ECTRIMS eLearning

How people with MS experience interaction with healthcare professionals: a thematic synthesis
Author(s): ,
A Soundy
Affiliations:
Physiotherapy
,
C Roskell
Affiliations:
Physiotherapy
,
R Adams
Affiliations:
University of Birmingham, Birmingham
,
T Elder
Affiliations:
University of Birmingham, Birmingham
H Dawes
Affiliations:
Oxford Brookes University, Oxford, United Kingdom
ECTRIMS Learn. Soundy A. 09/14/16; 145669; EP1574
Andrew Soundy
Andrew Soundy
Contributions
Abstract

Abstract: EP1574

Type: ePoster

Abstract Category: RIMS - Multi-disciplinary rehabilitation

Aim: There is increasing recognition of the importance of understanding the experiences and perceptions of individuals with MS about interactions with healthcare providers and services. A systematic review and synthesis of qualitative and quantitative research was undertaken to consider this.

Methods: A three stage systematic review and thematic synthesis of qualitative and quantitative research was undertaken. Stage 1 included a systematic search of literature; Stage 2 involved a methodological appraisal of included qualitative studies. Stage 3 included a synthesis of qualitative studies using various techniques of analysis (e.g., open coding and idea webbing). This information was tabulated to illustrate a thematic structure. The thematic structure was saturated, supported and elaborated on by using findings from both qualitative and quantitative studies.

Results: Stage 1 identified 49 qualitative studies and 17 quantitative studies. Stage 2 identified methodological weakness of qualitative studies in the following areas; a lack of information in studies considering reflexivity, information regarding methodology, theoretical saturation of data and analysis of data to the minor unit. Stage 3 identified 2 themes and 8 sub-themes. Theme 1 identified the good and poor experiences of interactions between health care professionals and patients. There was a general requirement for information and identification of the optimal requirements for information delivery. The identification of poor interaction practices is illustrated. Theme 2 identified the impact of interactional factors (e.g., provision of choice within an interaction), internal psychological factors (e.g., the readiness of the patient to receive information) as well as environmental factors (e.g., the environments that have to be navigated by patients).

Conclusion: The pragmatic information generated by the results will allow health care professionals to use the identified information to improve information provision, quality of interactions and patient adherence.

Disclosure: This project was funded by the Multiple Sclerosis Society UK.

No other conflicts of interest are declared.

Abstract: EP1574

Type: ePoster

Abstract Category: RIMS - Multi-disciplinary rehabilitation

Aim: There is increasing recognition of the importance of understanding the experiences and perceptions of individuals with MS about interactions with healthcare providers and services. A systematic review and synthesis of qualitative and quantitative research was undertaken to consider this.

Methods: A three stage systematic review and thematic synthesis of qualitative and quantitative research was undertaken. Stage 1 included a systematic search of literature; Stage 2 involved a methodological appraisal of included qualitative studies. Stage 3 included a synthesis of qualitative studies using various techniques of analysis (e.g., open coding and idea webbing). This information was tabulated to illustrate a thematic structure. The thematic structure was saturated, supported and elaborated on by using findings from both qualitative and quantitative studies.

Results: Stage 1 identified 49 qualitative studies and 17 quantitative studies. Stage 2 identified methodological weakness of qualitative studies in the following areas; a lack of information in studies considering reflexivity, information regarding methodology, theoretical saturation of data and analysis of data to the minor unit. Stage 3 identified 2 themes and 8 sub-themes. Theme 1 identified the good and poor experiences of interactions between health care professionals and patients. There was a general requirement for information and identification of the optimal requirements for information delivery. The identification of poor interaction practices is illustrated. Theme 2 identified the impact of interactional factors (e.g., provision of choice within an interaction), internal psychological factors (e.g., the readiness of the patient to receive information) as well as environmental factors (e.g., the environments that have to be navigated by patients).

Conclusion: The pragmatic information generated by the results will allow health care professionals to use the identified information to improve information provision, quality of interactions and patient adherence.

Disclosure: This project was funded by the Multiple Sclerosis Society UK.

No other conflicts of interest are declared.

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