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Diagnostic uncertainty and axial spondyloarthropathy: A case for cognitive debiasing through practice-based learning and improvement activity. 诊断的不确定性和轴性脊椎关节病:一个通过基于实践的学习和改善活动来消除认知偏差的案例。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-09-30 DOI: 10.1002/msc.1818
Jordan Hepburn
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引用次数: 0
Effects of foot orthoses and footwear interventions on impairments and quality of life in people with hip pain: A systematic review. 足部矫形器和鞋类干预对髋关节疼痛患者损伤和生活质量的影响:一项系统综述。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-10-12 DOI: 10.1002/msc.1826
Rita Kinsella, Anthony Nasser, Hylton B Menz, Tania Pizzari, Natalie J Collins, Adam I Semciw

Background: Foot orthoses and footwear interventions are advocated for the management of lower limb musculoskeletal conditions including the hip, but much of the research is focused on knee disorders. The aim of this systematic review was to synthesise the literature that investigates the use of foot orthoses or footwear in people with hip-related pain.

Methods: MEDLINE, EMBASE, CINAHL, AMED and SPORTDiscus were searched from inception to March 2023. Randomised controlled trials (RCT), cohort and pre-post studies reporting on footwear and foot orthoses interventions, in participants with hip-related pain, were eligible for inclusion. Outcomes included pain, physical function, and quality of life (QoL). Effect sizes were calculated where sufficient data were available. Reporting quality was assessed using the Cochrane Risk of Bias Tool (Rob-2) and the Joanna Briggs Institute Checklist. The overall quality of evidence was rated according to the Grading of Recommendations, Assessment, Development, and Evaluations framework.

Results: Of the seven included studies (n = 266 participants), there was one RCT, one cohort and five single-group pre-post designs. Interventions included customised and non-customised arch supports, heel lifts, and footwear modifications, used in the following hip conditions: trochanteric pain, non-specific hip pain, hip osteoarthritis, and leg length dysfunction following total hip arthroplasty. Meta-analysis was possible for outcomes in two studies, demonstrating moderate improvement in pain following foot orthoses use. Overall certainty of evidence ranged from very low to low.

Conclusion: Single-group pre-post study designs describe positive relationships between foot orthoses and footwear use and improvements in hip pain, function, and QoL. However, these results were not supported by the only available RCT. Given this is a relatively inexpensive and non-invasive treatment approach, further rigorous studies are warranted.

背景:足部矫形器和鞋类干预措施被提倡用于治疗包括髋关节在内的下肢肌肉骨骼疾病,但大部分研究都集中在膝关节疾病上。这篇系统综述的目的是综合研究髋关节相关疼痛患者使用足部矫形器或鞋类的文献。方法:检索MEDLINE、EMBASE、CINAHL、AMED和SPORTDiscus,检索期为2023年3月。在髋关节相关疼痛的参与者中,随机对照试验(RCT)、队列和前后研究报告了鞋类和足部矫形器干预措施,有资格入选。结果包括疼痛、身体功能和生活质量。在有足够数据的情况下计算效果大小。使用Cochrane偏倚风险工具(Rob-2)和Joanna Briggs研究所检查表评估报告质量。证据的总体质量是根据建议、评估、发展和评价框架进行评级的。结果:在7项纳入的研究(n=266名参与者)中,有一项随机对照试验、一个队列和5项单组前后设计。干预措施包括定制和非定制足弓支撑、脚跟抬高和鞋类改良,用于以下髋关节疾病:大转子疼痛、非特异性髋关节疼痛、髋关节骨性关节炎和全髋关节置换术后的腿长功能障碍。两项研究的结果可以进行荟萃分析,证明使用足矫形器后疼痛有适度改善。证据的总体确定性从很低到很低不等。结论:单组研究前后设计描述了足部矫形器和鞋类使用之间的积极关系,以及髋关节疼痛、功能和生活质量的改善。然而,这些结果并没有得到唯一可用的随机对照试验的支持。鉴于这是一种相对便宜且无创的治疗方法,有必要进行进一步的严格研究。
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引用次数: 0
Nurse-led care for people with early rheumatoid arthritis: Interview study with thematic analysis. 护士主导的早期类风湿关节炎患者护理:专题分析访谈研究。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-11-21 DOI: 10.1002/msc.1844
Anne-Marie Tetsche Sweeney, Caroline A Flurey, Candy S McCabe, Joanna C Robson, Pamela Richards, Mwidimi Ndosi

Aims: To develop an understanding of what comprises nurse-led care in early rheumatoid arthritis from the perspective of rheumatology nurse specialists in England.

