Voices of African American Older Adults on the Implications of Social and Healthcare-Related Policies for Osteoarthritis Pain Care

Qualitative evidence synthesis using meta-ethnography to understand the experience of living with osteoarthritis pain

“…17,21,64,67,79,93,114,117,120,137,140,159,164 We included findings from 118 reports (105 unique samples) published between 1998 and 2021. 1–5,7,9–13,15,16,18,20,22–27,31 , 33,34,37,39,40,43-46,48,49 , 52–58,60,61,63,65,66,68–78 , 80-82,86-92,94-101 , 103–105,108–110,112,113,115,118,119 , 121,122,124-130,132-134,141-147 , 149–155,158,160–162,165–169 Table 2 presents the author, year of publication, country, condition, number of participants, and age. Most studies explored the experience of knee and hip osteoarthritis, and 30 of these specifically aimed to understand decision-making for hip or knee joint replacement surgery.…”

“…17,21,64,67,79,93,114,117,120,137,140,159,164 We included findings from 118 reports (105 unique samples) published between 1998 and 2021. [1][2][3][4][5]7,[9][10][11][12][13]15,16,18,20,[22][23][24][25][26][27]31,33,34,37,39,40,[43][44][45][46]48,49,[52][53][54][55][56][57][58...…”

“…It shows clearly that physicians have a fatalistic attitude towards osteoarthritis that they are not concerned. 5 This is my first appointment, listen to me; this is my 10th appointment, listen to me; I don't know how to express my needs, listen to me; the treatment isn't working, listen to me; I am having Please don't treat it as a trivial matter [1,4,5,7,13,16,22,31,33,39,44,46,55,65,70,72,78,80,82,86,87,89,91,94,95,97,100,101,103,108,113,119,126,129,130,133,134,141,144,145,166,168] trouble sitting for long periods, listen to me; what should I do next, listen to me. 100 However, experience of health professionals was variable, and some described positive examples of individual health professionals who had treated theme with generosity and kindness.…”

Osteoarthritis and social disadvantage interactions: retrospective overview and emergent findings and health implications

“…As well, system level strategies, including personalized cultural understandings along with attempts to comprehend the lived experiences of disadvantaged groups is also of possible high salience, even if not well studied to date. 44 As per Booker et al, 64 it is not only salient to do this as far as explaining osteoarthritis pain experiences and intervention needs, but may also highlight other clinically relevant issues that may otherwise limit the goal of achieving optimal intervention outcomes such as feelings of low empowerment as well as perceived or actual discrimination and care injustices. 50 Indeed, emerging data show resource deprivation alone and especially that which occurs early in life 40 is a significant observable contributor in its own right to perceived or actual osteoarthritis treatment inequities and outcomes.…”

“Be Strong My Sista'”

“…The methodological design and results of any study, particularly qualitative, are enhanced when the epistemological underpinning and authors' identity and positionality (eg, social location and educational status, assumptions, and power/privilege) are clearly noted 37 (Table ); these reflexive strategies along with bracketing and field notes helped bring attention to the authors' assumptions and biases that could influence analysis. As demonstrated by the introductory story, the PI's experiences are intricately woven into the conceptualization and approach to nursing research with an older racial minority population.…”