The illness perceptions associated with health and behavioural outcomes in people with musculoskeletal hand problems: findings from the North Staffordshire Osteoarthritis Project (NorStOP)

Abstract

The results suggest that older people who consider their musculoskeletal hand problem to have negative effects on their life will be more likely to encounter difficulties that may lead them to consult, take medication or both. Understanding the illness perceptions of these individuals may identify opportunities for intervention.

Impact and therapy of osteoarthritis: the Arthritis Care OA Nation 2012 survey

“…There is a perceived pessimism amongst people with OA about the availability, effectiveness and risk attached to treatments [29, [31][32][33][34]. As highlighted by previous studies, consultations with healthcare providers are reported to focus mainly on pain control, with little discussion on the impact and fears of the individual and long-term management plans.…”

“…As highlighted by previous studies, consultations with healthcare providers are reported to focus mainly on pain control, with little discussion on the impact and fears of the individual and long-term management plans. Previous reports have suggested frustration in individuals at the lack of understanding amongst healthcare professionals of the impact of OA [33].…”

“…Irregular use of medication was common, and in line with previous reports, highlighting the previously reported perception that individuals are concerned about developing tolerance to medications and only using medication when really needed. [33] Non-pharmacological therapies were less widely used. Recommendation of weight loss and exercise was low, suggesting a focus on pharmacotherapies [37].…”

A study protocol for the profile of pain in older women: assessing the multi dimensional nature of the experience of pain in arthritis

“…Dimensions other than intensity, severity and quality will also be explored. Previous studies have identified constant and intermittent pain, [15] the impact of beliefs on pain [82] and coping strategies, impact and severity perceptions) [7]. This study will use measures to assess pain onset and frequency, course or variability, fatigue, catastrophizing, sleep, social relations and the role of emotion.…”

Optimal primary care management of clinical osteoarthritis and joint pain in older people: a mixed-methods programme of systematic reviews, observational and qualitative studies, and randomised controlled trials

“…22,41,42,44 This context provided the ambition and purpose for this second workstream of the NIHR programme RP-PG-0407-10386. The workstream comprised a suite of studies (MOSAICS) designed to develop practical evidence-based ways to support the implementation of NICE guideline core interventions in primary care and, thereby, to enhance the value of the primary care consultation for patients with OA.…”