Bijl, G. van der (Geraldine) (2014) Verschillen in de waardering van zelfmanagementadviezen bij milde SOLK tussen behandelaren en patiënten. thesis, Medicine.
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Abstract
Background Medically unexplained symptoms (MUS) are physical symptoms medical examination can't account for by finding somatic, underlying pathology and which continue for several weeks. As an integral part of an eHealth MUS-system for general practitioners this study comprises the first steps of a webapplication, that focuses on personalized support of self-management aimed at patients with mild MUS, which is designed by the University Medical Center Groningen (UMCG). The main objective of this study was to explore differences in the appraisal of prototypical self-management advice, from professional guidelines, between MUS-therapists and MUS-patients. Methods For the quantitative part of this study, an inventory was made of differences in the appraisal of prototypical self-management advice, from professional guidelines, between MUS-therapists (n=26) and MUS-patients (n=44) by means of a questionnaire, which contained twelve self-management suggestions, divided into four subcategories. Subsequently, for the qualitative part of the study an inventory was made of self-management advice used bij MUS-patients by means of a semi-structured groupdiscussion with MUS experts of experience (n=25) during once-only meetings with patient focusgroups. Four focusgroup meetings were set up, namely one focusgroup for fibromyalgia (n=8), one focusgroup for Chronic Fatigue Syndrome (n=5) and two focusgroups for Irritable Bowel Syndrome (n=5, n=7). Results The quantitative, first part of this study showed, with the exception of relaxation advice, prototypical self-management advice, from the professional guidelines, to be appraised as more suitable by MUS-therapists than by MUS-patients. This difference between therapists and patients was significant (U=369.00, p=.01). The qualitative, second part of this study showed acceptance, relaxation and listening to the body to be the most valuable, self-applied advice by MUS experts of experience. Conclusion This study has provided insight into the differences in appraisal of prototypical self-management advice, from professional guidelines, between MUS-therapists and MUS-patients. Prototypical advice, with the exception of relaxation advice, is appraised as more suitable by MUS-therapists than by MUS-patients. This insight can be useful in the development of the webapplication, that focuses on personalized support of self-management aimed at patients with mild MUS. In addition MUS-therapists could benefit in the advised stepped care approach and treatment of MUS-patients by being more attentive to acceptance, relaxation and listening to the body in achieving a custom-fit treatment, to mutual contentment.
| Item Type: | Thesis (Thesis) |
|---|---|
| Supervisor name: | Rosmalen, professor dr. J.G.M. and ICPE, UMCG |
| Faculty: | Medical Sciences |
| Date Deposited: | 25 Jun 2020 11:03 |
| Last Modified: | 25 Jun 2020 11:03 |
| URI: | https://umcg.studenttheses.ub.rug.nl/id/eprint/2297 |
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