Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria

Tolulope Owoyemi , Ibidunni Alonge , Oladapo Adetunji , Emmanuel Ogbu , Adebimpe Ogunbanjo , Simon White , Adewale Adebajo , Christian Mallen , Opeyemi O. Babatunde , Krysia Dziedzic
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Abstract

Objective

Africa contributes significantly to the increasing global prevalence (>37 ​%), unmet need and treatment burden for people with osteoarthritis. Despite this, little research has examined the expressed needs of patients with osteoarthritis (OA) and joint pain in West-Africa. This study aimed to explore lived experiences, expressed needs and current care gaps for people living with osteoarthritis in low-health resource contexts using Nigeria as a case study.

Design

Qualitative study using Focus Groups. People aged 45 years and over living with osteoarthritis and joint pain were recruited at local health services or via wide advertisements in the community. Discussions were recorded and transcribed verbatim. Data were analyzed using thematic analysis (inductive approach).

Results

Three focus groups were conducted with people living with osteoarthritis (n ​= ​30, age range 45–90 years) across socio-demographic strata. Participants described their experiences of living with osteoarthritis as emotionally, physically, and socio-economically challenging. Four main themes (and 14 sub-themes) were identified. Participants expressed the need for an information and health education campaign and access to appropriate health professionals (especially physiotherapists) for providing support, guidance, and assistance with self-management.

Conclusions

The provision of an accessible, and contextually appropriate patient education package, in line with evidence-based recommendations is a critical need for people living with osteoarthritis in Nigeria. This will promote evidence-based care for OA in low-resource settings, empowering patients to self-manage and reducing confusion related to inconsistent advice and mixed messages about cause, healthcare access and OA care.
日常生活与骨关节炎在全球南方:定性焦点小组调查在尼日利亚。
目的:非洲对骨关节炎患者的全球患病率(2010年为37%)、未满足的需求和治疗负担的增加做出了重大贡献。尽管如此,很少有研究调查西非骨关节炎(OA)和关节疼痛患者的表达需求。本研究旨在以尼日利亚为例,探讨低健康资源环境下骨关节炎患者的生活经历、表达需求和当前护理差距。设计:使用焦点小组进行定性研究。45岁及以上患有骨关节炎和关节疼痛的人在当地卫生服务机构或通过社区的广泛广告招募。讨论被逐字记录下来。数据分析采用专题分析(归纳法)。结果:对骨关节炎患者(n = 30,年龄45-90岁)进行了三个焦点小组研究。参与者描述了他们患有骨关节炎的经历,在情感上、身体上和社会经济上都具有挑战性。确定了四个主要主题(和14个次级主题)。与会者表示,需要开展信息和健康教育运动,并有机会获得适当的保健专业人员(特别是物理治疗师),以便在自我管理方面提供支持、指导和协助。结论:根据循证建议,为尼日利亚骨关节炎患者提供可获得的、适合其具体情况的一揽子教育方案是一项关键需求。这将促进低资源环境中OA的循证护理,使患者能够自我管理,并减少因不一致的建议和关于病因、医疗保健获取和OA护理的混合信息而引起的困惑。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Osteoarthritis and cartilage open
Osteoarthritis and cartilage open Orthopedics, Sports Medicine and Rehabilitation
CiteScore
3.30
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