Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain

<p><strong>Summary:&nbsp;</strong>The Vfrac clinical screening tool was developed to help primary care healthcare practitioners decide if an older woman with back pain is at high risk of a vertebral fragility fracture (VFF) and requires a spinal radiograph to confirm diagnosis....

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Päätekijät: Barker, KL, Toye, F, Drew, S, Khalid, TY, Clark, EM
Aineistotyyppi: Journal article
Kieli:English
Julkaistu: Springer 2024
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author Barker, KL
Toye, F
Drew, S
Khalid, TY
Clark, EM
author_facet Barker, KL
Toye, F
Drew, S
Khalid, TY
Clark, EM
author_sort Barker, KL
collection OXFORD
description <p><strong>Summary:&nbsp;</strong>The Vfrac clinical screening tool was developed to help primary care healthcare practitioners decide if an older woman with back pain is at high risk of a vertebral fragility fracture (VFF) and requires a spinal radiograph to confirm diagnosis. The Vfrac tool developmental work was carried out in women because of the higher background prevalence of VFF. We now wish to assess Vfrac in men.</p> <p><strong>Purpose:&nbsp;</strong>To understand and characterise pain symptoms of men with VFF, to evaluate the wording of the Vfrac tool from men&rsquo;s perspective, and to establish if a gender-specific version of the Vfrac tool was needed.</p> <p><strong>Methods:&nbsp;</strong>Individual interviews were conducted with 15 men using an interview topic guide based on the original Vfrac topic guide with the addition of a &lsquo;think aloud&rsquo; section to discuss the wording of the current questions within the Vfrac tool. Thematic analysis was conducted by two researchers.</p> <p><strong>Results:&nbsp;</strong>Seven themes highlight that physical measurements can be potentially upsetting for those being measured (&lsquo;Weighed, measured and found wanting&rsquo;), that closed questions cannot capture the complexity of experience (there is no room on the paper; pain is dynamic, not static; walking can make it better or worse; well, it depends on which chair), and that gendered roles are varied and dynamic (I try to do my share of domestic work; no more do-it-yourself).</p> <p><strong>Conclusions:&nbsp;</strong>This research has allowed the male perspective of osteoporosis to be heard and importantly identified that the Vfrac tool had no gender-specific barriers.</p>
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spelling oxford-uuid:c85b5a10-109b-4b05-9b8d-7d97d2d7527c2024-11-22T07:55:38ZApplicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back painJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:c85b5a10-109b-4b05-9b8d-7d97d2d7527cEnglishSymplectic ElementsSpringer2024Barker, KLToye, FDrew, SKhalid, TYClark, EM<p><strong>Summary:&nbsp;</strong>The Vfrac clinical screening tool was developed to help primary care healthcare practitioners decide if an older woman with back pain is at high risk of a vertebral fragility fracture (VFF) and requires a spinal radiograph to confirm diagnosis. The Vfrac tool developmental work was carried out in women because of the higher background prevalence of VFF. We now wish to assess Vfrac in men.</p> <p><strong>Purpose:&nbsp;</strong>To understand and characterise pain symptoms of men with VFF, to evaluate the wording of the Vfrac tool from men&rsquo;s perspective, and to establish if a gender-specific version of the Vfrac tool was needed.</p> <p><strong>Methods:&nbsp;</strong>Individual interviews were conducted with 15 men using an interview topic guide based on the original Vfrac topic guide with the addition of a &lsquo;think aloud&rsquo; section to discuss the wording of the current questions within the Vfrac tool. Thematic analysis was conducted by two researchers.</p> <p><strong>Results:&nbsp;</strong>Seven themes highlight that physical measurements can be potentially upsetting for those being measured (&lsquo;Weighed, measured and found wanting&rsquo;), that closed questions cannot capture the complexity of experience (there is no room on the paper; pain is dynamic, not static; walking can make it better or worse; well, it depends on which chair), and that gendered roles are varied and dynamic (I try to do my share of domestic work; no more do-it-yourself).</p> <p><strong>Conclusions:&nbsp;</strong>This research has allowed the male perspective of osteoporosis to be heard and importantly identified that the Vfrac tool had no gender-specific barriers.</p>
spellingShingle Barker, KL
Toye, F
Drew, S
Khalid, TY
Clark, EM
Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title_full Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title_fullStr Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title_full_unstemmed Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title_short Applicability of Vfrac in men: a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
title_sort applicability of vfrac in men a qualitative study of an osteoporotic vertebral fracture screening tool for use in older people with back pain
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AT drews applicabilityofvfracinmenaqualitativestudyofanosteoporoticvertebralfracturescreeningtoolforuseinolderpeoplewithbackpain
AT khalidty applicabilityofvfracinmenaqualitativestudyofanosteoporoticvertebralfracturescreeningtoolforuseinolderpeoplewithbackpain
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