PMID- 36474800
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230918
IS  - 2665-9131 (Electronic)
IS  - 2665-9131 (Linking)
VI  - 4
IP  - 4
DP  - 2022 Dec
TI  - Understanding the behavioural determinants of seeking and engaging in care for 
      knee osteoarthritis in persons with type 2 diabetes mellitus: A qualitative study 
      using the theoretical domains framework.
PG  - 100305
LID - 10.1016/j.ocarto.2022.100305 [doi]
LID - 100305
AB  - OBJECTIVES: Symptomatic knee osteoarthritis (OA) frequently co-occurs in 
      individuals with type 2 diabetes mellitus (T2DM). In the context of T2DM, OA is 
      often underdiagnosed and undertreated. To elucidate strategies to improve OA care 
      in persons with T2DM, we assessed their perceptions of the barriers and enablers 
      to seeking and engaging in OA care. DESIGN: We conducted semi-structured 
      interviews with 18 individuals with T2DM and symptomatic knee OA in Ontario, 
      Canada. Transcripts were deductively coded using the Theoretical Domains 
      Framework (TDF), an implementation science framework that incorporates 
      theoretical domains of behaviour determinants, which can be linked to behaviour 
      change techniques. Within each of the relevant domains, data were thematically 
      analyzed to generate belief statements. RESULTS: Seven of the TDF domains 
      prominently influenced the behaviour to seek and engage in OA care. Participants 
      described insufficient receipt of OA knowledge to fully engage in care 
      (knowledge), feeling incapable of participating in physical activity due to joint 
      pain (beliefs about capabilities), uncertainty about effectiveness of therapies 
      (optimism) and lack of guidance from health care providers and insufficient 
      access to community programs/supports (environmental context and resources). Key 
      enablers were strong social support (social influences), sources of 
      accountability (behavioural regulation) and experiencing benefit from treatment 
      (reinforcement). Participants did not see concomitant T2DM as limiting the desire 
      to seek OA care. CONCLUSIONS: Among individuals with symptomatic knee OA and 
      T2DM, we identified behavioural determinants of seeking and engaging in OA care. 
      These will be mapped to behavioural change techniques to inform development of a 
      complex intervention.
CI  - (c) 2022 The Authors.
FAU - King, Lauren K
AU  - King LK
AD  - Department of Medicine, University of Toronto, Toronto, ON, Canada.
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
FAU - Krystia, Owen
AU  - Krystia O
AD  - Department of Medicine, University of Toronto, Toronto, ON, Canada.
FAU - Waugh, Esther J
AU  - Waugh EJ
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
AD  - Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.
FAU - MacKay, Crystal
AU  - MacKay C
AD  - Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.
FAU - Stanaitis, Ian
AU  - Stanaitis I
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
FAU - Stretton, Jane
AU  - Stretton J
AD  - Patient Research Partner, Toronto, ON, Canada.
FAU - Weisman, Alanna
AU  - Weisman A
AD  - Department of Medicine, University of Toronto, Toronto, ON, Canada.
AD  - Lunenfeld-Tanenbaum Research Institute, Mount Sinai Hospital, Toronto, ON, 
      Canada.
FAU - Ivers, Noah M
AU  - Ivers NM
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
AD  - Department of Community and Family Medicine, University of Toronto, Toronto, ON, 
      Canada.
FAU - Parsons, Janet A
AU  - Parsons JA
AD  - Department of Physical Therapy, University of Toronto, Toronto, ON, Canada.
AD  - Applied Health Research Centre and Li Ka Shing Knowledge Institute, St. Michael's 
      Hospital - Unity Health Toronto, Toronto, ON, Canada.
FAU - Lipscombe, Lorraine
AU  - Lipscombe L
AD  - Department of Medicine, University of Toronto, Toronto, ON, Canada.
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
FAU - Hawker, Gillian A
AU  - Hawker GA
AD  - Department of Medicine, University of Toronto, Toronto, ON, Canada.
AD  - Women's College Research Institute, Women's College Hospital, Toronto, ON, 
      Canada.
LA  - eng
PT  - Journal Article
DEP - 20220812
PL  - England
TA  - Osteoarthr Cartil Open
JT  - Osteoarthritis and cartilage open
JID - 101767068
PMC - PMC9718122
OTO - NOTNLM
OT  - Osteoarthritis
OT  - Qualitative
OT  - Theoretical domains framework
OT  - Type 2 diabetes mellitus
COIS- GAH has received research support as the Sir John and Lady Eaton Professor and 
      Chair of Medicine, Department of Medicine, University of Toronto; LL receives 
      salary support as the Director of the Novo Nordisk Network for Healthy 
      Populations, University of Toronto; all other authors declare no other 
      relationships or activities that could appear to have influenced the submitted 
      work.
EDAT- 2022/12/08 06:00
MHDA- 2022/12/08 06:01
PMCR- 2022/08/12
CRDT- 2022/12/07 02:08
PHST- 2022/03/22 00:00 [received]
PHST- 2022/07/27 00:00 [revised]
PHST- 2022/07/28 00:00 [accepted]
PHST- 2022/12/07 02:08 [entrez]
PHST- 2022/12/08 06:00 [pubmed]
PHST- 2022/12/08 06:01 [medline]
PHST- 2022/08/12 00:00 [pmc-release]
AID - S2665-9131(22)00073-5 [pii]
AID - 100305 [pii]
AID - 10.1016/j.ocarto.2022.100305 [doi]
PST - epublish
SO  - Osteoarthr Cartil Open. 2022 Aug 12;4(4):100305. doi: 
      10.1016/j.ocarto.2022.100305. eCollection 2022 Dec.