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"I was considering surgery because I believed that was how it was treated": a qualitative study on willingness for joint surgery after completion of a digital management program for osteoarthritis.
Lund University.
Lund University.
Lund University.
Kristianstad University, Faculty of Health Science, Research Environment PRO-CARE, Patient Reported Outcomes - Clinical Assessment Research and Education. Lund University.
2019 (English)In: Osteoarthritis and Cartilage, ISSN 1063-4584, E-ISSN 1522-9653, Vol. 27, no 7, p. 1026-1032Article in journal (Refereed) Published
Abstract [en]

OBJECTIVE: To explore, using a qualitative approach, reasons for patients' continued willingness or their shift in willingness for total joint replacement (TJR) surgery, following participation in Joint Academy, a Swedish, digital, non-surgical treatment program for osteoarthritis (OA).

DESIGN: Nineteen patients with hip or knee OA were interviewed after finishing their first six weeks in the treatment program, using a semi-structured interview guide. The interviews were transcribed verbatim and analyzed using a systematic text condensation method.

RESULTS: Analysis of the interview data revealed three main categories of reasons provided for the participants' decisions regarding surgery: 1) Various reasons for participating in Joint Academy with three sub-categories: (a) longstanding pain affects daily life, (b) last chance for improvement and (c) mandatory treatment to be eligible for TJR; 2) Willingness for TJR following treatment, which included four sub-categories: (a) surgery - the last resort, (b) reduced pain and improved functioning, (c) no perceived improvements after treatment, and (d) trust in healthcare providers; and 3) Expectations of TJR. The shift in willingness towards or away from TJR was mainly due to the perceived success of Joint Academy in improving their functioning.

CONCLUSION: Several patients reconsidered their options and had changed their attitude to TJR after participation in a digital program aimed at reducing OA symptoms and improving functioning. These results highlight the importance of providing patients with adequate information about non-surgical management options to facilitate shared decision-making, and possibly reduce the need for surgery.

Place, publisher, year, edition, pages
2019. Vol. 27, no 7, p. 1026-1032
Keywords [en]
Non-surgical management, digital treatment program, osteoarthritis, qualitative, surgery, total joint replacement
National Category
Health Sciences
Identifiers
URN: urn:nbn:se:hkr:diva-19240DOI: 10.1016/j.joca.2019.04.004ISI: 000471248900008PubMedID: 31002940OAI: oai:DiVA.org:hkr-19240DiVA, id: diva2:1306858
Available from: 2019-04-25 Created: 2019-04-25 Last updated: 2019-07-08Bibliographically approved

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CiteExportLink to record
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Citation style
  • apa
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  • vancouver
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