Patient perception of group consultations for knee osteoarthritis and influence of area-level deprivation: a service evaluation in a physiotherapy musculoskeletal setting

Hugo Blatgé*, Sivaramkumar Shanmugam, Brian Slattery, Olivia Lewis, Zoe Nicol

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Downloads (Pure)

Abstract

Introduction

Group consultations are considered valuable for managing musculoskeletal (MSK) conditions. This service evaluation aimed to assess the perception of knee osteoarthritis (OA) patients regarding group consultations in NHS Lanarkshire's MSK service. It also explored the impact of area-level deprivation on patient engagement. 

Methods

Surveys were developed to gauge patient satisfaction, preferences, and experiences in virtual and face-to-face (FTF) group consultations. Patients were categorised into opt-out, did not attend (DNA), or opt-in groups. We used the Scottish Index of Multiple Deprivation for area-level deprivation analysis. Descriptive statistics were used for quantitative data, while qualitative data were thematically analysed.

Results

A total of 84 patients participated, and area-level deprivation was similar across groups. Common engagement barriers included disinterest and transportation issues in opt-out and DNA groups, and IT problems in the DNA virtual group. Most patients expressed a preference for one-on-one consultations. FTF opt-in patients reported high satisfaction and increased confidence in managing their condition post-consultation. Virtual opt-in patients had a more neutral satisfaction level and mixed confidence. They were also less comfortable interacting with others during the consultation. Thematic analysis revealed positive experiences, and areas for improvement such as individual privacy concerns and additional resources. 

Conclusion

Overall, patients were generally satisfied with group consultations for knee OA. The evaluation identified strategies to enhance engagement. Area-level deprivation did not significantly impact patient participation in group consultations.

Original languageEnglish
Article numbere1870
Pages (from-to)e1870
Number of pages8
JournalMusculoskeletal Care
Volume22
Issue number1
Early online date21 Feb 2024
DOIs
Publication statusPublished - Mar 2024

Keywords

  • area-level deprivation
  • engagement
  • group consultation
  • knee osteoarthritis
  • musculoskeletal
  • physiotherapy

ASJC Scopus subject areas

  • Rheumatology
  • Chiropractics
  • Orthopedics and Sports Medicine
  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Nursing (miscellaneous)

Fingerprint

Dive into the research topics of 'Patient perception of group consultations for knee osteoarthritis and influence of area-level deprivation: a service evaluation in a physiotherapy musculoskeletal setting'. Together they form a unique fingerprint.

Cite this