Mu-Hsing Ho, Jed Montayre, Hui-Chen Rita Chang, Jee Young Joo, Mohammad Mehdi Naghibi Sistani, Yen-Kuang Lin, Victoria Traynor, Chia-Chi Chang, Megan F Liu
Validation and evaluation of the Mandarin version of the oral health literacy adult questionnaire in Taiwan
Public health nursing (Boston, Mass.)
according epidemiological studies psychosocial factors known associated disease activity physical activity pain functioning treatment helpseeking treatment waiting times mortality people rheumatoid arthritis ra limited qualitative inquiry psychosocial factors add ra disease burden potential synergistic interactions biological parameters makes difficult understand patients perspectives existing literature study aimed gather indepth patient perspectives psychosocial determinants drive persistently active disease ra help guide optimal patient care patient research partners collaborated research design materials semistructured interviews focus groups conducted online 2021 patients purposively sampled diverse ethnicities primary languages employment status occupations data analysed using inductive thematic analysis 45 patients participated across 28 semistructured interviews three focus groups six main themes psychosocial determinants may impact ra management identified 1 healthcare systems experiences 2 patient education health literacy 3 employment working conditions 4 social familial support 5 socioeconomic disadvantages 6 life experiences wellbeing practices study emphasises importance clinicians working closely patients taking holistic approach care incorporates psychosocial factors assessments treatment plans resources unmet need understand relationships interconnected biopsychosocial factors may impact ra management