Patients Traited by Long Term Corticotherapy Clinical Trial
Official title:
Long-term Corticosteroid Use and Lifestyle Advices: A Qualitative Analysis of the Difficulties Encountered by Patients
Introduction: Nearly 1% of the population is currently treated with long-term corticosteroid
therapy. When corticosteroids are introduced, patient information concerning the adverse
effects and the modalities of prevention by the lifestyle changes is usually proposed.
However, studies have shown an imperfect acquisition of this information about treatment and
prevention of adverse effects, as well as a difficult implementation on diet and physical
activity advices. In this study, the investigators aimed to evaluate the difficulties
encountered by patients with dietary advice in the context of long-term corticosteroids use
in order to optimize care, drug adherence and the quality of life of patients.
Methods: the investigators will recruite adult patients from general medicine and
rheumatology practice and treated by long-term corticosteroids (≥ 3 months, ≥ 5mg/day). the
investigators will perform a qualitative analysis in a semi-directed interview.
Prospective Qualitative Study Carried out among patients followed in rheumatology and in
general medical practice.
For each voluntary patient, a semi-directed interview was carried out in a consultation room
after obtaining his agreement.
The same investigator used a single guide and conducted all the interviews based on
open-ended questions.
At the end of the interviews, the entire recorded audio data was converted in written form
before being analysed thematically.
Data were analysed using a Fisher's exact test for categorical variables (presented as
frequencies and percentages), and using a non-parametric Mann-Whitney test for continuous
variables (presented as the median and interquartile range, IQR).
;