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Tissue Collection and RNA Extraction from the Human Osteoarthritic Knee Joint
Published on: July 22, 2021
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How Do People Communicate About Knee Osteoarthritis? A Discourse Analysis
Samantha Bunzli1, Nicholas Taylor2,3, Penny O'Brien1
1University of Melbourne, Department of Surgery, St Vincent's Hospital Melbourne, Victoria, Australia.
Pain Medicine (Malden, Mass.)
|January 27, 2021
Summary
People with knee osteoarthritis often view their condition through an "impairment" lens, potentially limiting physical activity. A "participatory" discourse, focusing on capabilities, may encourage more engagement in recommended physical activity.
Area of Science:
- Rheumatology
- Rehabilitation Medicine
- Health Psychology
Background:
- Knee osteoarthritis (KOA) is a prevalent condition affecting mobility and quality of life.
- Clinical practice guidelines recommend physical activity for KOA management.
- Understanding patient and clinician perceptions is crucial for effective intervention.
Purpose of the Study:
- To explore how people discuss knee osteoarthritis (KOA).
- To examine the influence of these discussions on engagement with physical activity and interventions.
- To align communication strategies with clinical practice guidelines.
Main Methods:
- Qualitative synthesis using discourse analysis.
- Systematic review of qualitative studies on KOA perceptions.
- Inductive discourse analysis of 1,673 direct quotes from 56 studies.
Main Results:
- Two dominant discourses identified: 'impairment' and 'participation'.
- The 'impairment' discourse, viewing KOA as inevitable wear and tear needing medical repair, was prevalent.
- The 'participatory' discourse, emphasizing remaining active despite KOA, often coexisted.
Conclusions:
- The 'impairment' discourse may hinder physical activity engagement and increase medical dependency.
- A 'participatory' discourse can encourage physical activity by focusing on abilities, aligning with clinical guidelines.
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