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Title: Pre-clinical development of a podiatry-led complex intervention for foot problems in people with rheumatoid arthritis
Author: Hennessy, Kym
Awarding Body: Glasgow Caledonian University
Current Institution: Glasgow Caledonian University
Date of Award: 2013
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Foot and ankle involvement in rheumatoid arthritis (RA) is common, and frequently impacts negatively on quality of life. Systemic interventions reduce overall disease activity. However, foot problems may continue even after reaching clinical remission. Therefore, non-pharmacological interventions are commonly utilised concurrently. These interventions have generally been investigated singularly, which does not reflect clinical practice. Thus, a complex intervention study investigating foot and ankle care in RA is needed. Prior to complex intervention study development, theoretical and evidence-based data is required to underpin the design. Therefore, the aim of this research was to provide this data through identifying the current evidence for the clinical effectiveness of foot and ankle care for people with RA, and determining the extent to which this evidence underpins current clinical practice guidelines, stakeholder attitudes and beliefs towards treatment and the interventions used in routine practice. To achieve this aim, three research components were chosen to be used in a mixed methods approach. The individual research components were essential for showing the current evidence base for nonp-harmacological management of the foot and ankle in RA, identifying the minimal clinical standard required in a complex intervention, and determining the views of the major stakeholders regarding foot and ankle care in RA and identifying if these views were reflected in current practice. This in turn showed the complexity of an intervention of this nature and helped to determine the required components and design considerations for a complex intervention study.
Supervisor: Not available Sponsor: Not available
Qualification Name: Thesis (Ph.D.) Qualification Level: Doctoral
EThOS ID:  DOI: Not available