The Identity Crisis of Osteoarthritis in General Practice: A Qualitative Study Using Video-Stimulated Recall

Paskins, Z.; Sanders, T.; Croft, P. R.; Hassell, A. B.

doi:10.1370/afm.1866

Cited by 56Patient-Provider Communication in HealthcarePrimary Care and Health OutcomesMusculoskeletal pain and rehabilitation

The Identity Crisis of Osteoarthritis in General Practice: A Qualitative Study Using Video-Stimulated Recall

Open access

Paskins, Z., Sanders, T., Croft, P. R., Hassell, A. B.·2015·The Annals of Family Medicine

DOI 10.1370/afm.1866PMC PMC4639379

Open this paper in CoChat — free account Open PDF

Abstract

PURPOSE: Patients and doctors report marked disenchantment with primary care consultation experiences relating to osteoarthritis. This study aimed to observe and analyze interactions between general practitioners (GPs) and patients presenting with osteoarthritis (OA) to identify how to improve care for OA. METHODS: We conducted an observational study in general practices in the United Kingdom using video-recorded real-life consultations of unselected patients and their GPs. Postconsultation interviews were conducted using video-stimulated recall. Both consultations and interviews were analyzed thematically. RESULTS: Three key themes were identified in an analysis of 19 OA consultations and the matched GP and patient interviews: complexity, dissonance, and prioritization. The topic of osteoarthritis arises in the consultation in complex contexts of multimorbidity and multiple, often not explicit, patient agendas. Dissonance between patient and doctor was frequently observed and reported; this occurred when GPs normalized symptoms of OA as part of life and reassured patients who were not seeking reassurance. GPs used wear and tear in preference to osteoarthritis or didn't name the condition at all. GPs subconsciously made assumptions that patients did not consider OA a priority and that symptoms raised late in the consultation were not troublesome. CONCLUSIONS: The lack of a clear illness profile results in confusion between patients and doctors about what OA is and its priority in the context of multimorbidity. This study highlights generic communication issues regarding the potential negative consequences of unsought reassurance and the importance of validation of symptoms and raises new arguments for tackling OA's identity crisis by developing a clearer medical language with which to explain OA.

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Integrity signals

Registry

Crossref · 10.1370/afm.1866

Cites

30 of 30 references verified0 citation errors · 0 not checkable

Statistics

Claims the paper makes

The claims and statistics of this paper haven’t been checked yet.

Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.

Claims other papers make about this one

Each is checked against this paper’s own text: does it say what the citing paper says it does?

Using dismissive or reassuring terms over factual explanations and empathy can be interpreted by patients as the GP trivialising their problem and lacking interest in their debilitating symptoms.
“However, using dismissive or reassuring terms over factual explanations and empathy can be interpreted by patients as the GP trivialising their problem [18,30,33] and lacking interest in their debilitating symptoms [30,34].”
From General practitioners’ views on managing knee osteoarthritis: a thematic analysis of factors influencing clinical practice guideline implementation in primary care (2018) · cites this paper as [33]
A UK study found limited time (13 min) and the presence of multiple co-morbidities (3 conditions on average) led to GPs spending minimal time on OA management and prioritising other conditions they perceived as greater threats to patient health.
“A UK study found limited time (13 min) and the presence of multiple co-morbidities (3 conditions on average) led to GPs spending minimal time on OA management and prioritising other conditions they perceived as greater threats to patient health [33].”
From General practitioners’ views on managing knee osteoarthritis: a thematic analysis of factors influencing clinical practice guideline implementation in primary care (2018) · cites this paper as [33]

Self-check

Percentages, sums and reported differences re-computed from the paper’s own numbers.

The self-check needs the paper’s full text.

