Navigating radiography as a larger-bodied patient: a qualitative exploration

Area of Science:

• Medical Imaging and Radiotherapy
• Patient Experience Research
• Health Equity

Background:

• Radiographic technologies present challenges for patients with larger bodies in medical imaging and radiotherapy.
• Existing research primarily focuses on staff attitudes, neglecting the patient perspective.

Purpose of the Study:

• To investigate the qualitative experiences of larger-bodied adults within UK radiographic services.
• To understand patient-reported barriers and facilitators in medical imaging and radiotherapy.

Main Methods:

• A cross-sectional online survey was distributed via social media.
• Anonymous data collection included demographics and impactful experiences in radiographic services.
• Thematic analysis was performed by three researchers to identify key themes.

Main Results:

• 92 participants shared experiences, primarily in medical imaging (98.9%) and some in radiotherapy (16.3%).
• Identified themes included 'sense of self,' 'exacerbating factors,' and 'emotional impacts.'
• Recurrent issues in access and care were noted, alongside examples of good practice, impacting future healthcare engagement.

Conclusions:

• Significant shortcomings exist in radiographic care for larger and taller individuals, including unsuitable equipment and stigmatizing staff attitudes.
• These shortcomings contribute to patient exclusion, blame, and subsequent healthcare avoidance.
• Immediate attention is required to address these systemic issues and improve patient care.