Design: Qualitative study.

Methods: Semi-structured telephone interviews with rheumatology nurse specialists in England were conducted in Summer 2020. Interviews were audio-recorded, transcribed verbatim and analysed using reflexive thematic analysis. Reporting follows the appropriate elements of consolidated criteria for reporting qualitative research.

Results: Sixteen nurses were recruited and interviews lasted 30-60 min. Four themes with 14 subthemes were identified. A SPECIALIST SERVICE DELIVERED BY EXPERIENCED RHEUMATOLOGY NURSES: Specialist care is provided by experienced nurse specialists with a high degree of autonomy in the rheumatology multidisciplinary team context.

Addressing patients' complex care needs: Care is evidence-based and aims to start treatment, keep in treatment, educate and support. Access to psychology expertise is needed. CARE WITH COMPASSION USING PERSON-CENTRED, HOLISTIC AND EMPATHETIC APPROACHES: Nurses create patient relationships and a positive therapeutic environment. Nurse-led telephone advice lines are essential for treatment adjustment, patient support and empowerment.

Continued evaluation and development of the service: Consultations are reviewed, and patients are asked for feedback. The COVID-19 pandemic caused disruption, but changes streamlined procedures and improved documentation and communication.

Conclusion: Nurse-led care in early rheumatoid arthritis is a specialist service delivered with compassion, addressing complex care needs and using person-centred approaches. This study identifies key aspects of care in early disease from the nurse perspective.

目的:从英国风湿病学护士专家的角度,了解早期类风湿关节炎中护士主导的护理内容。设计:定性研究。方法:于2020年夏季对英国风湿病专科护士进行半结构化电话访谈。访谈录音,逐字抄录,并使用反身性专题分析进行分析。报告遵循报告定性研究的综合标准的适当要素。结果:共招募16名护士,访谈时间30 ~ 60分钟,共确定4个主题和14个副主题。由经验丰富的风湿病护士提供的专科服务:在风湿病多学科团队中,专科护理由经验丰富的具有高度自主权的专科护士提供。解决患者复杂的护理需求:护理以证据为基础,旨在开始治疗、保持治疗、教育和支持。需要获得心理学专业知识。以同情为中心的护理,采用以人为本,整体和移情的方法:护士创造病人关系和积极的治疗环境。护士主导的电话咨询线路对于治疗调整、患者支持和赋权至关重要。继续评估和发展服务:对咨询进行审查,并要求患者提供反馈。COVID-19大流行造成了混乱,但变化简化了程序,改善了文件和沟通。结论:护士主导的早期类风湿关节炎护理是一种专业服务,具有同情心,解决复杂的护理需求,并采用以人为本的方法。本研究从护士的角度确定了早期疾病护理的关键方面。
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引用次数: 0
Quality of life in individuals with knee osteoarthritis versus asymptomatic individuals. 膝关节骨性关节炎患者与无症状患者的生活质量对比。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-09-02 DOI: 10.1002/msc.1814
Karen Obara, Jefferson R Cardoso, Bianca M Reis, Marcos A Matos, Marcio M Kawano

Background: Osteoarthritis (OA) is characterised by joint degeneration and represents the leading cause of disability in old age. OA entails a personal burden, with suffering and reduced quality of life (QoL).

Objective: To compare the QoL of individuals with OA to that of asymptomatic individuals in order to determine the actual impact of OA on the affected population.

Method: Cross-sectional study with a sample of 140 patients diagnosed with OA. Another 51 sex- and age-matched asymptomatic individuals with no clinical signs of knee OA or lower limb osteoarticular symptoms for at least the preceding six months were recruited. Knee OA was stratified radiologically according to the Ahlbäck classification (1968). QoL was measured using the SF-36 questionnaire (Medical Outcomes Study 36-Item Short-Form Health Survey). The participants were assigned to "osteoarthritis" (OG) or "asymptomatic" (AG) groups.

