134 A qualitative study of patient perceptions of immunoglobulin treatment regimens for inflammatory neuropathy

Autor: E Callanan, V Levee, L Compton, G Ramdharry, M Lunn, A Carr
Rok vydání: 2022
Předmět:
Zdroj: Journal of Neurology, Neurosurgery & Psychiatry. 93:A143.1-A143
ISSN: 1468-330X
0022-3050
Popis: IntroductionWith RCT evidence of equivalency between intravenous (IVIg) and subcutaneous (SCIg) immunoglobulin in the management of CIDP, we sought to optimise uptake of homecare SCIg in our inflammatory neuropathy cohort. This is of particular importance in the context of the COVID pandemic.AimTo explore patient perception of IVIg and SCIg and understand treatment preferences.MethodsWe performed a non-hypothesis driven qualitative study of patient perception. Data was collected from adult patients with CIDP via an open-ended telephone interview and a focus group facilitated by medics independent members of the treating team. The data was coded using Braun and Clarke’s reflexive thematic analysis.Results11 patients were interviewed (mean age=51.55; S.D. 8.70, mean time on immunoglobulin treatment 61 months, S.D. 35.64). Patients found the treatment effective but highlighted perceived side-effects. The hospital environment (IVIg treatment) was reassuring but brought with it a range of difficulties, both logisti- cal and financial. Knowledge and direct experience of SCIg was lacking.ConclusionWe will develop a structured questionnaire based on these themes for broader application across the cohort. From this qualitative data we will continue to adapt our service in a patient focused manner and identify measures of quality improvement.emmacallanan1@nhs.net92
Databáze: OpenAIRE