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How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers.

Publication ,  Journal Article
Mitchell, D; Lesoon, L; Edens, C; Kazmerski, TM; Stransky, OM; Cameron, FA; Clowse, MEB; Borrero, S; Hamm, M; Talabi, MB
Published in: J Rheumatol
February 2023

OBJECTIVE: Rheumatologists have identified challenges to providing sexual and reproductive health (SRH) care to patients with gestational capacity. We conducted focus groups with rheumatologists and rheumatology advanced practice providers (APPs) to elicit their solutions to overcoming barriers to SRH care. METHODS: Qualitative focus groups were conducted with rheumatologists (3 groups) and APPs (2 groups) using videoconferencing. Discussions were transcribed and 2 trained research coordinators developed a content-based codebook. The coordinators applied the codebook to transcripts, and discrepancies were adjudicated to full agreement. The codes were synthesized and used to conduct a thematic analysis. Differences in codes were also identified between the clinician groups by provider type. RESULTS: A total of 22 clinicians were included in the sample, including 12 rheumatologists and 10 APPs. Four themes emerged: (1) clinicians recommended preparing patients to engage in SRH conversations before and during clinic visits; (2) consultation systems are needed to facilitate rapid SRH care with women's health providers; (3) clinicians advised development of training opportunities and easy-to-access resources to address SRH knowledge gaps; and (4) clinicians recommended that educational materials about SRH in the rheumatology context are provided for patients. Although similar ideas were generated between the APP and rheumatologist groups, the rheumatologists were generally more interested in additional training and education, whereas APPs were more interested in electronic health record prompts and tools. CONCLUSION: Providers identified many potential solutions and facilitators to enhancing SRH care in rheumatology that might serve as a foundation for intervention development.

Duke Scholars

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Published In

J Rheumatol

DOI

EISSN

1499-2752

Publication Date

February 2023

Volume

50

Issue

2

Start / End Page

240 / 245

Location

Canada

Related Subject Headings

  • Sexual Behavior
  • Rheumatology
  • Rheumatologists
  • Reproductive Health
  • Humans
  • Focus Groups
  • Female
  • Arthritis & Rheumatology
  • 3204 Immunology
  • 3202 Clinical sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Mitchell, D., Lesoon, L., Edens, C., Kazmerski, T. M., Stransky, O. M., Cameron, F. A., … Talabi, M. B. (2023). How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers. J Rheumatol, 50(2), 240–245. https://doi.org/10.3899/jrheum.220217
Mitchell, Daiva, Leslie Lesoon, Cuoghi Edens, Traci M. Kazmerski, Olivia M. Stransky, Flor A. Cameron, Megan E. B. Clowse, Sonya Borrero, Megan Hamm, and Mehret Birru Talabi. “How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers.J Rheumatol 50, no. 2 (February 2023): 240–45. https://doi.org/10.3899/jrheum.220217.
Mitchell D, Lesoon L, Edens C, Kazmerski TM, Stransky OM, Cameron FA, et al. How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers. J Rheumatol. 2023 Feb;50(2):240–5.
Mitchell, Daiva, et al. “How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers.J Rheumatol, vol. 50, no. 2, Feb. 2023, pp. 240–45. Pubmed, doi:10.3899/jrheum.220217.
Mitchell D, Lesoon L, Edens C, Kazmerski TM, Stransky OM, Cameron FA, Clowse MEB, Borrero S, Hamm M, Talabi MB. How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers. J Rheumatol. 2023 Feb;50(2):240–245.

Published In

J Rheumatol

DOI

EISSN

1499-2752

Publication Date

February 2023

Volume

50

Issue

2

Start / End Page

240 / 245

Location

Canada

Related Subject Headings

  • Sexual Behavior
  • Rheumatology
  • Rheumatologists
  • Reproductive Health
  • Humans
  • Focus Groups
  • Female
  • Arthritis & Rheumatology
  • 3204 Immunology
  • 3202 Clinical sciences