Results: The OG presented greater body mass and BMI than the AG. Perceived QoL was worse for the OG than the AG across SF-36 domains. In the comparison of the grades of OA degeneration, the group with Ahlbäck grades 4 and 5 (severe) perceived their QoL as poorer than those with grades 1, 2, and 3 (moderate). The grade of OA, older age, and BMI were shown to be strong independent predictors of poor perceived quality of life.

Conclusion: Individuals with knee OA showed worse perceived QoL compared with asymptomatic individuals. The domains with the lowest scores were physical functioning and functional limitation. Quality of life was influenced by BMI, age, sex, and grade of osteoarthritis.

背景:骨关节炎(OA)以关节退化为特征,是导致老年残疾的主要原因。骨关节炎给患者带来痛苦和生活质量(QoL)下降,造成个人负担:比较 OA 患者与无症状患者的 QoL,以确定 OA 对患者的实际影响:方法:对 140 名确诊为 OA 的患者进行横断面研究。另外还招募了 51 名性别和年龄相匹配的无症状患者,这些患者至少在过去 6 个月中没有膝关节 OA 的临床症状或下肢骨关节症状。膝关节 OA 根据 Ahlbäck 分类法(1968 年)进行放射学分层。QoL 采用 SF-36 问卷(医学结果研究 36 项短式健康调查)进行测量。参与者被分为 "骨关节炎 "组(OG)和 "无症状 "组(AG):结果:骨关节炎组的体重和体重指数高于无症状组。在 SF-36 各项指标中,OG 组的 QoL 感知比 AG 组差。在对 OA 退化等级进行比较时,Ahlbäck 4 级和 5 级(重度)组的 QoL 感知比 1 级、2 级和 3 级(中度)组差。结果表明,OA等级、年龄和体重指数是影响生活质量的重要独立预测因素:结论:与无症状者相比,膝关节 OA 患者的生活质量感知较差。得分最低的领域是身体功能和功能限制。生活质量受体重指数、年龄、性别和骨关节炎等级的影响。
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引用次数: 0
Digitally delivered education and exercises for patients with hand osteoarthritis-An observational study. 针对手部骨关节炎患者的数字化教育和锻炼--一项观察性研究。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-07-08 DOI: 10.1002/msc.1796
Matthias Michael Walter, Paulina Sirard, Håkan Nero, Helena Hörder, Leif E Dahlberg, Anne Therese Tveter, Ingvild Kjeken, Ali Kiadaliri

Hand osteoarthritis (OA) is a common form of OA, for which education and exercise are considered the first-line treatment. The aim of the present study was to examine pain and perceived hand function in participants following 3 months of digitally delivered first-line treatment for hand OA. Three-hundred-and-seventy-nine of 846 participants with clinical signs and symptoms of hand OA completed the study. The digital hand OA treatment program consists of video instructed daily exercises and patient education through text lessons. Pain (NRS, 0 no pain, 10 worst) was the primary outcome, and stiffness (NRS) and the Functional Index for Hand OsteoArthritis (FIHOA, 0 best, 30 worst) were among secondary outcomes. The McNemar test and linear mixed effect regression model were used to assess the changes in outcomes from baseline to 3-month. After three months, the digitally delivered program was associated with a significant decrease in pain intensity (mean change -1.30 (95% CI -1.49, -1.12)) and hand stiffness (mean change -0.81 (95% CI -1.02, -0.60)) but no conclusive changes in the FIHOA scores (mean change 0.3 (95% CI -0.2, 0.7)). The results agree with reports on face-to-face delivered first-line treatment for hand OA suggesting that digital treatment is a viable treatment option in patients with hand OA.

手部骨关节炎(OA)是OA的一种常见形式,教育和锻炼被认为是OA的一线治疗方法。本研究旨在考察参与者在接受为期 3 个月的手部骨关节炎数字化一线治疗后的疼痛感和手部功能感知。846名有手部OA临床症状和体征的参与者中有379人完成了研究。数字化手部 OA 治疗计划包括视频指导的日常锻炼和通过文字课程进行的患者教育。疼痛(NRS,0无痛,10最差)是主要结果,僵硬(NRS)和手骨关节炎功能指数(FIHOA,0最佳,30最差)是次要结果。McNemar 检验和线性混合效应回归模型用于评估从基线到 3 个月的结果变化。三个月后,数字交付项目显著降低了疼痛强度(平均变化-1.30 (95% CI -1.49, -1.12) )和手部僵硬程度(平均变化-0.81 (95% CI -1.02, -0.60)),但 FIHOA 评分没有发生决定性变化(平均变化 0.3 (95% CI -0.2, 0.7))。这些结果与有关手部 OA 面对面一线治疗的报告一致,表明数字治疗是手部 OA 患者的一种可行治疗方案。
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引用次数: 0
Diagnostic clinical prediction rules for categorising low back pain: A systematic review. 腰痛分类的诊断性临床预测规则:一项系统综述。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-10-09 DOI: 10.1002/msc.1816
Charles James Hill, Anirban Banerjee, Jonathan Hill, Claire Stapleton

