Evidence map›Paper›PMID 32968704›Full record

ArticleRheumatology advances in practice2020

Psychological and self-management support for people with vasculitis or connective tissue diseases: UK health professionals' perspectives.

Joanna C Robson, Michael Shepherd, Lorraine Harper, Mwidimi Ndosi, Keziah Austin, Caroline Flurey, Sarah Logan, Emma Dures

Open access · goldAbstract read
In one paragraph

Article in Rheumatology advances in practice, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.1field-weighted citation impact, top 49% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 1 country.

Joanna C RobsonDepartment of Nursing and Midwifery, Faculty of Health and Applied Science, University of the West of England.
Michael ShepherdDepartment of Nursing and Midwifery, Faculty of Health and Applied Science, University of the West of England.
Lorraine HarperInstitute of Clinical Sciences, College of Medical and Dental Sciences, University of Birmingham.
Mwidimi NdosiDepartment of Nursing and Midwifery, Faculty of Health and Applied Science, University of the West of England.ORCID 0000-0002-7764-3173
Keziah AustinDepartment of Nursing and Midwifery, Faculty of Health and Applied Science, University of the West of England.
Caroline FlureyDepartment of Health and Social Sciences, Faculty of Health and Applied Science, University of the West of England, Bristol, UK.
Sarah LoganNephrology Department, University Hospital Birmingham NHS Foundation Trust, Birmingham.
Emma DuresDepartment of Nursing and Midwifery, Faculty of Health and Applied Science, University of the West of England.
University of the West of England · GBUniversity Hospitals Birmingham NHS Foundation Trust · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesCTD and systemic vasculitis impact on health-related quality of life. Treatment can be complex, involving multiple medical specialities. The aim of this study was to investigate psychological and self-management support for patients in secondary care.

methodsAn online survey of health professionals in the UK, including 45 multiple-choice and free-text questions, was analysed descriptively. Free-text survey responses were analysed thematically to identify health professionals' perceptions of best practice and unmet needs.

resultsThe online survey included 120 health professionals (34% specialist nurses, 51% doctors and 12% allied health professionals), predominantly working in rheumatology (52.9%) and nephrology (21.5%) departments. Access to self-management programmes or clinics for people with CTD or vasculitis was available in 23% of rheumatology and 8% of nephrology departments. In response to 'How well is your team providing self-management support to people with CTD or vasculitis?', 38% of respondents reported 'not very well' or 'not well at all'. Direct access to psychological support was available in 76.9% of nephrology and 32.8% of rheumatology departments. More than 80% of respondents would like additional training. Key themes from the qualitative data (free-text survey responses) included the importance of: dedicated psychological support and self-management programmes for people with CTD and vasculitis, a whole-team approach (specialist teams empowering people to manage their own care), staff training (e.g. brief psychological interventions) and signposting to resources, including patient charities.

conclusionPeople with CTD and vasculitis have complex needs, and improvements in self-management and psychological support are required in UK rheumatology and nephrology departments.

Indexed as

educationhealth professionalslupusmyositisnephrologypsychologicalrheumatologyself-managementvasculitis

Identifiers

PMID32968704
PMCPMC7494082
OpenAlexW3025938630

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.