Evidence map›Paper›PMID 35366845›Full record

ArticleBMC musculoskeletal disorders2022

Acceptability of, and preferences for, remote consulting during COVID-19 among older patients with two common long-term musculoskeletal conditions: findings from three qualitative studies and recommendations for practice.

Zoe Paskins, Laurna Bullock, Fay Manning, Simon Bishop, Paul Campbell, Elizabeth Cottrell, G P Partner, Clare Jinks, Melanie Narayanasamy, Ian C Scott and 2 more

Abstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
–field-weighted citation impact
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

11 citing papers in PubMed.

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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

12 authors.

Zoe PaskinsSchool of Medicine, Keele University, ST55BG, Keele, UK. z.paskins@keele.ac.uk.ORCID https://orcid.org/0000-0002-7783-2986
Laurna BullockSchool of Medicine, Keele University, ST55BG, Keele, UK.ORCID https://orcid.org/0000-0002-4193-1835
Fay ManningSchool of Medicine, Keele University, ST55BG, Keele, UK.ORCID https://orcid.org/0000-0002-9768-1695
Simon BishopCentre for Health Innovation, Leadership and Learning, University of Nottingham, Nottingham, NG8 1BB, UK.ORCID https://orcid.org/0000-0001-8527-7081
Paul CampbellHaywood Academic Rheumatology Centre, Haywood Hospital, Midlands Partnership NHS Foundation Trust, ST67AG, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0001-9148-882X
Elizabeth CottrellSchool of Medicine, Keele University, ST55BG, Keele, UK.
G P PartnerWolstanton Medical Centre, Newcastle-under-Lyme, ST58BN, UK.
Clare JinksHaywood Academic Rheumatology Centre, Haywood Hospital, Midlands Partnership NHS Foundation Trust, ST67AG, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0002-3407-2446
Melanie NarayanasamyOrganisational Behaviour and Human Resource Management, Nottingham University Business School, NG81BB, Nottingham, UK.ORCID https://orcid.org/0000-0003-3483-0777
Ian C ScottSchool of Medicine, Keele University, ST55BG, Keele, UK.ORCID https://orcid.org/0000-0002-1268-9808
Opinder SahotaDepartment of Health Care of Older People, Nottingham University Hospitals NHS Trust, NG72UH, Nottingham, UK.ORCID https://orcid.org/0000-0003-0055-7637
Sarah RyanHaywood Academic Rheumatology Centre, Haywood Hospital, Midlands Partnership NHS Foundation Trust, ST67AG, Stoke-on-Trent, UK.ORCID https://orcid.org/0000-0002-2202-6266

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGuidance for choosing face-to-face vs remote consultations (RCs) encourages clinicians to consider patient preferences, however, little is known about acceptability of, and preferences for RCs, particularly amongst patients with musculoskeletal conditions. This study aimed to explore the acceptability of, and preferences for, RC among patients with osteoporosis and rheumatoid arthritis.

methodsThree UK qualitative studies, exploring patient experiences of accessing and receiving healthcare, undertaken during the pandemic, with people with osteoporosis and rheumatoid arthritis. Study team members agreed a consistent approach to conduct rapid deductive analysis using the Theoretical Framework of Acceptability (TFA) on transcripts from each data set relating to RC, facilitated by group meetings to discuss interpretations. Findings from the three studies were pooled.

resultsFindings from 1 focus group and 64 interviews with 35 people were included in the analysis. Participants' attitudes to RC, views on fairness (ethicality) and sense-making (intervention coherence) varied according to their needs within the consultation and views of the pandemic. Some participants valued the reduced burden associated with RC, while others highly valued non-verbal communication and physical examination associated with face-to-face consults (opportunity costs). Some participants described low confidence (self-efficacy) in being able to communicate in RCs and others perceived RCs as ineffective, in part due to suboptimal communication.

conclusionsAcceptability of, and preferences for RC appear to be influenced by societal, healthcare provider and personal factors and in this study, were not condition-dependant. Remote care by default has the potential to exacerbate health inequalities and needs nuanced implementation.

Indexed as

COVID-19Focus GroupsHumansPatient PreferenceQualitative ResearchReferral and ConsultationOsteoporosisRemote consultationRheumatoid arthritisTelemedicine

Identifiers

PMID35366845
PMCPMC8976169

What OpenQuestion holds

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LicenceCC BY
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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.