Background: Low back pain (LBP) is a common complex condition, where specific diagnoses are hard to identify. Diagnostic clinical prediction rules (CPRs) are known to improve clinical decision-making. A review of LBP diagnostic-CPRs by Haskins et al. (2015) identified six diagnostic-CPRs in derivation phases of development, with one tool ready for implementation. Recent progress on these tools is unknown. Therefore, this review aimed to investigate developments in LBP diagnostic-CPRs and evaluate their readiness for implementation.

Methods: A systematic review was performed on five databases (Medline, Amed, Cochrane Library, PsycInfo, and CINAHL) combined with hand-searching and citation-tracking to identify eligible studies. Study and tool quality were appraised for risk of bias (Quality Assessment of Diagnostic Accuracy Studies-2), methodological quality (checklist using accepted CPR methodological standards), and CPR tool appraisal (GRade and ASsess Predictive).

Results: Of 5021 studies screened, 11 diagnostic-CPRs were identified. Of the six previously known, three have been externally validated but not yet undergone impact analysis. Five new tools have been identified since Haskin et al. (2015); all are still in derivation stages. The most validated diagnostic-CPRs include the Lumbar-Spinal-Stenosis-Self-Administered-Self-Reported-History-Questionnaire and Diagnosis-Support-Tool-to-Identify-Lumbar-Spinal-Stenosis, and the StEP-tool which differentiates radicular from axial-LBP.

Conclusions: This updated review of LBP diagnostic CPRs found five new tools, all in the early stages of development. Three previously known tools have now been externally validated but should be used with caution until impact evaluation studies are undertaken. Future funding should focus on externally validating and assessing the impact of existing CPRs on clinical decision-making.

