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

ABSTRACT: Objectives:CTD 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. Methods:An 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. Results:The 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. Conclusion:People with CTD and vasculitis have complex needs, and improvements in self-management and psychological support are required in UK rheumatology and nephrology departments.

SUBMITTER: Robson JC

PROVIDER: S-EPMC7494082 | biostudies-literature | 2020

REPOSITORIES: biostudies-literature

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

Robson Joanna C JC Shepherd Michael M Harper Lorraine L Ndosi Mwidimi M Austin Keziah K Flurey Caroline C Logan Sarah S Dures Emma E

Rheumatology advances in practice 20200527 2

<h4>Objectives</h4>CTD 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.<h4>Methods</h4>An 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 profess ...[more]

PMID: 32968704

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

Publications

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

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