Acceptability of using the Raising Awareness Tool for Endometriosis (RATE) in general practice: a mixed methods pilot study

IF 1.4 4区医学 Q3 OBSTETRICS & GYNECOLOGY Australian & New Zealand Journal of Obstetrics & Gynaecology Pub Date : 2023-10-31 DOI:10.1111/ajo.13768

Jacqueline Frayne, Talila Milroy, Charlotte Rook, Magdalena Simonis, Alan Lam

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Abstract

Aims

The Raising Awareness Tool for Endometriosis (RATE) was developed to facilitate discussions with health providers regarding endometriosis-associated symptoms. We aim to evaluate the acceptability of the RATE by general practitioners (GP), including determining the prevalence of symptoms of women presenting to general practice and immediate management of symptoms.

Methods

A mixed-methods study was undertaken using a combination of quantitative and qualitative data in Western Australian General Practices from 2021 to 2022. A purposive sample of 12 GPs were included, who recruited women (18–50 years) on attendance for consultation over a one- to two-week period, followed by qualitative interviews exploring GPs’ experiences with the tool. The quantitative and qualitative components were integrated during analysis of results.

Results

A total of 111 women completed the RATE (mean: 33, standard deviation: 8.6 years) prior to routine consultation. The tool was considered to be acceptable for use in general practice and aided discussions on symptoms and management. Overall, 68.5% of patients experienced pelvic pain or discomfort, with 22.4% rating that this interfered with quality of life. Of those with pelvic pain, 75% had associated chronic pain conditions, and 42.1% reported allodynia. The chronic pain questions provoked GP uncertainty. After symptoms were identified, GPs arranged individualised investigations and follow-up.

Conclusions

The RATE was considered to be acceptable for use in the general practice setting. It identified symptoms and initiated discussions on possible diagnosis as well as management of endometriosis. Further GP education on identifying those women at most risk of developing chronic pain syndromes is needed.

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在全科医学中使用提高子宫内膜异位症意识工具（RATE）的可接受性：一项混合方法的试点研究。

目的：开发子宫内膜异位症提高认识工具（RATE），以促进与卫生服务提供者讨论子宫内膜异位相关症状。我们的目的是评估全科医生（GP）对RATE的可接受性，包括确定接受全科医生治疗的女性症状的患病率和症状的即时管理。方法：结合2021年至2022年《西澳大利亚州一般做法》中的定量和定性数据，进行了一项混合方法研究。有目的的样本包括12名全科医生，他们招募了女性（18-50岁）年）参加为期一到两周的咨询，然后进行定性访谈，探讨全科医生使用该工具的经验。在分析结果的过程中，将定量和定性组成部分结合起来。结果：共有111名女性完成了RATE（平均值：33，标准差：8.6 年）。该工具被认为可用于全科实践，并有助于讨论症状和管理。总体而言，68.5%的患者经历了骨盆疼痛或不适，22.4%的患者认为这会影响生活质量。在骨盆疼痛患者中，75%的患者有相关的慢性疼痛，42.1%的患者报告有异常性疼痛。慢性疼痛问题引发了全科医生的不确定性。症状确定后，全科医生安排了个性化调查和随访。结论：RATE被认为是可接受的，可用于全科医疗环境。它发现了子宫内膜异位症的症状，并开始讨论可能的诊断和管理。需要进一步的全科医生教育，以确定那些最有可能患慢性疼痛综合征的女性。

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

Australian & New Zealand Journal of Obstetrics & Gynaecology 医学-妇产科学

CiteScore

3.40

自引率

11.80%

发文量

165

审稿时长

4-8 weeks

期刊介绍： The Australian and New Zealand Journal of Obstetrics and Gynaecology (ANZJOG) is an editorially independent publication owned by the Royal Australian and New Zealand College of Obstetricians and Gynaecologists (RANZCOG) and the RANZCOG Research foundation. ANZJOG aims to provide a medium for the publication of original contributions to clinical practice and/or research in all fields of obstetrics and gynaecology and related disciplines. Articles are peer reviewed by clinicians or researchers expert in the field of the submitted work. From time to time the journal will also publish printed abstracts from the RANZCOG Annual Scientific Meeting and meetings of relevant special interest groups, where the accepted abstracts have undergone the journals peer review acceptance process.