Years lived with disability (YLDs) for 1160 sequelae of 289 diseases and injuries 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010
Vos, T., Flaxman, A. D., Naghavi, M., Lozano, R., Michaud, C., Ezzati, M., Shibuya, K., Salomon, J. A., Abdalla, S., Aboyans, V., et al. (2012) · The Lancet · doi:10.1016/s0140-6736(12)61729-2 · Cited by 8,291 · see citing works
Epidemiology of multimorbidity and implications for health care, research, and medical education: A cross-sectional study
Barnett, K., Mercer, S. W., Norbury, M., Watt, G., Wyke, S., & Guthrie, B. (2012) · The Lancet · doi:10.1016/s0140-6736(12)60240-2 · Cited by 6,972 · see citing works
OARSI recommendations for the management of hip and knee osteoarthritis, Part II: OARSI evidence-based, expert consensus guidelines
Zhang, W., Moskowitz, R. W., Nuki, G., Abramson, S., Altman, R. D., Arden, N., Bierma-Zeinstra, S., Brandt, K. D., Croft, P., Doherty, M., et al. (2008) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2007.12.013 · Cited by 2,796 · see citing works
Self-citation
OARSI recommendations for the management of hip and knee osteoarthritis
Zhang, W., Nuki, G., Moskowitz, R. W., Abramson, S. B., Altman, R. D., Arden, N., Bierma‐Zeinstra, S., Brandt, K. D., Croft, P. R., Doherty, M., et al. (2010) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2010.01.013 · Cited by 1,687 · see citing works
Self-citation
Knee pain and osteoarthritis in older adults: a review of community burden and current use of primary health care
Peat, G., McCarney, R., & Croft, P. (2001) · Annals of the Rheumatic Diseases · doi:10.1136/ard.60.2.91 · Cited by 1,338 · see citing works
Self-citation
EULAR evidence based recommendations for the management of hand osteoarthritis: Report of a Task Force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
Zhang, W., Doherty, M., Leeb, B. F., Alekseeva, L., Arden, N. K., Bijlsma, J. W., Dinçer, F., Dziedzic, K., Häuselmann, H. J., Herrero-Beaumont, G., et al. (2007) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2006.062091 · Cited by 1,338 · see citing works
EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis
Fernandes, L., Hagen, K. B., Bijlsma, J. W. J., Andreassen, Ø., Christensen, P., Conaghan, P. G., Doherty, M., Geenen, R., Hammond, A., Kjeken, I., et al. (2013) · Annals of the Rheumatic Diseases · doi:10.1136/annrheumdis-2012-202745 · Cited by 1,322 · see citing works
Pathogenesis and management of pain in osteoarthritis
Dieppe, P. A., & Lohmander, S. L. (2005) · The Lancet · doi:10.1016/s0140-6736(05)71086-2 · Cited by 1,214 · see citing works
EULAR evidence based recommendations for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT)
Zhang, W., Doherty, M., Arden, N. K., Bannwarth, B., Bijlsma, J. W. J., Günther, K.-P., Häuselmann, H. J., Herrero‐Beaumont, G., Jordan, K. M., Kaklamanis, P., et al. (2004) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2004.028886 · Cited by 781 · see citing works
EULAR evidence-based recommendations for the diagnosis of knee osteoarthritis
Zhang, W., Doherty, M., Peat, G., Bierma-Zeinstra, M. A., Arden, N., Bresnihan, B., Herrero‐Beaumont, G., Kirschner, S., Leeb, B. F., Lohmander, S. L., et al. (2009) · Annals of the Rheumatic Diseases · doi:10.1136/ard.2009.113100 · Cited by 754 · see citing works
Doctors talking to patients
Gray, D. P. (1984) · PubMed Central · Cited by 474 · see citing works
Patients' perceptions of medical explanations for somatisation disorders: qualitative analysis
Salmon, P., Peters, S., & Stanley, I. M. (1999) · BMJ · doi:10.1136/bmj.318.7180.372 · Cited by 366 · see citing works
The somatising effect of clinical consultation: What patients and doctors say and do not say when patients present medically unexplained physical symptoms
Ring, A., Dowrick, C. F., Humphris, G. M., Davies, J., & Salmon, P. (2005) · Social Science & Medicine · doi:10.1016/j.socscimed.2005.03.014 · Cited by 281 · see citing works