背景:腰痛(LBP)是一种常见的复杂疾病,其具体诊断很难确定。已知诊断性临床预测规则(CPR)可以改善临床决策。Haskins等人对LBP诊断CPR的综述。(2015)在开发的衍生阶段确定了六个诊断CPR,其中一个工具已准备好实施。这些工具的最新进展尚不清楚。因此,本综述旨在调查LBP诊断CPR的发展,并评估其实施准备情况。方法:对五个数据库(Medline、Amed、Cochrane Library、PsycInfo和CINAHL)进行系统综述,结合手工搜索和引文追踪,以确定符合条件的研究。研究和工具质量评估了偏倚风险(诊断准确性研究的质量评估-2)、方法质量(使用公认的CPR方法标准的检查表)和CPR工具评估(GRade和ASsess Predictive)。结果:在筛选的5021项研究中,确定了11项诊断CPR。在之前已知的六个中,有三个已经过外部验证,但尚未进行影响分析。自Haskin等人。(2015);所有这些都还处于衍生阶段。最有效的诊断CPR包括用于识别腰椎狭窄的腰椎管狭窄症自我管理自述病史问卷和诊断支持工具,以及区分根性和轴性LBP的StEP工具。结论:对LBP诊断CPR的最新审查发现了五种新工具,均处于开发的早期阶段。三种以前已知的工具现已得到外部验证,但在进行影响评估研究之前应谨慎使用。未来的资金应侧重于外部验证和评估现有CPR对临床决策的影响。
{"title":"Diagnostic clinical prediction rules for categorising low back pain: A systematic review.","authors":"Charles James Hill, Anirban Banerjee, Jonathan Hill, Claire Stapleton","doi":"10.1002/msc.1816","DOIUrl":"10.1002/msc.1816","url":null,"abstract":"<p><strong>Background: </strong>Low back pain (LBP) is a common complex condition, where specific diagnoses are hard to identify. Diagnostic clinical prediction rules (CPRs) are known to improve clinical decision-making. A review of LBP diagnostic-CPRs by Haskins et al. (2015) identified six diagnostic-CPRs in derivation phases of development, with one tool ready for implementation. Recent progress on these tools is unknown. Therefore, this review aimed to investigate developments in LBP diagnostic-CPRs and evaluate their readiness for implementation.</p><p><strong>Methods: </strong>A systematic review was performed on five databases (Medline, Amed, Cochrane Library, PsycInfo, and CINAHL) combined with hand-searching and citation-tracking to identify eligible studies. Study and tool quality were appraised for risk of bias (Quality Assessment of Diagnostic Accuracy Studies-2), methodological quality (checklist using accepted CPR methodological standards), and CPR tool appraisal (GRade and ASsess Predictive).</p><p><strong>Results: </strong>Of 5021 studies screened, 11 diagnostic-CPRs were identified. Of the six previously known, three have been externally validated but not yet undergone impact analysis. Five new tools have been identified since Haskin et al. (2015); all are still in derivation stages. The most validated diagnostic-CPRs include the Lumbar-Spinal-Stenosis-Self-Administered-Self-Reported-History-Questionnaire and Diagnosis-Support-Tool-to-Identify-Lumbar-Spinal-Stenosis, and the StEP-tool which differentiates radicular from axial-LBP.</p><p><strong>Conclusions: </strong>This updated review of LBP diagnostic CPRs found five new tools, all in the early stages of development. Three previously known tools have now been externally validated but should be used with caution until impact evaluation studies are undertaken. Future funding should focus on externally validating and assessing the impact of existing CPRs on clinical decision-making.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41137510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Lessons learnt from a nationally funded training and mentoring programme for early-mid career musculoskeletal researchers in Australia. 从澳大利亚国家资助的职业生涯早期和中期肌肉骨骼研究人员培训和指导计划中汲取的经验教训。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-10-16 DOI: 10.1002/msc.1820
Belinda J Lawford, Rana S Hinman, Kim L Bennell, David J Hunter, Paul W Hodges, Jenny Setchell, Jillian Eyles, Kim Allison, Penny Campbell, Rebecca Mellor, B Vicenzino

Introduction: Quality training and mentoring are crucial components of successful career development for early mid career researchers (EMCRs). This paper describes the overarching framework of novel ongoing national Training and Mentoring Programme Melbourne University Sydney Queensland:Impact (MUSQ:Impact) for musculoskeletal researchers, including a description of how it was set up and established, and lessons learned from its implementation.

Results: The MUSQ:Impact programme spans four multidisciplinary musculoskeletal research teams across three universities in Australia, comprising 40-60 EMCR members. It was established to provide EMCRs with a unique learning environment and opportunities to gain exposure to, and network with, other national musculoskeletal research teams. Specific goals are to focus on core research competencies (e.g. writing skills, managing grant budgets, public speaking and media engagement, research translation), provide career mentoring, fund development activities (e.g. conference attendance, laboratory visits, skill development courses), and share training resources (e.g. data dictionaries, project summaries). A Steering Committee of 10-12 EMCR members, co-chaired by a senior researcher and one EMCR, is responsible for overseeing MUSQ:Impact and organising regular activities, including a monthly webinar series, a mentor/mentee scheme, annual group research retreats, annual infographic competition, and funding awards. An evaluation survey found that most participants perceived each activity to be beneficial and of value to their research career and development.

Conclusion: This paper presents the structure of national training and mentoring programme that serves as a potential template for other research teams to adapt within their own contexts.

