‘But you don’t look sick’: a qualitative analysis of the LUPUS UK online forum
Authors
Barrere, Colette
Publication Date
2020-10-26Journal Title
Rheumatology International
ISSN
0172-8172
Publisher
Springer Berlin Heidelberg
Volume
41
Issue
4
Pages
721-732
Language
en
Type
Article
This Version
VoR
Metadata
Show full item recordCitation
Sloan, M., Bosley, M., Blane, M., Holloway, L., Barrere, C., D’Cruz, D., Walia, C., et al. (2020). ‘But you don’t look sick’: a qualitative analysis of the LUPUS UK online forum. Rheumatology International, 41 (4), 721-732. https://doi.org/10.1007/s00296-020-04726-x
Description
Funder: University of Cambridge
Abstract
Abstract: Lupus is a multi-system autoimmune rheumatic disease with increased morbidity and mortality. Some manifestations are life-threatening with many aspects of living with the disease, difficulties in diagnosis and accessing appropriate medical care, having an impact on quality of life. The disease itself, and these patients’ perspectives, are currently poorly understood and under-researched. The LUPUS UK forum of conversations between over 25,000 members provides a rich environment to explore the views of these patients. Conversations on the LUPUS UK online forum were qualitatively explored using virtual ethnography and thematic analysis. The forum itself and positive medical relationships were widely considered to provide a means of support, understanding and validation. Forum members expressed difficulties in diagnosis, disease management, and the psychological and physical impact of living with an unpredictable, poorly understood disease, often with life-changing symptoms. Invalidating personal, social and medical environments were perceived as exacerbating these difficulties. Delays in diagnosis and misdiagnoses were frequently discussed as causing significant damage, especially when symptoms were disbelieved or dismissed. Invalidation was the key theme with further themes of: Uncertainty, Medical (mis)communications and misunderstandings, Navigating health systems and Resilience and support. Although effective care and support was reported by some members, the negative impact of living with an incurable, life-changing disease was often exacerbated by perceived invalidation, uncertainty, and difficulties in multiple areas of members’ lives. Improved knowledge of the disease and greater support at all stages of the diagnostic journey could improve outcomes and quality of life for these patients.
Keywords
Observational Research, Lupus, Patient views, Patient–physician interaction, Quality of life, Misdiagnosis, Holistic care
Identifiers
s00296-020-04726-x, 4726
External DOI: https://doi.org/10.1007/s00296-020-04726-x
This record's URL: https://www.repository.cam.ac.uk/handle/1810/329976
Rights
Licence:
http://creativecommons.org/licenses/by/4.0/
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