Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria

Objective: Africa contributes significantly to the increasing global prevalence (>37 ​%), unmet need and treatment burden for people with osteoarthritis. Despite this, little research has examined the expressed needs of patients with osteoarthritis (OA) and joint pain in West-Africa. This study a...

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Main Authors: Tolulope Owoyemi, Ibidunni Alonge, Oladapo Adetunji, Emmanuel Ogbu, Adebimpe Ogunbanjo, Simon White, Adewale Adebajo, Christian Mallen, Opeyemi O. Babatunde, Krysia Dziedzic
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Osteoarthritis and Cartilage Open
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Online Access:http://www.sciencedirect.com/science/article/pii/S2665913124001225
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author Tolulope Owoyemi
Ibidunni Alonge
Oladapo Adetunji
Emmanuel Ogbu
Adebimpe Ogunbanjo
Simon White
Adewale Adebajo
Christian Mallen
Opeyemi O. Babatunde
Krysia Dziedzic
author_facet Tolulope Owoyemi
Ibidunni Alonge
Oladapo Adetunji
Emmanuel Ogbu
Adebimpe Ogunbanjo
Simon White
Adewale Adebajo
Christian Mallen
Opeyemi O. Babatunde
Krysia Dziedzic
author_sort Tolulope Owoyemi
collection DOAJ
description Objective: Africa contributes significantly to the increasing global prevalence (>37 ​%), unmet need and treatment burden for people with osteoarthritis. Despite this, little research has examined the expressed needs of patients with osteoarthritis (OA) and joint pain in West-Africa. This study aimed to explore lived experiences, expressed needs and current care gaps for people living with osteoarthritis in low-health resource contexts using Nigeria as a case study. Design: Qualitative study using Focus Groups. People aged 45 years and over living with osteoarthritis and joint pain were recruited at local health services or via wide advertisements in the community. Discussions were recorded and transcribed verbatim. Data were analyzed using thematic analysis (inductive approach). Results: Three focus groups were conducted with people living with osteoarthritis (n ​= ​30, age range 45–90 years) across socio-demographic strata. Participants described their experiences of living with osteoarthritis as emotionally, physically, and socio-economically challenging. Four main themes (and 14 sub-themes) were identified. Participants expressed the need for an information and health education campaign and access to appropriate health professionals (especially physiotherapists) for providing support, guidance, and assistance with self-management. Conclusions: The provision of an accessible, and contextually appropriate patient education package, in line with evidence-based recommendations is a critical need for people living with osteoarthritis in Nigeria. This will promote evidence-based care for OA in low-resource settings, empowering patients to self-manage and reducing confusion related to inconsistent advice and mixed messages about cause, healthcare access and OA care.
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spelling doaj-art-64ebfb4fa0d44a74a8dd73843de5ab912025-08-20T02:01:03ZengElsevierOsteoarthritis and Cartilage Open2665-91312025-03-017110055510.1016/j.ocarto.2024.100555Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in NigeriaTolulope Owoyemi0Ibidunni Alonge1Oladapo Adetunji2Emmanuel Ogbu3Adebimpe Ogunbanjo4Simon White5Adewale Adebajo6Christian Mallen7Opeyemi O. Babatunde8Krysia Dziedzic9University of Ibadan, Ibadan, Nigeria; West African Institute for Applied Health Research, Ibadan, NigeriaUniversity of Ibadan, Ibadan, Nigeria; West African Institute for Applied Health Research, Ibadan, NigeriaUniversity of Ibadan, Ibadan, NigeriaUniversity of Ibadan, Ibadan, NigeriaWest African Institute for Applied Health Research, Ibadan, Nigeria; Pharmacy Division, Lagos State Health Service, Lagos, NigeriaKeele University, School of Pharmacy and Bioengineering, Keele, Staffordshire, UKWest African Institute for Applied Health Research, Ibadan, Nigeria; Musculoskeletal Health Service Research, Sheffield University, UKSchool of Medicine, Primary Care Centre Versus Arthritis, Keele, Staffordshire, UKWest African Institute for Applied Health Research, Ibadan, Nigeria; School of Medicine, Primary Care Centre Versus Arthritis, Keele, Staffordshire, UK; Impact Accelerator Unit, Keele University, Keele, Staffordshire, UK; Corresponding author. Keele University, Primary Care Centre Versus Arthritis, School of Medicine, Keele, Staffordshire, GB, UKImpact Accelerator Unit, Keele University, Keele, Staffordshire, UKObjective: Africa contributes significantly to the increasing global prevalence (>37 ​%), unmet need and treatment burden for people with osteoarthritis. Despite this, little research has examined the expressed needs of patients with osteoarthritis (OA) and joint pain in West-Africa. This study aimed to explore lived experiences, expressed needs and current care gaps for people living with osteoarthritis in low-health resource contexts using Nigeria as a case study. Design: Qualitative study using Focus Groups. People aged 45 years and over living with osteoarthritis and joint pain were recruited at local health services or via wide advertisements in the community. Discussions were recorded and transcribed verbatim. Data were analyzed using thematic analysis (inductive approach). Results: Three focus groups were conducted with people living with osteoarthritis (n ​= ​30, age range 45–90 years) across socio-demographic strata. Participants described their experiences of living with osteoarthritis as emotionally, physically, and socio-economically challenging. Four main themes (and 14 sub-themes) were identified. Participants expressed the need for an information and health education campaign and access to appropriate health professionals (especially physiotherapists) for providing support, guidance, and assistance with self-management. Conclusions: The provision of an accessible, and contextually appropriate patient education package, in line with evidence-based recommendations is a critical need for people living with osteoarthritis in Nigeria. This will promote evidence-based care for OA in low-resource settings, empowering patients to self-manage and reducing confusion related to inconsistent advice and mixed messages about cause, healthcare access and OA care.http://www.sciencedirect.com/science/article/pii/S2665913124001225OsteoarthritisJoint painCommunity pharmaciesLow-resource settingsCare gapsExpressed needs
spellingShingle Tolulope Owoyemi
Ibidunni Alonge
Oladapo Adetunji
Emmanuel Ogbu
Adebimpe Ogunbanjo
Simon White
Adewale Adebajo
Christian Mallen
Opeyemi O. Babatunde
Krysia Dziedzic
Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
Osteoarthritis and Cartilage Open
Osteoarthritis
Joint pain
Community pharmacies
Low-resource settings
Care gaps
Expressed needs
title Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
title_full Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
title_fullStr Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
title_full_unstemmed Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
title_short Everyday living with osteoarthritis in the global South: A qualitative focus group inquiry in Nigeria
title_sort everyday living with osteoarthritis in the global south a qualitative focus group inquiry in nigeria
topic Osteoarthritis
Joint pain
Community pharmacies
Low-resource settings
Care gaps
Expressed needs
url http://www.sciencedirect.com/science/article/pii/S2665913124001225
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