Simons Gwenda, Mason Anna, Falahee Marie, Kumar Kanta, Mallen Christian D, Raza Karim, Stack Rebecca J
University of Birmingham, Birmingham, UK.
Sandwell and West Birmingham Hospitals NHS Trust, Birmingham, UK.
Musculoskeletal Care. 2017 Mar;15(1):13-22. doi: 10.1002/msc.1135. Epub 2016 Feb 1.
Treating patients with rheumatoid arthritis (RA) within three months of symptom onset leads to significantly improved outcomes. However, many people delay seeking medical attention. In order to understand the reasons for this delay, it is important to have a thorough understanding of public perceptions about RA. The current study investigated these perceptions using the Self-Regulation Model (SRM) as a framework to explain how health behaviour is influenced by illness perceptions (prototypes) through qualitative interviews with 15 members of the public without RA. Interviews were audio-recorded, transcribed and analysed using framework analysis based on SRM illness perceptions. Both accurate and inaccurate perceptions about the identity, causes, consequences, controllability and timeline of RA were identified. This highlights opportunities to enhance public knowledge about RA. These findings further support the utility of exploring prototypical beliefs of illness, suggesting their potential role in influencing help-seeking behaviours and identifying probable drivers/barriers to early presentation. © 2016 The Authors Musculoskeletal Care Published by John Wiley & Sons Ltd.
在症状出现后的三个月内治疗类风湿性关节炎(RA)患者可显著改善治疗效果。然而,许多人会延迟就医。为了了解这种延迟的原因,深入了解公众对类风湿性关节炎的看法很重要。本研究以自我调节模型(SRM)为框架,通过对15名无类风湿性关节炎的公众进行定性访谈,调查了这些看法,以解释疾病认知(原型)如何影响健康行为。访谈进行了录音、转录,并使用基于SRM疾病认知的框架分析进行分析。研究确定了公众对类风湿性关节炎的身份、病因、后果、可控性和病程的准确和不准确认知。这凸显了提高公众对类风湿性关节炎认识的机会。这些发现进一步支持了探索疾病原型信念的实用性,表明它们在影响求助行为以及识别早期就诊的可能驱动因素/障碍方面的潜在作用。© 2016作者 肌肉骨骼护理 由约翰·威利父子有限公司出版