scholarly journals Development of a patient-reported outcome measure for neck pain in military aircrew: qualitative interviews to inform design and content

BMJ Open ◽  
2021 ◽  
Vol 11 (2) ◽  
pp. e039488
Author(s):  
Anna Dowling ◽  
Ellen Slungaard ◽  
Nicola R Heneghan
Keyword(s):  
Neck Pain ◽  
Outcome Measure ◽  
Physical Symptoms ◽  
Patient Reported Outcome ◽  
Direct Access ◽  
Specific Patient ◽  
Concept Elicitation ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
The Impact

IntroductionThe prevalence of flight-related neck pain is 70% in UK fast jet pilots; much higher than the general population. The Aircrew Conditioning Programme and direct access physiotherapy exist to minimise the impact on military capability, but a population specific patient-reported outcome measure (PROM) is required to investigate the effectiveness of these. We aimed to explore the experiences of flight-related neck pain to inform the content validity and development of a population specific PROM.MethodsQualitative semistructured interviews combining phenomenological and grounded theory methods, reported using Consolidated criteria for Reporting Qualitative research guidelines. A purposive sample of 10 fast jet pilots with neck pain was recruited. Concept elicitation interviews were audio recorded, transcribed verbatim along with field notes. Data analysis involved subject and methodological expertise used a concept elicitation approach.ResultsParticipants included 10 male fast jet pilots, age 34.7 years. Identified themes included: (1) physical symptoms associated with flying activities; (2) occupational effects revealed modifications of flying, or ‘suboptimal’ performance owing to neck pain; (3) psychological effects revealed feelings or worry and (4) social and activity effects showed impact on out of work time.ConclusionPopulation-specific occupational, psychological and social factors should be considered alongside physical symptoms when managing neck pain in military aircrew. Findings support the development of a PROM specifically designed for military aircrew with neck pain.

Correlation between nasal mucosal temperature change and the perception of nasal patency: a literature review

2021 ◽  
Vol 135 (2) ◽  
pp. 104-109
Author(s):  
R Tjahjono ◽  
N Singh
Keyword(s):  
Temperature Change ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Subjective Perception ◽  
Nasal Patency ◽  
Patient Reported Outcome Measure ◽  
Physical Measurements ◽  
Pubmed Database ◽  
Patient Reported ◽  
The Impact

AbstractBackgroundThe mechanism of nasal airflow sensation is poorly understood. This study aimed to examine the role of nasal mucosal temperature change in the subjective perception of nasal patency and the methods by which it can be quantified.MethodMedline and PubMed database searches were performed to retrieve literature relevant to the topic.ResultsThe primary mechanism producing the sensation of nasal patency is thought to be the activation of transient receptor potential melastatin family member 8 (‘TRPM8’), a thermoreceptor that is activated by nasal mucosal cooling. Computational fluid dynamics studies have demonstrated that increased airflow and heat flux are correlated with better patient-reported outcome measure scores. Similarly, physical measurements of the nasal cavity using temperature probes have shown a correlation between lower nasal mucosal temperatures and better patient-reported outcome measure scores.ConclusionNasal mucosal temperature change may be correlated with the perception of improved nasal patency. Future research should quantify the impact of mucosal cooling on the perception of nasal airway obstruction.

Feasibility of implementing a cervix cancer–specific patient-reported outcome measure in routine ambulatory clinics

2020 ◽  
Vol 29 (1) ◽  
pp. 499-507
Author(s):  
Soha Atallah ◽  
Lisa Barbera ◽  
Matthew Folwell ◽  
Doris Howell ◽  
ZhihuiAmy Liu ◽  
...  
Keyword(s):  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Cervix Cancer ◽  
Specific Patient ◽  
Patient Reported Outcome Measure ◽  
Patient Reported

scholarly journals Measuring meaningful markers of change

2019 ◽  
Vol 53 (2) ◽  
pp. 177-193
Author(s):  
Helen Stocks ◽  
Alex Kyriakopoulos ◽  
Tony Ashton
Keyword(s):  
Thematic Analysis ◽  
Outcome Measure ◽  
Patient Reported Outcome ◽  
Therapeutic Modality ◽  
Service Users ◽  
Specific Patient ◽  
Patient Reported Outcome Measure ◽  
Patient Reported ◽  
Life Improvement

The current research aimed to identify areas of recovery specific to Group Analytic Psychotherapy (GAT) to facilitate the development of a suitable patient reported outcome measure (PROM) for this therapeutic modality. Two focus groups comprising respectively of four group analytic therapists or four service users were asked about components of recovery that they felt were specific to receiving GAT. Thematic Analysis (as described by Braun and Clarke, 2006) was employed to explore their views. Three overarching themes emerged from these groups: improvement in intrapsychic and interpsychic relationships; improvement in quality of life; improvement in functionality and symptom reduction. A conceptual model emerged with regards to how those themes could inform the development on a GAT specific patient reported outcome measure.

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