引言:高质量的培训和指导是职业生涯早期和中期研究人员成功职业发展的关键组成部分。本文描述了正在进行的新的国家培训和指导计划——墨尔本大学-悉尼昆士兰大学:对肌肉骨骼研究人员的影响(MUSQ:影响)的总体框架,包括对其建立和建立的描述,以及从实施中吸取的经验教训。结果:MUSQ:影响计划涵盖了澳大利亚三所大学的四个多学科肌肉骨骼研究团队,包括40-60名EMCR成员。它的成立旨在为EMCR提供一个独特的学习环境和机会,让他们接触其他国家肌肉骨骼研究团队并与之建立联系。具体目标是关注核心研究能力(如写作技能、管理拨款预算、公开演讲和媒体参与、研究翻译)、提供职业指导、资助发展活动(如出席会议、实验室访问、技能发展课程)以及共享培训资源(如数据字典、项目摘要)。一个由10-12名EMCR成员组成的指导委员会,由一名高级研究员和一名EMCR共同主持,负责监督MUSQ:影响力并组织定期活动,包括每月一次的网络研讨会系列、导师/学员计划、年度小组研究务虚会、年度信息图竞赛和资助奖。一项评估调查发现,大多数参与者认为每项活动都对他们的研究生涯和发展有益且有价值。结论:本文介绍了国家培训和指导计划的结构,作为其他研究团队在自己的背景下适应的潜在模板。
{"title":"Lessons learnt from a nationally funded training and mentoring programme for early-mid career musculoskeletal researchers in Australia.","authors":"Belinda J Lawford, Rana S Hinman, Kim L Bennell, David J Hunter, Paul W Hodges, Jenny Setchell, Jillian Eyles, Kim Allison, Penny Campbell, Rebecca Mellor, B Vicenzino","doi":"10.1002/msc.1820","DOIUrl":"10.1002/msc.1820","url":null,"abstract":"<p><strong>Introduction: </strong>Quality training and mentoring are crucial components of successful career development for early mid career researchers (EMCRs). This paper describes the overarching framework of novel ongoing national Training and Mentoring Programme Melbourne University Sydney Queensland:Impact (MUSQ:Impact) for musculoskeletal researchers, including a description of how it was set up and established, and lessons learned from its implementation.</p><p><strong>Results: </strong>The MUSQ:Impact programme spans four multidisciplinary musculoskeletal research teams across three universities in Australia, comprising 40-60 EMCR members. It was established to provide EMCRs with a unique learning environment and opportunities to gain exposure to, and network with, other national musculoskeletal research teams. Specific goals are to focus on core research competencies (e.g. writing skills, managing grant budgets, public speaking and media engagement, research translation), provide career mentoring, fund development activities (e.g. conference attendance, laboratory visits, skill development courses), and share training resources (e.g. data dictionaries, project summaries). A Steering Committee of 10-12 EMCR members, co-chaired by a senior researcher and one EMCR, is responsible for overseeing MUSQ:Impact and organising regular activities, including a monthly webinar series, a mentor/mentee scheme, annual group research retreats, annual infographic competition, and funding awards. An evaluation survey found that most participants perceived each activity to be beneficial and of value to their research career and development.</p><p><strong>Conclusion: </strong>This paper presents the structure of national training and mentoring programme that serves as a potential template for other research teams to adapt within their own contexts.</p>","PeriodicalId":46945,"journal":{"name":"Musculoskeletal Care","volume":null,"pages":null},"PeriodicalIF":1.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10947136/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41239793","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Work Experience Survey - Rheumatic conditions (United Kingdom): Psychometric properties and identifying the workplace barriers of employed people with inflammatory arthritis receiving vocational rehabilitation. 工作经验调查-风湿病(英国):接受职业康复的炎性关节炎雇员的心理测量特性和确定工作场所障碍。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-10-25 DOI: 10.1002/msc.1835
Alison Hammond, Rachel O'Brien, Sarah Woodbridge, Jennifer Parker, Angela Ching

Objective: The aims were to: revise the Work Experience Survey-Rheumatic Conditions (WES-RC- UK), a work assessment listing 142 workplace barriers; investigate content validity, reliability, and concurrent validity; update the accompanying WES-RC and WORKWELL Solutions Manuals; and investigate workplace barriers of people with inflammatory arthritis.

Methods: Rheumatology therapists, following vocational rehabilitation (VR) training, assessed participants in the WORKWELL VR trial using the WES-RC. Data were extracted from the WES-RC to identify the frequency of workplace barriers, and from trial baseline questionnaires (e.g., Work Limitations Questionnaire-25 (WLQ-25). Barriers reported by ≤5 participants were considered for removal. WES-RC content validity was assessed by linking to the International Classification of Functioning, Health, and Disability Core Set for VR (ICF-VR). Reliability was assessed using Cronbach's α and concurrent validity by correlating the total number of workplace barriers reported with WLQ-25 scores.