‘Justifiable depression’: How primary care professionals and patients view late-life depression? A qualitative study
Burroughs, H. (2006) · Family Practice · doi:10.1093/fampra/cmi115 · Cited by 220 · see citing works
A brief screening tool for knee pain in primary care (KNEST). 2. Results from a survey in the general population aged 50 and over
Jinks, C. (2003) · British journal of rheumatology · doi:10.1093/rheumatology/keg438 · Cited by 185 · see citing works
Self reported receipt of care consistent with 32 quality indicators: national population survey of adults aged 50 or more in England
Steel, N., Bachmann, M. O., Maisey, S., Shekelle, P., Breeze, E., Marmot, M. G., & Melzer, D. R. (2008) · BMJ · doi:10.1136/bmj.a957 · Cited by 178 · see citing works
Normalisation of unexplained symptoms by general practitioners: a functional typology.
Dowrick, C. F., Ring, A., Humphris, G. M., & Salmon, P. (2004) · Europe PMC (PubMed Central) · Cited by 173 · see citing works
Using video-recorded consultations for research in primary care: advantages and limitations
Coleman, T. (2000) · Family Practice · doi:10.1093/fampra/17.5.422 · Cited by 169 · see citing works
Primary care treatment of knee pain a survey in older adults
Porcheret, M., Jordan, K. P., & Jinks, C. (2007) · Lara D. Veeken · doi:10.1093/rheumatology/kem232 · Cited by 123 · see citing works
Addressing patient beliefs and expectations in the consultation
Main, C. J., Buchbinder, R., Porcheret, M., & Foster, N. E. (2010) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2009.12.013 · Cited by 86 · see citing works
Knee pain and osteoarthritis in the general population: what influences patients to consult?
Bedson, J., Mottram, S., Thomas, E., & Peat, G. (2007) · Family Practice · doi:10.1093/fampra/cmm036 · Cited by 84 · see citing works
The illness perceptions associated with health and behavioural outcomes in people with musculoskeletal hand problems: findings from the North Staffordshire Osteoarthritis Project (NorStOP)
Hill, S., Dziedzic, K., Thomas, E., Baker, S. R., & Croft, P. R. (2007) · Lara D. Veeken · doi:10.1093/rheumatology/kem015 · Cited by 81 · see citing works
Self-citation
What’s in a name? An experimental study of patients’ views of the impact and function of a diagnosis
Ogden, J., Branson, R., Bryett, A., Campbell, A., Febles, A., Ferguson, I., Lavender, H., Mizan, J., Simpson, R. G., & Tayler, M. (2003) · Family Practice · doi:10.1093/fampra/cmg304 · Cited by 56 · see citing works
Comparison of patient experiences of the osteoarthritis consultation with GP attitudes and beliefs to OA: a narrative review
Paskins, Z., Sanders, T., & Hassell, A. B. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-46 · Cited by 56 · see citing works
Self-citation
Getting under the skin of the primary care consultation using video stimulated recall: a systematic review
Paskins, Z., McHugh, G. A., & HASSELL, A. B. (2014) · BMC Medical Research Methodology · doi:10.1186/1471-2288-14-101 · Cited by 47 · see citing works
Self-citation
European League Against Rheumatism 2012 (EULAR)
Benamou, P.-H. (2012) · Médecine et Chirurgie du Pied · doi:10.1007/s10243-012-0344-1 · Cited by 39 · see citing works
Population survey comparing older adults with hip versus knee pain in primary care.
Linsell, L., Dawson, J., Zondervan, K. T., Rose, P. W., Carr, A. J., Randall, T., & Fitzpatrick, R. M. (2005) · Europe PMC (PubMed Central) · Cited by 36 · see citing works
Labelling chronic illness in primary care: a good or a bad thing?
Bedson, J., McCarney, R., & Croft, P. R. (2004) · PubMed · Cited by 35 · see citing works
Self-citation
Comparing clinical and lay accounts of the diagnosis and treatment of back pain
Ong, B. N., & Hooper, H. (2006) · Sociology of Health & Illness · doi:10.1111/j.1467-9566.2006.00488.x · Cited by 33 · see citing works
‘Justifiable depression’: how primary care professionals and patients view late life depression. A qualitative study
(2007) · Primary Health Care · doi:10.7748/phc.17.1.34.s24 · Cited by 4 · see citing works

