“You can’t Cure it so you have to Endure it”: The Experience of Adaptation to Diabetic Renal Disease

King, Nigel; Carroll, Craig; Newton, Peggy; Dornan, Tim

doi:10.1177/104973202129119928

Cited by 83 publications

(79 citation statements)

References 28 publications

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“…Others have used Template Analysis to code similar types of qualitative data. 19,[21][22][23] In Template Analysis, thematic categories are predetermined a priori according to the researchers' study goals (e.g., physicians' opinions of WHI and their counseling strategies around HT discontinuation). Categories are usually organized in a hierarchical fashion, with more global overarching themes encompassing more specific categories.…”

Section: Discussionmentioning

confidence: 99%

“…Categories are usually organized in a hierarchical fashion, with more global overarching themes encompassing more specific categories. 19 Multiple readings and coding of transcripts and modifications to the coding template proceed in an iterative fashion. Initial coding templates are modified based on coding the transcripts and comparing revised templates with other coders; new codes are added when data do not fit conceptually within the predetermined categories.…”

Section: Discussionmentioning

confidence: 99%

“…19 The study team developed an interview guide consisting of a priori open-ended questions to address (1) physicians' attitudes about using HT, …”

Section: Designmentioning

confidence: 99%

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How the Women’s Health Initiative (WHI) Influenced Physicians’ Practice and Attitudes

et al. 2007

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BACKGROUND:The landmark Women's Health Initiative (WHI) Postmenopausal Hormone Therapy Trial published in 2002 showed that the health risks of combination hormone therapy (HT) with estrogen and progestin outweighed the benefits in healthy postmenopausal women. Dissemination of results had a major impact on prescriptions for, and physician beliefs about HT. No study has fully examined the influence of the widely publicized WHI on physicians' practice and attitudes or their opinions of the scientific evidence regarding HT; in addition, little is known about how physicians assist women in their decisions regarding HT. DESIGN AND PARTICIPANTS:We conducted in-depth telephone interviews with family practitioners, internists, and gynecologists from integrated health care delivery systems in Washington State (n=10 physicians) and Massachusetts (n=12 physicians). Our objectives were to obtain qualitative information from these physicians to understand their perspectives on use of HT, the scientific evidence regarding its risks and benefits, and counseling strategies around HT use and discontinuation.APPROACH: We used Template Analysis to code transcribed telephone interviews and identify themes. RESULTS:Physicians were conflicted about the WHI results and its implications. Seven themes identified from in-depth interviews suggested that the WHI (1) was a ground-breaking study that changed clinical practice, including counseling; (2) was not applicable to the full range of patients seen in clinical practice; (3) raised concerns over the impact of publicized health information on women; (4) created uncertainty about the risks and benefits of HT; (5) called for the use of decision aids; (6) influenced discontinuation strategies; and (7) provided an opportunity to discuss healthy lifestyle options with patients. As a result of the WHI, physicians reported they no longer prescribe HT for prevention and were more likely to suggest discontinuation, although many felt women should be in charge of the HT decision.CONCLUSIONS: Physicians varied in their opinions of HT and the scientific evidence (positive and negative). Whereas the WHI delineated the risks and benefits of HT, physicians reported that decision aids are needed to guide discussions with women about menopause and HT. Better guidance at the time of WHI study publication might have been valuable to ensure best practices.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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How the Women’s Health Initiative (WHI) Influenced Physicians’ Practice and Attitudes

et al. 2007

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“…Themes which permeate several distinct clusters are sometimes referred to as "integrative themes." For example, in a study of the experience of diabetic renal disease, King et al (2002) identified "stoicism" and "uncertainty" as integrative themes because these aspects of experience tended to infuse much of the discussion whatever the foreground issue. 4.…”

Section: What Is Template Analysis?mentioning

confidence: 99%

The Utility of Template Analysis in Qualitative Psychology Research

Brooks

McCluskey

Turley

et al. 2014

Qualitative Research in Psychology

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1,128

863

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“…McKee et al (2002), for instance, in a study of the frail elderly, obtained very low response rates for a number of quality-of-life measures used among this population. Irrespective of other data obtained, such rates suggest that in many cases, the instruments employed provide limited opportunity for people to describe personal experience in terms relevant to them (see also King, Carroll, Newton, & Dornan, 2002).…”

Section: Discussionmentioning

confidence: 99%

Is Quality of Life a Healthy Concept? Measuring and Understanding Life Experiences of Older People

Hendry¹,

McVittie

2004

Qual Health Res

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The concept of quality of life has received considerable attention as an inclusive notion of health and as a basis for health interventions. The authors’ argument in this article is that notwithstanding this attention, little consensus exists as to definition of the term. In addition, a focus on measurement has led to the neglect of wider aspects of quality of life. Such difficulties are particularly relevant to the study of quality of life of older people. Analysis of interview data suggests that older people’s understandings of quality of life are not readily measurable and should be viewed in terms of phenomenological experience. The authors discuss the implications for studying quality of life of this group and difficulties for the concept itself.

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“You can’t Cure it so you have to Endure it”: The Experience of Adaptation to Diabetic Renal Disease

Cited by 83 publications

References 28 publications

How the Women’s Health Initiative (WHI) Influenced Physicians’ Practice and Attitudes

How the Women’s Health Initiative (WHI) Influenced Physicians’ Practice and Attitudes

The Utility of Template Analysis in Qualitative Psychology Research

Is Quality of Life a Healthy Concept? Measuring and Understanding Life Experiences of Older People

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