Peoples’ experiences of painful diabetic neuropathy: are pain management programmes appropriate?

2021 ◽  
pp. 204946372198975
Author(s):  
Ben Davies ◽  
Fiona Cramp ◽  
Jeremy Gauntlett-Gilbert ◽  
Candida S McCabe
Keyword(s):  
Pain Management ◽  
Diabetic Neuropathy ◽  
Thematic Analysis ◽  
Management Strategies ◽  
Painful Diabetic Neuropathy ◽  
Psychological Approach ◽  
Pragmatic Approach ◽  
Seeking Help ◽  
Psychological Coping ◽  
Inductive Thematic Analysis

Objective: Painful diabetic neuropathy (PDN) is a painful complication of diabetes. This study aimed to explore: (1) strategies used by participants to manage impacts of PDN and (2) their perspectives on whether strategies from pain management programmes (PMPs) had applicability for PDN. Design: Participants were recruited through local National Health Service (NHS) diabetes and PDN clinics, and nationally from a diabetes support charity. One-to-one interviews were conducted. The transcribed data were analysed using inductive thematic analysis. Results: Twenty-three people were interviewed who had PDN symptoms for mean 10 years. Four themes emerged from the data: seeking help and advice, pragmatic approach to management, perspectives on physical activity and perspectives on psychological coping strategies. Conclusion: Some participants were open to the strategies advised by PMP strategies. There were also strong opinions that no exercise or psychological approach could help with diabetes-related pain. It is possible PMPs as currently delivered need to be adapted to maximise engagement from people with PDN. Research is required to understand the healthcare priorities of people with PDN and whether these priorities can be mapped to existing management strategies.

scholarly journals Current Strategies for the Management of Painful Diabetic Neuropathy

2020 ◽  
pp. 193229682095182
Author(s):  
Michael D. Staudt ◽  
Tarun Prabhala ◽  
Breanna L. Sheldon ◽  
Nicholas Quaranta ◽  
Michael Zakher ◽  
...  
Keyword(s):  
Diabetic Neuropathy ◽  
Multidisciplinary Treatment ◽  
Management Strategies ◽  
Treatment Modalities ◽  
Painful Diabetic Neuropathy ◽  
Pharmacological Management ◽  
Adequate Pain Relief ◽  
Opioid Induced Hyperalgesia ◽  
Significant Disability ◽  
Considerable Morbidity

The development of painful diabetic neuropathy (PDN) is a common complication of chronic diabetes that can be associated with significant disability and healthcare costs. Prompt symptom identification and aggressive glycemic control is essential in controlling the development of neuropathic complications; however, adequate pain relief remains challenging and there are considerable unmet needs in this patient population. Although guidelines have been established regarding the pharmacological management of PDN, pain control is inadequate or refractory in a high proportion of patients. Pharmacotherapy with anticonvulsants (pregabalin, gabapentin) and antidepressants (duloxetine) are common first-line agents. The use of oral opioids is associated with considerable morbidity and mortality and can also lead to opioid-induced hyperalgesia. Their use is therefore discouraged. There is an emerging role for neuromodulation treatment modalities including intrathecal drug delivery, spinal cord stimulation, and dorsal root ganglion stimulation. Furthermore, consideration of holistic alternative therapies such as yoga and acupuncture may augment a multidisciplinary treatment approach. This aim of this review is to focus on the current management strategies for the treatment of PDN, with a discussion of treatment rationale and practical considerations for their implementation.

An Inductive Thematic Analysis of Male Competitive Figure Skaters’ Experiences of Weight Pressure in Sport

2018 ◽  
Vol 12 (4) ◽  
pp. 614-629 ◽  
Author(s):  
Dana K. Voelker ◽  
Justine J. Reel
Keyword(s):  
Body Image ◽  
Thematic Analysis ◽  
Management Strategies ◽  
Specific Weight ◽  
Sport Performance ◽  
Contextual Influences ◽  
Exercise Behaviors ◽  
Figure Skaters ◽  
Inductive Thematic Analysis ◽  
The Ideal

