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Research ArticleOther Arthritides

How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers

Daiva Mitchell, Leslie Lesoon, Cuoghi Edens, Traci M. Kazmerski, Olivia M. Stransky, Flor A. Cameron, Megan E.B. Clowse, Sonya Borrero, Megan Hamm and Mehret Birru Talabi
The Journal of Rheumatology February 2023, 50 (2) 240-245; DOI: https://doi.org/10.3899/jrheum.220217
Daiva Mitchell
1D. Mitchell, MD, UPMC Internal Medicine Residency Program, Pittsburgh, Pennsylvania;
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Leslie Lesoon
2L. Lesoon, PhD, School of Rehabilitation and Health Sciences, University of Pittsburgh, Pittsburgh, Pennsylvania;
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Cuoghi Edens
3C. Edens, MD, University of Chicago Departments of Medicine and Pediatrics, Chicago, Illinois;
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Traci M. Kazmerski
4T.M. Kazmerski, MD, MS, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, and Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, Pittsburgh, Pennsylvania;
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Olivia M. Stransky
5O.M. Stransky, MPH, Center for Innovative Research on Gender Health Equity (CONVERGE), University of Pittsburgh, Pittsburgh, Pennsylvania;
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  • ORCID record for Olivia M. Stransky
Flor A. Cameron
6F.A. Cameron, MPH, M. Hamm, PhD, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;
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Megan E.B. Clowse
7M.E.B. Clowse, MD, MPH, Division of Rheumatology and Immunology, Department of Medicine, Duke University, Durham, North Carolina;
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Sonya Borrero
8S. Borrero, MD, MS, Center for Innovative Research on Gender Health Equity (CONVERGE), and Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;
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Megan Hamm
6F.A. Cameron, MPH, M. Hamm, PhD, Division of General Internal Medicine, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania;
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Mehret Birru Talabi
9M. Birru Talabi, MD, PhD, School of Rehabilitation and Health Sciences, and Center for Innovative Research on Gender Health Equity (CONVERGE), and Division of Rheumatology and Clinical Immunology, Department of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
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  • For correspondence: birrums@upmc.edu
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Abstract

Objective Rheumatologists have identified challenges to providing sexual and reproductive health (SRH) care to patients with gestational capacity. We conducted focus groups with rheumatologists and rheumatology advanced practice providers (APPs) to elicit their solutions to overcoming barriers to SRH care.

Methods Qualitative focus groups were conducted with rheumatologists (3 groups) and APPs (2 groups) using videoconferencing. Discussions were transcribed and 2 trained research coordinators developed a content-based codebook. The coordinators applied the codebook to transcripts, and discrepancies were adjudicated to full agreement. The codes were synthesized and used to conduct a thematic analysis. Differences in codes were also identified between the clinician groups by provider type.

Results A total of 22 clinicians were included in the sample, including 12 rheumatologists and 10 APPs. Four themes emerged: (1) clinicians recommended preparing patients to engage in SRH conversations before and during clinic visits; (2) consultation systems are needed to facilitate rapid SRH care with women’s health providers; (3) clinicians advised development of training opportunities and easy-to-access resources to address SRH knowledge gaps; and (4) clinicians recommended that educational materials about SRH in the rheumatology context are provided for patients. Although similar ideas were generated between the APP and rheumatologist groups, the rheumatologists were generally more interested in additional training and education, whereas APPs were more interested in electronic health record prompts and tools.

Conclusion Providers identified many potential solutions and facilitators to enhancing SRH care in rheumatology that might serve as a foundation for intervention development.

Key Indexing Terms:
  • health communication
  • qualitative research
  • reproductive health
  • rheumatic diseases
  • Accepted for publication August 16, 2022.
  • Copyright © 2023 by the Journal of Rheumatology
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How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers
Daiva Mitchell, Leslie Lesoon, Cuoghi Edens, Traci M. Kazmerski, Olivia M. Stransky, Flor A. Cameron, Megan E.B. Clowse, Sonya Borrero, Megan Hamm, Mehret Birru Talabi
The Journal of Rheumatology Feb 2023, 50 (2) 240-245; DOI: 10.3899/jrheum.220217

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How to Provide Sexual and Reproductive Health Care to Patients: Focus Groups With Rheumatologists and Rheumatology Advanced Practice Providers
Daiva Mitchell, Leslie Lesoon, Cuoghi Edens, Traci M. Kazmerski, Olivia M. Stransky, Flor A. Cameron, Megan E.B. Clowse, Sonya Borrero, Megan Hamm, Mehret Birru Talabi
The Journal of Rheumatology Feb 2023, 50 (2) 240-245; DOI: 10.3899/jrheum.220217
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Keywords

HEALTH COMMUNICATION
QUALITATIVE RESEARCH
reproductive health
RHEUMATIC DISEASES

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