Flagged first, then by citations

1 of the 31 references couldn’t be matched to a known paper.

Sorted by citations

A systematic review and evidence synthesis of qualitative studies to identify primary care clinicians' barriers and enablers to the management of osteoarthritis
Egerton, T., Diamond, L. E., Buchbinder, R., Bennell, K. L., & Slade, S. C. (2017) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2016.12.002 · Cited by 205 · see citing works
Osteoarthritis: Models for appropriate care across the disease continuum
Allen, K. D., Choong, P., Davis, A. M., Dowsey, M. M., Dziedzic, K., Emery, C. A., Hunter, D. J., Losina, E., Page, A. E., Roos, E. M., et al. (2016) · Best Practice & Research Clinical Rheumatology · doi:10.1016/j.berh.2016.09.003 · Cited by 171 · see citing works
Living with osteoarthritis is a balancing act: an exploration of patients’ beliefs about knee pain
Darlow, B. J. S., Brown, M., Thompson, B. L., Hudson, B., Grainger, R., McKinlay, E. M., & Abbott, J. H. (2018) · BMC Rheumatology · doi:10.1186/s41927-018-0023-x · Cited by 117 · see citing works
Stratified primary care versus non-stratified care for musculoskeletal pain: findings from the STarT MSK feasibility and pilot cluster randomized controlled trial
Hill, J. C., Garvin, S., Chen, Y., Cooper, V., Wathall, S., Saunders, B., Lewis, M., Protheroe, J., Chudyk, A., Dunn, K. M., et al. (2020) · BMC Family Practice · doi:10.1186/s12875-019-1074-9 · Cited by 99 · see citing works
General practitioners’ views on managing knee osteoarthritis: a thematic analysis of factors influencing clinical practice guideline implementation in primary care
Egerton, T., Nelligan, R. K., Setchell, J., Atkins, L., & Bennell, K. L. (2018) · BMC Rheumatology · doi:10.1186/s41927-018-0037-4 · Cited by 91 · see citing works
Core and adjunctive interventions for osteoarthritis: efficacy and models for implementation
Bowden, J. L., Hunter, D. J., Deveza, L. A., Duong, V., Dziedzic, K., Allen, K. D., Ping Keung, C. H. A. N., & Eyles, J. P. (2020) · Nature Reviews Rheumatology · doi:10.1038/s41584-020-0447-8 · Cited by 83 · see citing works
Implementing core NICE guidelines for osteoarthritis in primary care with a model consultation (MOSAICS): a cluster randomised controlled trial
Dziedzic, K., Healey, E. L., Porcheret, M., Afolabi, E. K., Lewis, M., Morden, A., Jinks, C., McHugh, G. A., Ryan, S., Finney, A. G., et al. (2017) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2017.09.010 · Cited by 75 · see citing works
Self-citation
Expressed information needs of patients with osteoporosis and/or fragility fractures: a systematic review
Raybould, G., Babatunde, O. O., Evans, A. L., Jordan, J. L., & Paskins, Z. (2018) · Archives of Osteoporosis · doi:10.1007/s11657-018-0470-4 · Cited by 66 · see citing works
Self-citation
Challenges and controversies of complex interventions in osteoarthritis management: recognizing inappropriate and discordant care
Dziedzic, K., & Allen, K. D. (2018) · Rheumatology · doi:10.1093/rheumatology/key062 · Cited by 56 · see citing works
Patient, Provider, and Combined Interventions for Managing Osteoarthritis in Primary Care
Allen, K. D., Oddone, E. Ž., Coffman, C. J., Jeffreys, A. S., Bosworth, H. B., Chatterjee, R., McDuffie, J. R., Strauss, J. L., Yancy, W. S., Datta, S., et al. (2017) · Annals of Internal Medicine · doi:10.7326/m16-1245 · Cited by 53 · see citing works
Changing the narrative on osteoarthritis: A call for global action
Jinks, C., Bemden, A. B., Bunzli, S., Bowden, J. L., Egerton, T., Eyles, J. P., Foster, N. E., Healey, E. L., Maddison, J., O’Brien, D., et al. (2024) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2024.02.004 · Cited by 42 · see citing works
Self-citation
Exploring the Added Value of Video-Stimulated Recall in Researching the Primary Care Doctor–Patient Consultation
Paskins, Z., Sanders, T., Croft, P. R., & HASSELL, A. B. (2017) · International Journal of Qualitative Methods · doi:10.1177/1609406917719623 · Cited by 34 · see citing works
Self-citation
Education and Social Support as Key Factors in Osteoarthritis Management Programs: A Scoping Review
