Navigating radiography as a larger-bodied patient: a qualitative exploration.

Introduction: Radiographic technologies pose barriers to the care of patients with larger bodies both in medical imaging and radiotherapy. Whilst research exists on staff attitudes, there is a lack of understanding of patient experiences. Therefore, this study investigated the qualitative experiences of larger bodied adults who have attended radiographic services within the United Kingdom (UK). Methods: A cross-sectional survey was distributed via social media. The anonymous survey collected demographic data and invited participants to describe their most impactful experience within radiographic services. Thematic analysis was conducted with three researchers agreeing the final themes. Results: Ninety-two participants completed the survey. Most respondents (98.9%) reported their experience with medical imaging, while 16.3% reported their radiotherapy experience. Responses were categorised into three time periods (pre-appointment, during and ongoing) as well as 'societal beliefs' and 'suggestions of improvements'. Example themes included 'sense of self', 'exacerbating factors' and 'emotional impacts'. The experiences of both taller and larger individuals highlighted recurrent issues in access and care received, as well as some examples of good practice. The outcomes of such experiences led to health care avoidance in some cases, with others either fearful or hopeful of their future health interactions depending on how they were treated. Discussion: This study highlights clear shortcomings in the care for patients with larger and taller bodies in radiographic services. Issues ranged from stigmatised staff attitudes to unsuitable equipment, often leaving patients feeling excluded or blamed. Impacts of poor practice and healthcare avoidance are widespread, and therefore these issues need immediate attention.