The purpose of this qualitative investigation was to examine male competitive figure skaters’ experiences of weight pressure in sport. Specifically, male skaters’ perceptions of the ideal skating body, sources of weight pressure in elite figure skating, and the perceived role of their sport in shaping body image, athletic performance, eating, and exercise behaviors were explored. Through a social constructivist lens, an inductive thematic analysis was used to examine the contextual influences of the skating environment. Thirteen male figure skaters ages 16–24 (M = 18.53, SD = 3.33) with an average 10.38 years of skating experience (SD = 4.05) were interviewed. Skaters identified the parameters for the ideal body in skating along with specific weight pressures, body image concerns, and weight management strategies. Similar to female skaters, male skaters perceived that body image affected psychological factors that influence sport performance. Sport psychologists and consultants should be attentive to the skating environment and how specific performance and appearance demands may influence an athlete’s mindset.

scholarly journals ‘Stretched thin with little children’ – smoking perceptions and experiences of families seeking help with parenting

2020 ◽  
pp. 136749352096783
Author(s):  
Nicola Brown ◽  
Tim Luckett ◽  
Patricia M Davidson ◽  
Michelle DiGiacomo
Keyword(s):  
Smoking Cessation ◽  
Cigarette Smoking ◽  
Coping Strategy ◽  
Thematic Analysis ◽  
Pregnancy Outcomes ◽  
Early Years ◽  
Structured Interviews ◽  
Professional Help ◽  
Seeking Help ◽  
Inductive Thematic Analysis

Cigarette smoking is the leading preventable cause of poor pregnancy outcomes. Pregnancy is a trigger for smoking cessation yet, up to 50% of parents will relapse in the early years of their child’s life. This study explored the smoking-related perceptions and experiences of 11 parents seeking professional help with the care and parenting of babies and toddlers using semi-structured interviews. Inductive thematic analysis identified three themes: parenting as a change catalyst, smoking as a parenting challenge and smoking as a coping strategy. Becoming a parent is a catalyst to reduce the associated risks and stigma associated with smoking, but maintaining rules and boundaries can be perceived as a further burden for parents who are struggling to care for their infant. When faced with difficulties with parenting, parents may revert to smoking as a coping strategy. Based on these study findings, interventions targeting gender norms may be useful in addressing smoking cessation.

scholarly journals Domestic abuse amongst female doctors: thematic analysis of qualitative interviews

2020 ◽  
pp. BJGP.2020.0795
Author(s):  
Emily Donovan ◽  
Miriam Santer ◽  
Gavin Daker-White ◽  
Sara Morgan ◽  
Merlin Luke Willcox
Keyword(s):  
Lived Experience ◽  
Thematic Analysis ◽  
Acute Stress ◽  
Domestic Abuse ◽  
Qualitative Interviews ◽  
Abusive Relationship ◽  
Telephone Interviews ◽  
Seeking Help ◽  
Professional Isolation ◽  
Inductive Thematic Analysis

Background: Doctors can be victim-survivors of domestic abuse (DA) but it is not well understood how this impacts on their work and wellbeing, and whether they face barriers to seeking help. Aim: To understand single doctor mothers’ lived experience of DA, barriers to seeking help and impact on their work. Design and setting. Individual qualitative interviews with female doctors who had left an abusive relationship. Methods: Participants were invited via a closed online forum for female doctors who are single parents. 114 women expressed interest and 21 participated. In-depth semi-structured telephone interviews were audio-recorded and transcribed. Transcripts were uploaded to NVivo and analysed using inductive thematic analysis. Results: The internalised stigma of DA affected participants’ sense of identity and belonging as a doctor, causing social and professional isolation. Many participants felt that the acute stress of DA had an impact on their work, yet were often felt unable to take time off. Barriers to seeking help included lack of confidentiality especially where the abusive partner was also a doctor (sometimes accusing the victim-survivor of mental illness or threatening to report them to the GMC). Participants found peer support helpful, as well as consulting health professionals (HPs) who were empathic towards them. After they had left the abusive relationship victim-survivors felt better equipped to support patients going through DA.

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