Ali, S. A., Kokorelias, K. M., MacDermid, J. C., & Kloseck, M. (2018) · Arthritis · doi:10.1155/2018/2496190 · Cited by 33 · see citing works
Decision-making and related outcomes of patients with complex care needs in primary care settings: a systematic literature review with a case-based qualitative synthesis
Bujold, M., Pluye, P., Légaré, F., the Participatory Review Team, Hong, Q. N., Beaulieu, M., Bush, P. L., Couturier, Y., Sherif, R. E., Gagnon, J., et al. (2022) · BMC Family Practice · doi:10.1186/s12875-022-01879-5 · Cited by 32 · see citing works
Making sense of osteoarthritis: A narrative review
Darlow, B. J. S., Belton, J. L., Brown, M., Clark, J., Richards, D. P., Behera, N. S., & Bunzli, S. (2024) · Osteoarthritis and Cartilage · doi:10.1016/j.joca.2024.09.012 · Cited by 30 · see citing works
General practitioners’ perspectives on a proposed new model of service delivery for primary care management of knee osteoarthritis: a qualitative study
Egerton, T., Nelligan, R. K., Setchell, J., Atkins, L., & Bennell, K. L. (2017) · BMC Family Practice · doi:10.1186/s12875-017-0656-7 · Cited by 27 · see citing works
Stratified primary care versus non-stratified care for musculoskeletal pain: qualitative findings from the STarT MSK feasibility and pilot cluster randomized controlled trial
Saunders, B., Hill, J. C., Foster, N. E., Cooper, V., Protheroe, J., Chudyk, A., Chew-Graham, C. A., & Bartlam, B. (2020) · BMC Family Practice · doi:10.1186/s12875-020-1098-1 · Cited by 27 · see citing works
Patient perspectives on improving osteoarthritis management in urban and rural communities
Ali, S. A., Walsh, K. E., & Kloseck, M. (2018) · Journal of Pain Research · doi:10.2147/jpr.s150578 · Cited by 24 · see citing works
Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework
Swaithes, L., Dziedzic, K., Finney, A. G., Cottrell, E., Jinks, C., Mallen, C. D., Currie, G., & Paskins, Z. (2020) · Implementation Science · doi:10.1186/s13012-020-01055-2 · Cited by 18 · see citing works
Self-citation
Patient and practitioner priorities and concerns about primary healthcare interactions for osteoarthritis: A meta-ethnography
Vennik, J. L., Hughes, S. F., Smith, K. A., Misurya, P., Bostock, J., Howick, J., Mallen, C. D., Little, P. S., Ratnapalan, M., Lyness, E., et al. (2022) · Patient Education and Counseling · doi:10.1016/j.pec.2022.01.009 · Cited by 17 · see citing works
Cardiovascular disease risk communication in NHS Health Checks using QRISK®2 and JBS3 risk calculators: the RICO qualitative and quantitative study
Gidlow, C. J., Ellis, N., Cowap, L., Riley, V., Crone, D., Cottrell, E., Grogan, S., Chambers, R. M., & Clark-Carter, D. D. (2021) · Health Technology Assessment · doi:10.3310/hta25500 · Cited by 19 · see citing works
A qualitative study of cardiovascular disease risk communication in NHS Health Check using different risk calculators: protocol for the RIsk COmmunication in NHS Health Check (RICO) study
Gidlow, C., Ellis, N., Cowap, L., Riley, V., Crone, D., Cottrell, E., Grogan, S., Chambers, R., & Clark-Carter, D. (2019) · BMC Family Practice · doi:10.1186/s12875-018-0897-0 · Cited by 11 · see citing works
“It ... doesn’t always make it [to] the top of the list”: Primary care physicians’ experiences with prescribing exercise for knee osteoarthritis
Christiansen, M. B., White, D. K., Christian, J. B., Waugh, E. J., Gakhal, N., King, L. K., HAWKER, G. A., & Webster, F. (2020) · PubMed Central · Cited by 16 · see citing works
Stakeholder views about a novel consumer health resource for knee osteoarthritis
Darlow, B. J. S., Brown, M., Grainger, R., Hudson, B., Briggs, A. M., Abbott, J. H., & McKinlay, E. M. (2020) · Osteoarthritis and Cartilage Open · doi:10.1016/j.ocarto.2020.100058 · Cited by 16 · see citing works
Feasibility of a randomised controlled trial of two types of written information for people with knee osteoarthritis
Darlow, B. J. S., Brown, M., Hudson, B., Frew, G., Clark, J., Vincent, L., Abbott, J. H., Briggs, A. M., Grainger, R., Marra, C. A., et al. (2022) · Osteoarthritis and Cartilage Open · doi:10.1016/j.ocarto.2022.100254 · Cited by 16 · see citing works