Results: WES-RCs were completed with 116 employed participants: 79% women, age 48.72 (SD 9.49) years, and 57% working full-time. The WES-RC was reduced to 121 barriers. Content validity was good, with 73/90 ICF-VR items linked. Cronbach's α = 0.92, that is, suitable for individual use. Concurrent validity was moderate: WLQ-25 (rs  = 0.40). The three most common barriers were Physical Job Demands (100%: e.g., mobility 99%; hand use 74%), Mental, Time, Energy, Emotional Job Demands (91%, e.g., concentration 47%, remembering 41%); Getting Ready for and Travel to Work (87%, e.g., driving 60%).

Conclusion: The WES-RC (UK) has good content validity, reliability, and concurrent validity. The wide range of barriers emphasises the need for biopsychosocial work rehabilitation.

目的:目的是:修订工作经验调查风湿病(WES-RC-UK),这是一项列出142个工作场所障碍的工作评估;研究内容的有效性、可靠性和并发有效性;更新随附的WES-RC和WORKWELL解决方案手册;并调查炎症性关节炎患者的工作障碍。方法:风湿病治疗师在接受职业康复(VR)培训后,使用WES-RC对WORKWELL VR试验的参与者进行评估。从WES-RC中提取数据,以确定工作场所障碍的频率,并从试验基线问卷(例如,工作限制问卷-25(WLQ-25))中提取数据。≤5名参与者报告的障碍物被考虑移除。WES-RC内容的有效性通过链接到VR功能、健康和残疾国际分类核心集(ICF-VR)进行评估。通过将报告的工作场所障碍总数与WLQ-25评分相关联,使用Cronbachα和并发有效性来评估可靠性。结果:WES随机对照试验共有116名在职参与者完成:79%为女性,年龄48.72岁(SD 9.49),57%为全职工作。WES-RC减少到121个屏障。内容有效性良好,链接了73/90个ICF-VR项目。Cronbachα=0.92,即适合个人使用。同时有效性中等:WLQ-25(rs=0.40)。三个最常见的障碍是体力工作需求(100%:如行动能力99%;用手74%)、心理、时间、精力和情感工作需求(91%,如专注力47%,记忆力41%);准备工作和出差(87%,例如,开车60%)。结论:WES-RC(英国)具有良好的内容有效性、可靠性和并发有效性。各种各样的障碍强调了生物心理社会工作康复的必要性。
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引用次数: 0
Towards a consensus for nurse education of methotrexate for people with rheumatic and musculoskeletal diseases: A scoping review. 为风湿病和肌肉骨骼疾病患者的甲氨蝶呤护士教育达成共识:范围综述。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-08-16 DOI: 10.1002/msc.1804
Andréa Marques, Cristiano Matos, Elena Nikiphorou, Polly Livermore, Ricardo J O Ferreira

Introduction: Patient education (PE) is a key role of nurses, which includes providing information, training, and support about methotrexate (MTX), an anchor drug in rheumatology. However, there is a wide variation in the access to rheumatology nurse consultations in Europe, and there is a lack of consensus regarding the delivery, context and timing of PE in these cases. This study aimed to provide a comprehensive overview of the existing research on nurse education of MTX for children/youth and adults with Rheumatic and Musculoskeletal Diseases (RMDs).

Methods: This scoping review was conducted in accordance with Arksey and O'Malley's framework. A search on PubMed (MEDLINE), Scopus and Cochrane Database, and CINAHL, from inception until March 2022 was conducted. Articles on PE with a focus on MTX exclusively were included. Published and unpublished studies, from any world region, conducted with a qualitative, quantitative, or mixed-methods design and focused on defined research questions, were eligible for inclusion. Broad inclusion criteria were used if a research paper on PE focused on MTX for people with RMDs (PE or patient engagement, self-management, medication knowledge, or health literacy in patients). The reporting followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses - Extension for Scoping Reviews (PRISMA-ScR) checklist. Two independent reviewers performed standardized data extraction and synthesis.

Results: From 292 references identified, the total number of studies which met the inclusion criteria was relatively small (n = 14). The results identified that knowledge of MTX improves when education by nurses is provided.

Conclusion: This scoping review showed that there is no universal worldwide strategy for MTX education of children/youths and adults with RMDs. However, PE regarding MTX can be delivered in different forms, resulting in better satisfaction and adherence. More randomized controlled trials with powered samples are required.

