A qualitative study to understand people’s experiences of living with Charcot neuroarthropathy

Gooday, Catherine, Hardeman, Wendy, Game, Frances, Woodburn, Jim and Poland, Fiona (2022) A qualitative study to understand people’s experiences of living with Charcot neuroarthropathy. Diabetic Medicine, 39 (6). ISSN 0742-3071

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Abstract

Aims: Charcot neuroarthropathy (CN) is a complication of neuropathy, in people with diabetes. Treatment requires the prolonged wearing of an offloading device, which can be challenging. The importance of understanding people’s perspectives for promoting their engagement in self-management is well known. However, no such studies have been done in CN. This qualitative study aimed to understand people’s experiences of CN. Methods: Semi-structured interviews with a purposive sample of 14 participants with CN, recruited from a randomised controlled trial. We gathered opinions, thoughts, and the meanings participants attributed to their experiences of CN and its physical, socio-economic, and physiological effects and how this affected their families, and relationships. We analysed the interviews using Inductive Thematic Analysis. Results: Four analytic themes were identified: 1) ‘Trapped at home isolated and missing social life and daily life routines’; 2) ‘Disruption to people’s roles, responsibilities, relationships, and mobility, which people adapted to try and address and manage’; 3) ‘Pain which participants related to the direct or indirect consequences of wearing the cast or boot’; 4) ‘Blame for developing CN, attributed to themselves and healthcare professionals’. Participants described guilt about needing more support, expressing frustration, low mood, and low self-esteem. Conclusion: This study highlights experiential aspects of the previously unrecognised burden of CN. Its physical, social, and emotional impact on participants and their families is substantial and sustained. There is a need to raise clinical awareness of CN and its wider effects.

Item Type: Article
Additional Information: Funding Information: Catherine Gooday, Clinical Doctoral Research Fellow (ICA‐CDRF‐2015‐01‐050) is funded by Health Education England (HEE)/National Institute for Health Research (NIHR) for this research project. The views expressed in this publication are those of the author(s) and not necessarily those of the NIHR, NHS or the UK Department of Health and Social Care.
Uncontrolled Keywords: endocrinology,internal medicine,endocrinology, diabetes and metabolism,sdg 3 - good health and well-being ,/dk/atira/pure/subjectarea/asjc/1300/1310
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
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Depositing User: LivePure Connector
Date Deposited: 05 Jan 2022 09:30
Last Modified: 01 Jun 2022 03:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/82887
DOI: 10.1111/dme.14784

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