Patterns of routine primary care for osteoarthritis in the UK: a cross-sectional electronic health records study
Jackson, H., Barnett, L., Jordan, K. P., Dziedzic, K., Cottrell, E., Finney, A. G., Paskins, Z., & Edwards, J. (2017) · BMJ Open · doi:10.1136/bmjopen-2017-019694 · Cited by 15 · see citing works
Self-citation
Enhancing delivery of osteoarthritis care in the general practice consultation: evaluation of a behaviour change intervention
Porcheret, M., Main, C. J., Croft, P. R., & Dziedzic, K. (2018) · BMC Family Practice · doi:10.1186/s12875-018-0715-8 · Cited by 16 · see citing works
Self-citation
Non-disclosure of symptoms in primary care: an observational study
Paskins, Z., Sanders, T., Croft, P. R., Green, J., McKinley, R. K., & HASSELL, A. B. (2018) · Family Practice · doi:10.1093/fampra/cmy023 · Cited by 11 · see citing works
Self-citation
Evaluating the design and reporting of pragmatic trials in osteoarthritis research
Ali, S. A., Kloseck, M., Lee, K. S., Walsh, K. E., MacDermid, J. C., & Fitzsimmons, D. A. (2017) · Lara D. Veeken · doi:10.1093/rheumatology/kex050 · Cited by 10 · see citing works
“It’s complicated” - talking about gout medicines in primary care consultations: a qualitative study
Morris, C. J., Macdonald, L., Stubbe, M. H., & Dowell, A. C. (2016) · BMC Family Practice · doi:10.1186/s12875-016-0515-y · Cited by 9 · see citing works
Decision making and welfare assessment in canine osteoarthritis
Belshaw, Z. (2017) · Nottingham ePrints (University of Nottingham) · Cited by 9 · see citing works
Effects of X-ray–based diagnosis and explanation of knee osteoarthritis on patient beliefs about osteoarthritis management: A randomised clinical trial
Lawford, B. J., Bennell, K. L., Ewald, D. P., Li, P., Silva, A. P. D., Pardo, J. J., Capewell, B., Hall, M., Haber, T. S. W., Egerton, T., et al. (2025) · PLoS Medicine · doi:10.1371/journal.pmed.1004537 · Cited by 8 · see citing works
Participation in healthcare consultations: A qualitative study from the perspectives of persons diagnosed with hand osteoarthritis
Magnussen, H. J., Kjeken, I., Pinxsterhuis, I., Sjøvold, T. A., Hennig, T., Thorsen, E., & Feiring, M. (2023) · Health Expectations · doi:10.1111/hex.13744 · Cited by 8 · see citing works
Qualitative evidence synthesis using meta-ethnography to understand the experience of living with osteoarthritis pain
Toyé, F., Seers, K., & Barker, K. L. (2022) · Pain · doi:10.1097/j.pain.0000000000002660 · Cited by 7 · see citing works
Driving factors for the utilisation of healthcare services by people with osteoarthritis in Portugal: results from a nationwide population-based study
Costa, D. S. A., Rodrigues, A. M., Cruz, E. B., Canhão, H. M., Branco, J., & Nunes, C. (2021) · BMC Health Services Research · doi:10.1186/s12913-021-07045-4 · Cited by 7 · see citing works
Knee osteoarthritis and the knowledgeable, trustworthy pharmacist: Patient and pharmacist perceptions of community pharmacy‐based education and support
Darlow, B. J. S., Brown, M., Hudson, B., Frew, G., Clark, J., Vincent, L., Grainger, R., Marra, C. A., McKinlay, E. M., Abbott, J. H., et al. (2022) · Musculoskeletal Care · doi:10.1002/msc.1660 · Cited by 7 · see citing works
Barriers and enablers to the management of osteoarthritis in primary care in Ireland from the perspective of healthcare professionals and individuals with osteoarthritis: a qualitative study using the Theoretical Domains Framework
Cunningham, J. C., Doyle, F., Cadogan, C. A., Clyne, B., Ryan, J. M., Smith, S. M., & French, H. (2024) · BMJ Open · doi:10.1136/bmjopen-2024-087054 · Cited by 6 · see citing works
“I can’t bend it and it hurts like mad”: direct observation of gout consultations in routine primary health care
Dowell, A. C., Morris, C. J., Macdonald, L., & Stubbe, M. H. (2017) · BMC Family Practice · doi:10.1186/s12875-017-0662-9 · Cited by 6 · see citing works
Determining the feasibility of a trial to evaluate the effectiveness of phototherapy versus placebo at reducing pain during physical activity for people with knee osteoarthritis: a pilot randomized controlled trial
