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Womens situation-specific strategies in managing participation restrictions due to early rheumatoid arthritis: A gender comparison
Division of Social Work, School of Health, Care and Social Welfare, Mälardalen University, Eskilstuna, Sweden.
Linköping University, Department of Social and Welfare Studies, Division of Occupational Therapy. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.ORCID iD: 0000-0002-1607-187X
Linköping University, Department of Clinical and Experimental Medicine, Division of Neuro and Inflammation Science. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Department of Rheumatology.
Linköping University, Department of Medical and Health Sciences. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Local Health Care Services in Central Östergötland, Department of Activity and Health.
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2018 (English)In: Musculoskeletal Care, ISSN 1478-2189, E-ISSN 1557-0681, Vol. 16, no 2, p. 251-259Article in journal (Refereed) Published
Abstract [en]

Introduction

The present study explored how women describe their use of situation‐specific strategies when managing rheumatoid arthritis (RA). The aim was also to compare women's strategies with those of men, and see the extent to which they used the same strategies.

Methods

The data were collected using semi‐structured interviews based on the critical incident technique. The sample consisted of women with early rheumatic arthritis (n = 34), and the results were compared with data reported in a previous study on men (n = 25) from the same cohort. The patient‐described participation restrictions due to RA were firstly linked to the domains of the International Classification of Functioning, Disability and Health (ICF). The different strategies used were then categorized. The study was approved by the Research Ethics Committee of the Faculty of Health Sciences, Linköping University, Sweden.

Results

The study found that women used four situation‐specific strategies: adjustment, avoidance, interaction and acceptance. The same strategies had been found previously in interviews with men with RA. Women and men used these strategies to a similar extent in the ICF domains of mobility; major life arenas; domestic life; interpersonal interactions and relationships; and community, social and civic life. However, some differences were found, relating to the reported activities in self‐care and domestic life, in which women reported using strategies to a greater extent than men.

Conclusions

Women and men used four types of situation‐specific strategies in managing RA; adjustment, avoidance, interaction and acceptance. These situation‐specific strategies provide useful knowledge, in terms of multidisciplinary rehabilitation and for patients' significant others.

Place, publisher, year, edition, pages
Wiley-Blackwell, 2018. Vol. 16, no 2, p. 251-259
Keywords [en]
chronic disease; coping strategies; gender perspective; rehabilitation; rheumatology
National Category
Nursing
Identifiers
URN: urn:nbn:se:liu:diva-152537DOI: 10.1002/msc.1225ISI: 000435802900002PubMedID: 29316201Scopus ID: 2-s2.0-85040178068OAI: oai:DiVA.org:liu-152537DiVA, id: diva2:1294389
Available from: 2019-03-07 Created: 2019-03-07 Last updated: 2019-07-05Bibliographically approved

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Björk, MathildaThyberg, IngridSverker, Annette

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Björk, MathildaThyberg, IngridValtersson, EvaSverker, Annette
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Division of Occupational TherapyFaculty of Medicine and Health SciencesDepartment of RheumatologyDivision of Neuro and Inflammation ScienceDepartment of Medical and Health SciencesDepartment of Activity and HealthDivision of Community Medicine
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Musculoskeletal Care
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