简介患者教育(Patient Education,PE)是护士的一项重要职责,包括提供有关风湿病学主要药物甲氨蝶呤(MTX)的信息、培训和支持。然而,在欧洲,风湿病学护士会诊的机会差异很大,而且在这些病例中,对于 PE 的提供、背景和时机也缺乏共识。本研究旨在全面概述有关风湿和肌肉骨骼疾病(RMD)儿童/青少年和成人 MTX 护士教育的现有研究:本次范围界定综述根据 Arksey 和 O'Malley 的框架进行。我们在 PubMed (MEDLINE)、Scopus 和 Cochrane 数据库以及 CINAHL 上进行了检索,检索时间从开始到 2022 年 3 月。纳入了以 MTX 为唯一研究对象的 PE 相关文章。全球任何地区已发表和未发表的研究,采用定性、定量或混合方法设计,并关注已定义的研究问题,均符合纳入条件。如果有关 PE 的研究论文侧重于 RMDs 患者的 MTX(PE 或患者参与、自我管理、用药知识或患者的健康素养),则采用宽泛的纳入标准。报告遵循《系统综述和荟萃分析首选报告项目--范围综述扩展》(PRISMA-ScR)清单。两名独立审稿人进行了标准化的数据提取和综合:从已确定的 292 篇参考文献中,符合纳入标准的研究总数相对较少(n = 14)。结果发现,如果护士提供教育,患者对 MTX 的认识会有所提高:本次范围界定综述表明,在对患有 RMDs 的儿童/青少年和成人进行 MTX 教育方面,目前尚无全球通用的策略。不过,可以通过不同的形式提供有关 MTX 的 PE,从而提高满意度和依从性。需要进行更多具有样本支持的随机对照试验。
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引用次数: 0
Development of a consumer involvement strategy for a small university-based musculoskeletal research centre. 为一个小型大学肌肉骨骼研究中心制定消费者参与战略。
IF 1.3 Q2 Health Professions Pub Date : 2023-12-01 Epub Date: 2023-08-18 DOI: 10.1002/msc.1806
Rachel K Nelligan, Travis Haber, Kim L Bennell, Rana S Hinman, Neil Bidgood, Jennifer Marlow, Belinda J Lawford

Objective: To develop a Consumer Involvement Strategy which adheres to best practice recommendations and is feasible to implement in a small musculoskeletal research centre funded solely by external grants.

Methods: The Strategy development involved five collaborative and iterative stages: (1) conceptualisation and initial consultation; (2) formation of the Consumer Involvement Strategy Action Group; (3) defining the scope and developing the strategy; (4) consultation and refinement; and (5) presentation and implementation. The final three stages were overseen by a Consumer Involvement Strategy Action Group comprising two post-doctoral research fellows, a PhD student representative, and two consumers (people with osteoarthritis), all with experience in consumer involvement activities in research.

Results: The final strategy aligns with best practice recommendations and includes five unique levels of consumer involvement that were devised to encompass the wide variety of consumer involvement activities across the research centre. It includes a policy document with five strategic aims, each supported by an implementation plan, and includes a suite of resources for researchers and consumers to support its application.

Conclusion: The Consumer Involvement Strategy and its described development may serve as a template for other research teams facing similar resource constraints, both at a national and international level.

目的制定一项消费者参与战略,该战略既要符合最佳实践建议,又要能够在一个仅由外部拨款资助的小型肌肉骨骼研究中心实施:战略制定包括五个合作和反复阶段:(1) 构思和初步咨询;(2) 成立消费者参与战略行动小组;(3) 确定范围和制定战略;(4) 咨询和完善;(5) 介绍和实施。最后三个阶段由消费者参与战略行动小组负责监督,该小组由两名博士后研究员、一名博士生代表和两名消费者(骨关节炎患者)组成,他们都具有消费者参与研究活动的经验:最终战略与最佳实践建议保持一致,包括五个独特的消费者参与层次,旨在涵盖整个研究中心的各种消费者参与活动。它包括一份政策文件,其中有五个战略目标,每个目标都有一个实施计划,还包括一套供研究人员和消费者使用的资源,以支持其应用:结论:《消费者参与战略》及其所述发展情况可作为其他面临类似资源限制的研究团队的模板,无论是在国家层面还是在国际层面。
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Musculoskeletal Care
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