-efficacy (7.7, 95% CI: 5.4-10.1) and muscle strength. In the focus group interviews, participants talked about challenges regarding technique, the importance of supervision and the advantages of periodizing the training. Perceived benefits were improved pain, daily functioning, energy level and sleep, and changes in views on physical activity.Conclusion: Periodized resistance training with weekly undulating periodization is a feasible training method for this group of individuals with persistent non-specific LBP. A randomized clinical trial should assess the efficacy of such an intervention.


Sign in / Sign up

Export Citation Format

Share Document