Introduction
Methods
Setting – facilitated support group
Week | Topics | Focus of Weekly Content |
---|---|---|
1 | Introductions and Establish Goals of the Group | Introductions and establishment of group norms and expectations of participants to create a safe environment |
2 | Understanding where you’re at | Documenting changes in symptoms, mood and function and importance of self-reflection |
3 | Getting the most from your medical appointment | Strategies to improve patient-provider communication and making the most of medical appointments |
4 | Understanding the Brain-Body Connection | The mind–body connection and the impact on health and well-being |
5 | Reducing Stress | Stress reducing strategies, including physical activity, healthy eating, sleep and relaxation techniques |
6 | Living with Stress | Techniques and approaches to help manage the ongoing stress of living with MUS |
7 | Driving your Care | Perspectives and insights on the healthcare system and how to navigate its complexity |
8 | Topic determined by the group | Example: Life hacks for people with chronic conditions |
9 | Topic determined by the group | Example: The science behind stress |
10 | Wrap up | Reflection about the weekly sessions and discussion about the post-FSG evaluation |
FSG referrals
Study design – qualitative evaluation of facilitated support group
Recruitment and data collection
Data analysis
Results
Overview
Characteristics | Patients (n = 8) | Facilitators (n = 4) |
---|---|---|
Age range | ||
18–39 | 4 | 1 |
40–79 | 4 | 3 |
Sex | ||
Male | 2 | 1 |
Female | 6 | 3 |
Marital status | ||
Single/Divorced/Separated | 4 | 0 |
Married | 4 | 4 |
Highest Level of Education | ||
High School | 3 | 0 |
College graduate | 2 | 0 |
Undergraduate degree | 2 | 2 |
Advanced degree | 1 | 2 |
Employment | ||
Full-time | 2 | 1 |
Part-time | 0 | 3 |
Other (e.g., unemployed, student, retired) | 6 | 0 |
Feeling validated through sharing similar experiences with peers
“My expectation is that I would get some support…I would get support to help me go through (this) and in the group, there were others with like similar (experiences). So then I take that as an encouragement to myself and know that although I am alone in my situation but still going through the journey (and) there are others on the same journey.” (Participant #12, G2, female)
“Well I think I was just frustrated because no one was listening to me, no one was validating what I was going through and then…if there’s other people that are willing to share their experiences, then I think that kind of just gave me a bit of confidence. I’m okay, so I won’t be the odd one out in the room and that just kind of I guess inspired me to join the group.” (Participant #6, G1, female)
“I was the youngest person in the group, there was a significant age gap between me and the other members…obviously, they were really understanding but they couldn’t really help me in a way because they were all I guess either working or some of them are married or whatever…So it was I felt like they could kind of connect more than I could.” (Participant #6, G1, female)
Learning practical symptom management and coping strategies
“(Facilitator’s name) brought in – we called in the ‘sock-putter-onner’. It’s the device that helps people put their socks on, and we made a joke of it, but everyone’s like, “That’s so cool and that’s so awesome.” Like just when you’ve got back pain, when you’ve got arthritis, so things are generalizable to some degree.” (Facilitator #8, G2, female)
“I think for example me, I was like able to think back, “I’m like okay, so the pain is in my lower back, what am I doing that it’s over there, right?” So putting it on paper really sort of just like makes it more clear for you to see like okay, what can you change.” (Participant #6, G1, female)
“I think things around like the goal setting, was a little bit sort of elementary for them. I think, most of them had a good understanding of how to set goals… The pocketbook, to some extent, was less useful for them. I think they were definitely open to trying it. And, some of them did use it for a few weeks. I feel like that sort of fizzled out a little bit towards the end.” (Facilitator #1, G1, male)
“Having actual scheduled certain professionals coming in to kind of discuss or maybe to have the opportunity to bounce some questions off of them, outside of the facilitators themselves…A dietitian, somebody to speak on sleep hygiene, and someone to speak towards the physical aspect (physiotherapy, occupational therapy), those three for me, personally, would have been helpful.” (Participant #9, G2, female)
“I felt like I wasn’t getting too much from the group because I've already done my own, you know, like therapy and kind of acceptance, and how I know all of the resources available and I've utilized a lot of them. So, for me it was kind of like well I'm giving up an evening that I could be resting or spending time with my husband.” (Participant #11, G2, female)
Gaining new perspectives for navigating conversations with PCPs
“It seemed like everyone was engaged in the family doctor (session) and I think honestly that's because none of us could get access to just sitting with a family doctor and like picking their brain and understanding the healthcare system and the doctor perspective. None of us could get that because when we go see our family doctor it's a 15 minute conversation.” (Participant #3, G1, female)
“I felt that there was a little bit of frustration after that [session]; not that it wasn’t viable to have the chat, but perhaps it could be like navigating your care, understanding things from this side of the bedside.” (Facilitator #8, G2, female)
“I feel like that’s what I really learned in the group, like that the doctor’s not your enemy sort of, like you can go in and say like your biggest problem and they shouldn’t judge you. Because I feel like throughout my experience with the (past) two years is like I have lost faith in doctors. Right? So I would go in and I wouldn’t even mention my biggest concern. So I feel like this group kind of helped me realize like it’s okay, you need to tell them what you’re going through -- but be prepared, like have a list of symptoms, like have your facts straight, basically.” (Participant #6, G1, female)