Development of a patient-reported outcome measure for the foot affected by rheumatoid arthritis

Walmsley, Steven; Ravey, M; Graham, Andrea; Teh, Lee‐Suan; Williams, Anita

doi:10.1016/j.jclinepi.2011.11.005

Cited by 13 publications

(17 citation statements)

References 41 publications

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“…The use of foot health measurement tools, such the Foot Impact Scale (Helliwell et al, ) or the Salford Arthritis Foot Evaluation instrument (Walmsley, ), are considered as being a desirable adjunct to clinical practice in order to evaluate the impact of foot problems on the individual, but also to provide evidence for the level of effectiveness of interventions. Further to these measurement tools, the use of musculoskeletal ultrasound is considered a useful method of monitoring foot health, as well as its role in the assessment and diagnosis of specific foot and ankle pathology (Bowen, ).…”

Section: Resultsmentioning

confidence: 99%

Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis

Williams

Davies

Graham

et al. 2011

Musculoskeletal Care

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Section: Resultsmentioning

confidence: 99%

Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis

Williams

Davies

Graham

et al. 2011

Musculoskeletal Care

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“…The questions were formulated from themes identified from analysis of the focus group data, with open response questions (qualitative data) [18] and fixed response questions (quantitative data) [n = 4], in order to provide the key features of the participants, such as age, gender and educational level.…”

Section: Methodsmentioning

confidence: 99%

Guidelines for the management of people with foot health problems related to rheumatoid arthritis: a survey of their use in podiatry practice

Williams

Graham

Davies

et al. 2013

Journal of Foot and Ankle Research

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BackgroundIn the last decade there has been a significant expansion in the body of knowledge on the effects of rheumatoid arthritis (RA) on the foot and the management of these problems. Aligned with this has been the development of specialist clinical roles for podiatrists. However, despite being recommended by national guidelines, specialist podiatrists are scarce. In order to inform non-specialist podiatrists of the appropriate interventions for these foot problems, management guidelines have been developed and disseminated by a group of specialist podiatrists. The aim of this survey was to investigate the use of these guidelines in clinical practice.MethodFollowing ethical approval an online questionnaire survey was carried out. The questions were formulated from a focus group and comprised fixed response and open response questions. The survey underwent cognitive testing with two podiatrists before being finalised. An inductive approach using thematic analysis was used with the qualitative data.Results245 questionnaires were completed (128–non-specialist working in the private sector, 101 non–specialists working in the NHS and 16 specialist podiatrists). Overall, 97% of the non-specialists (n = 222) had not heard of the guidelines. The non-specialists identified other influences on their management of people with RA, such as their undergraduate training and professional body branch meetings. Three main themes emerged from the qualitative data: (i) the benefits of the foot health management guidelines, (ii) the barriers to the use of guidelines generally and (iii) the features of useable clinical guidelines.ConclusionsThis study has revealed some crucial information about podiatrists’ level of engagement with the foot health management guidelines and the use of guidelines in general. Specifically, the non-specialist podiatrists were less likely to use the foot health management guidelines than the specialist podiatrists. The positive aspects were that for the specialist practitioners, the guidelines helped them to identify their professional development needs and for the few non-specialists that did use them, they enabled appropriate referral to the rheumatology team for foot health management. The barriers to their use included a lack of understanding of the risk associated with managing people with RA and that guidelines can be too long and detailed for use in clinical practice. Suggestions are made for improving the implementation of foot health guidelines.

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“…Specific tools for measuring the impact of foot pathology on foot pain, function and disability have been validated. However, only three are specific to people with RA-related foot problems (Foot Function Index -Budiman-Mak et al 1991;Foot Impact Scale -Helliwell et al 2005; Salford Arthritis Foot Evaluation Tool - Walmsley et al 2012) and a further one still requires further validation for part B of the Salford Arthritis Foot Evaluation Tool (Walmsley et al 2012).…”

Section: The Foot Health Status Questionnairementioning

confidence: 99%

“…The Salford Arthritis Foot Evaluation (SAFE) (Walmsley et al 2012) tool incorporates the development of items that have meaning to both the patient and clinician. It has a nomothetic scale (SAFE-Part A-19 items) that focuses on impairment, disability and footwear, and an idiographic scale (SAFE-Part B-42 items) that focuses on the impact, feelings and experiences of living with feet affected with RA.…”

Section: The Salford Arthritis Foot Evaluation Toolmentioning

confidence: 99%

“…Living with feet affected by RA often results in diverse and multidimensional implications for the patient. These are in relation to physical capacity, mental resilience and general wellbeing (Walmsley et al 2012) and in respect of how the physical changes in the feet affect overall body image (Williams and Graham 2012) creating restrictions for social activities through not being able to wear footwear of choice and style suitable to the occasion. The authors of two qualitative studies (Otter et al 2012;Wickman et al 2004) investigating women' s experience of wearing specialist therapeutic footwear concluded that, unlike any other intervention, specialist therapeutic footwear replaces something that is normally worn and is part of an individual' s body image.…”

Section: Kinematicsmentioning

confidence: 99%

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Rheumatic Diseases

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2015

Management of Chronic Conditions in the Foot and Lower Leg

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Development of a patient-reported outcome measure for the foot affected by rheumatoid arthritis

Cited by 13 publications

References 41 publications

Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis

Guidelines for the Management of the Foot Health Problems Associated with Rheumatoid Arthritis

Guidelines for the management of people with foot health problems related to rheumatoid arthritis: a survey of their use in podiatry practice

Rheumatic Diseases

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