Nicássia Cioquetta Lock, Maria Laura Gazola, Patrícia Kolling Marquezan, Julio Eduardo do Amaral Zenkner, Luana Severo Alves
Association between Sense of Coherence and Caries Activity and Caries Experience among Male Adolescents from Southern Brazil: A Cross-Sectional Study
Caries research
despite continuous improvements antirheumatic pharmacological treatment people chronic inflammatory arthritis still report substantial disease impact based framework complex interventions thus developed inselma novel nursecoordinated multidisciplinary selfmanagement intervention patients rheumatoid arthritis psoriatic arthritis axial spondyloarthritis based individual biopsychosocial assessments rheumatology nurse facilitated goal setting coordinated interdisciplinary support aim study explore patients experience participating sixmonths inselma intervention individual semistructured interviews conducted 15 participants final followup thematic analysis applied analysis derived four overall themes 1 new opportunity right time participants disease impacted areas daily life participation inselma experienced opportunity improve symptoms together reduce longheld challenges fought alone 2 importance personcentred goals participants found meaningful work individual goals encompassed physical psychological social factors time consultations work goals home important 3 empathy partnership little nudging health professionals essential empathic nurses continuous support coaching helped participants become aware resources participants highlighted access support physiotherapist occupational therapist rheumatology experience important 4 got could hoped participants experienced decreased symptom load improvement physical strength mobility sleep mood well increased energy knowledge selfmanagement ability participants expressed new hope future improved ability manage symptoms work towards new goals participants found inselma intervention meaningful feasible experienced decreased disease impact increased activity levels facilitated empathy selfmanagement support health professionals