Annotated Bibliography for Nursing Research 3130
Dorothy Cheng
New York City College of Technology
Cuperus, N., Smink, A. J., Bierma-Zeinstra, S. A., Dekker, J., Schers, H. J., de Boer, F., & … Vliet Vlieland, T. M. (2013). Patient reported barriers and facilitators to using a self-management booklet for hip and knee osteoarthritis in primary care: results of a qualitative interview study. BMC Family Practice, 14(181). doi:10.1186/1471-2296-14-181. Retrieved March 3, 2015 from EBSCO database.
This study is thought to be the first qualitative study that identifies patient perceived barriers and facilitators to use of a self-management booklet that describes the treatment course of osteoarthritis. Osteoarthritis is the most common joint disorder, with about 18% of women and 9.6% of men over 60 who experience symptomatic OA. Seventeen out of 26 patients who were given a patient-oriented booklet by their primary care providers entitled “Care for Osteoarthritis” agreed to participate in the study. This booklet was developed in collaboration with OA patients and GP’s, and used an evidence-based, multidisciplinary, stepped-care strategy for hip and knee OA. Interviews were conducted in patients’ homes twelve months after patients received the booklet. Open-ended questions were used to encourage patients to use their own words, and the interviews were transcribed vertabim. A thematic analysis approach was used to identify repeated themes, fragments of meaning were coded, and triangulation of researchers was used to increase the reliability of the coding. Three core themes were identified in the several patient perceived barriers and facilitators that emerged: the role of HCP’s, the patient’s perception of managing the course of OA, and the patient’s perception of the usefulness of the booklet and the patient’s information needs. Although the booklet included a section on how to monitor symptoms and to prepare for consultations, patients reported that they were not encouraged or given instructions to use the booklet. Patients also reported doubts if HCP’s did not seem to endorse non-surgical treatments for OA, or the idea that OA is treatable. The results of this study can can be used to tailor the implentation of this booklet and of other booklets on other chronic diseases on a larger scale.
Zhang, F. F., Driban, J. B., Lo, G. H., Price, L. L., Booth, S., Eaton, C. B., & … McAlindon, T. E. (2014). Vitamin D deficiency is associated with progression of knee osteoarthritis. The Journal Of Nutrition, 144(12), 2002-2008. doi:10.3945/jn.114.193227. Retrieved March 3,2015 from EBSCO database.
This study examines whether serum levels of vitamin D and parathyroid hormone, both individually and jointly can be used to predict the progression of knee osteoarthritis. This study builds on previous longitudinal studies which had suggested a relationship between vitamin D and knee OA progression, but had not screened participants for low vitamin D before enrolling. No association was found in the Framingham Offspring cohort, but most of the cohort did not have knee OA at baseline. Other studies have found an inconclusive link. The 418 study participants had both radiographic evidence and frequent knee symptoms of OA, which was defined as discomfort experienced for most days of at least one month in the past year. Joint-space narrowing was independently assessed by two expert readers without knowledge of a subject’s clinical data, without knowing the other reader’s findings, and without knowing the chronological order of the images. A twofold elevated risk of progression was found in participants low in vitamin D, and a threefold increased risk was found when low vitamin D levels were coupled with high PTH levels. High serum PTH was correlated with a significant increase in JSN score. A lower threshold of serum 25 (OH)D at 15ug/L was identified in this study to be correlated with an increased risk of disease progression, as compared to the more widely accepted threshold of 20ug/L.