Vader, K., Abebe, A. B., Chala, M. B., Varette, K., & Miller, J. (2020) · Pilot and Feasibility Studies · doi:10.1186/s40814-020-00729-4 · Cited by 4 · see citing works
Decision-making and Related Outcomes of Patients with Complex Care Needs in Primary Care Settings : A Systematic Literature Review with A Case-based Qualitative SynthesisPreprint
Bujold, M., Pluye, P., & Légaré, F. (2022) · Research Square · doi:10.21203/rs.3.rs-1185708/v1 · Cited by 4 · see citing works
What do knee OA patients perceive about their disorder? A qualitative study
Suhail, A. (2021) · Working with Older People · doi:10.1108/wwop-11-2021-0056 · Cited by 3 · see citing works
Translation, Cross‐Culture Adaptation and Measurement Properties of the Simplified Chinese Version of the Osteoarthritis Knowledge Scale
Wang, Z., Darlow, B. J. S., Deng, H., & Ni, G. (2024) · Musculoskeletal Care · doi:10.1002/msc.1957 · Cited by 3 · see citing works
‘I’m still using my body’ – dancing with the lived musical body: an interpretative phenomenological analysis of embodied knowledge
Toohey, B., Moloney, G., & Hutchinson, M. (2025) · Ageing and Society · doi:10.1017/s0144686x25100299 · Cited by 2 · see citing works
Determining the Impact of a Physiotherapist-Led Primary Care Model for Low Back Pain: Protocol and Analysis Plan for a Cluster Randomized Controlled Trial and Embedded Process Evaluation
Miller, J., Donnelly, C. A., McClintock, C., Varette, K., Camargo, Y., Marsh, J. D., Taljaard, M., Mamun, M. S. A., Bacchus, G., Barber, D., et al. (2026) · JMIR Research Protocols · doi:10.2196/89004 · Cited by 2 · see citing works
Improving Emergency Referrals in a Philippine Tertiary Hospital: A Quality Improvement Initiative
Tan, E. A. (2025) · Cureus · doi:10.7759/cureus.86394 · Cited by 1 · see citing works
Knowledge, attitude and practice regarding osteoarthritis management among physicians of primary health care centers; Al-rusafa/ Baghdad/2017
Tawfeeq, A. K. (2019) · AL-Kindy College Medical Journal · doi:10.47723/kcmj.v15i1.70 · Cited by 1 · see citing works
In This Issue: Multilevel Effects
Stange, K. C. (2015) · The Annals of Family Medicine · doi:10.1370/afm.1876
Improving osteoarthritis care in family practice.
Pimlott, N. (2020) · PubMed Central
The Challenges and Limitations of Osteoporosis Diagnosis
Miedany, Y. M. E. (2022) · Springer eBooks · doi:10.1007/978-3-030-87950-1_9
Self-Management
McHugh, G. A. (2020) · Perspectives in nursing management and care for older adults · doi:10.1007/978-3-030-18012-6_12
Driving Factors for the Utilisation of Healthcare Services by People with Osteoarthritis: Results from A Nationwide Population-Based studyPreprint
Costa, D. S. A., Rodrigues, A. M., Cruz, E. B., Canhão, H. M., Branco, J., & Nunes, C. (2021) · Research Square · doi:10.21203/rs.3.rs-279474/v1
Knee osteoarthritis emotional meaning scale development study
Azak, A., & Platin, N. (2025) · Psychogeriatrics · doi:10.1111/psyg.70017
Experiences of New Zealand Podiatrists Providing Podiatry Care to People With Foot Osteoarthritis
Molyneux, P., Ma, M., Bowen, C. J., Ellis, R. F., Rome, K., & Carroll, M. (2025) · Journal of Foot and Ankle Research · doi:10.1002/jfa2.70108
Additional file 1 of Understanding the uptake of a clinical innovation for osteoarthritis in primary care: a qualitative study of knowledge mobilisation using the i-PARIHS framework
Swaithes, L., Dziedzic, K., Finney, A., Cottrell, E., Jinks, C., Mallen, C. D., Currie, G., & Paskins, Z. (2020) · Figshare · doi:10.6084/m9.figshare.13161641
Self-citation
Additional file 1 of Driving factors for the utilisation of healthcare services by people with osteoarthritis in Portugal: results from a nationwide population-based study
Costa, D., Rodrigues, A. M., Cruz, E. B., Canhão, H. M., Branco, J., & Nunes, C. (2021) · Figshare · doi:10.6084/m9.figshare.16696401
Study title: Determining the feasibility of a trial to determine the impact of a physiotherapist-led primary care model for low back pain: A pilot cluster randomized controlled trialPreprint
Miller, J., Varette, K., McClintock, C., Donnelly, C. A., Marsh, J., Taljaard, M., Barber, D., Cooper, L., French, S., Green, M., et al. (2026) · Research Square · doi:10.21203/rs.3.rs-8902753/v1

