Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis

Fifteen patients between 35 and 50 years of age, with a body mass index (BMI) over 35 with knee osteoarthritis participated in small group, facilitator-guided, interactive discussions (experience groups). Using initial inductive coding followed by deductive classification, 2 coders identified themes...

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Main Authors: George E. Sayegh BS, Scott Wallace JD, MBA, Karl Koenig MD, MS, Elizabeth Teisberg PhD, David Ring MD, PhD
Format: Article
Language:English
Published: SAGE Publishing 2025-05-01
Series:Journal of Patient Experience
Online Access:https://doi.org/10.1177/23743735251341717
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author George E. Sayegh BS
Scott Wallace JD, MBA
Karl Koenig MD, MS
Elizabeth Teisberg PhD
David Ring MD, PhD
author_facet George E. Sayegh BS
Scott Wallace JD, MBA
Karl Koenig MD, MS
Elizabeth Teisberg PhD
David Ring MD, PhD
author_sort George E. Sayegh BS
collection DOAJ
description Fifteen patients between 35 and 50 years of age, with a body mass index (BMI) over 35 with knee osteoarthritis participated in small group, facilitator-guided, interactive discussions (experience groups). Using initial inductive coding followed by deductive classification, 2 coders identified themes related to outcomes including difficulty engaging in meaningful work and social isolation in the capability realm, feelings of depression in the comfort realm, and desiring small achievable goals and consistent support in the calm realm. Themes regarding gaps in care included lack of roadmap and inadequate support. The obstacles to health were debilitating pain, despair due to isolation and stigmatization, hopelessness regarding treatment, perceived lack of clinician empathy and distrust, and frustration with the association of knee osteoarthritis with aging. Effective musculoskeletal specialty care can anticipate these patient needs, particularly for circumstances where nonoperative, accommodative health strategies are favored.
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spelling doaj-art-32002d7c8abc4f6dae9d7a092452f6c52025-08-20T02:58:37ZengSAGE PublishingJournal of Patient Experience2374-37432025-05-011210.1177/23743735251341717Experience Group Insights of Obese Adults Aged 35-50 with Knee OsteoarthritisGeorge E. Sayegh BS0Scott Wallace JD, MBA1Karl Koenig MD, MS2Elizabeth Teisberg PhD3David Ring MD, PhD4 Department of Surgery and Perioperative Care, , Austin, TX, USA Dell Medical School at the University of Texas at Austin, Austin, TX, USA Department of Surgery and Perioperative Care, , Austin, TX, USA Dell Medical School at the University of Texas at Austin, Austin, TX, USA Department of Surgery and Perioperative Care, , Austin, TX, USAFifteen patients between 35 and 50 years of age, with a body mass index (BMI) over 35 with knee osteoarthritis participated in small group, facilitator-guided, interactive discussions (experience groups). Using initial inductive coding followed by deductive classification, 2 coders identified themes related to outcomes including difficulty engaging in meaningful work and social isolation in the capability realm, feelings of depression in the comfort realm, and desiring small achievable goals and consistent support in the calm realm. Themes regarding gaps in care included lack of roadmap and inadequate support. The obstacles to health were debilitating pain, despair due to isolation and stigmatization, hopelessness regarding treatment, perceived lack of clinician empathy and distrust, and frustration with the association of knee osteoarthritis with aging. Effective musculoskeletal specialty care can anticipate these patient needs, particularly for circumstances where nonoperative, accommodative health strategies are favored.https://doi.org/10.1177/23743735251341717
spellingShingle George E. Sayegh BS
Scott Wallace JD, MBA
Karl Koenig MD, MS
Elizabeth Teisberg PhD
David Ring MD, PhD
Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
Journal of Patient Experience
title Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
title_full Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
title_fullStr Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
title_full_unstemmed Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
title_short Experience Group Insights of Obese Adults Aged 35-50 with Knee Osteoarthritis
title_sort experience group insights of obese adults aged 35 50 with knee osteoarthritis
url https://doi.org/10.1177/23743735251341717
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