Understanding the primary care osteoarthritis consultation using video-stimulated recall
Paskins, Z. (2015) · Keele Research Repository (Keele University)
Self-citation
New Insights into the Primary Care Osteoarthritis Consultation with Implications for Practice
Paskins, Z., Sanders, T., Croft, P. R., & HASSELL, A. B. (2014) · Northumbria Research Link (Northumbria University)
Self-citation
The Primary Care Osteoarthritis Consultation: Dissonance and Consonance
Paskins, Z., Sanders, T., Croft, P. R., & HASSELL, A. B. (2014) · Northumbria Research Link (Northumbria University)
Self-citation
O7. The Primary Care Osteoarthritis Consultation: Dissonance and Consonance
Paskins, Z., Sanders, T., Croft, P. R., & HASSELL, A. B. (2014) · Lara D. Veeken · doi:10.1093/rheumatology/keu086.001
Self-citation
Comparison of patient experiences of the osteoarthritis consultation with GP attitudes and beliefs to OA: a narrative review
Paskins, Z., Sanders, T., & Hassell, A. B. (2014) · BMC Family Practice · doi:10.1186/1471-2296-15-46 · Cited by 56 · see citing works
Self-citation

Authors: Paskins, Z., Sanders, T., Croft, P. R., & Hassell, A. B.
Affiliations: Arthritis Research UK (GB)
University of Sheffield (GB)
Keele University (GB)
ORCID: Paskins, Z.
Sanders, T.
Croft, P. R.
Venue: The Annals of Family Medicine
Publisher: Annals of Family Medicine
Published: 2015-11-01
Volume: 13
Issue: 6
Pages: 537-544
ISSN: 1544-1709 (ISSN-L)
1544-1717
DOI: 10.1370/afm.1866
PMC: PMC4639379
OpenAlex: W2191728955
Cited by: 56
References: 31
Citations by year: 2026: 2 · 2025: 5 · 2024: 4 · 2023: 1 · 2022: 7 · 2021: 5 · 2020: 10 · 2019: 2 · 2018: 8 · 2017: 8 · 2016: 3 · 2015: 1
FWCI: 12.16
Type: journal article
Language: en
Open access: diamond
doi.org
Locations: The Annals of Family Medicine (publishedVersion)
PubMed Central (publishedVersion)
PubMed (publishedVersion)
White Rose Research Online (University of Leeds, The University of Sheffield, University of York) (submittedVersion)
Northumbria Research Link (Northumbria University) (submittedVersion)
Funders: National Institute for Health and Care Research (NF-SI-0509-10183, RP-PG-0407-10386)
Topics: Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
Health Sciences › Health Professions › General Health Professions › Primary Care and Health Outcomes
Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
Keywords: osteoarthritis, general practice, physician-patient communication, primary care visits, multimorbidity, reassurance, symptom validation, medical language, illness identity, video-stimulated recall
MeSH terms: Aged, Aged, 80 and over, Attitude of Health Personnel, Female, United Kingdom, Humans, Male, Middle Aged, Osteoarthritis, Physician-Patient Relations, Mental Recall, Referral and Consultation, Video Recording, Patient Satisfaction, Qualitative Research, General Practitioners, General Practice

About these checks

Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.

Statistics and arithmetic are recomputed, not judged.

Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.

What counts as a claim ›How we measure confidence ›How we check this ›

Are you an author, or do you see a problem with this page? Request a review

The Identity Crisis of Osteoarthritis in General Practice: A Qualitative Study Using Video-Stimulated Recall

Abstract

Integrity signals

Claims the paper makes

Claims other papers make about this one

Self-check

Cites

Cited by

Related

Record

About these checks