TABLE III.
Themes, Subthemes, and Representative Quotes from Study Participants
Theme | Subtheme | Quote |
---|---|---|
Images, graphics, and quotes improve the clarity of information in the journey guide | Illustrations of the brachial plexus help patients to understand BPIs and to communicate their injuries to others | “When I’m reading through, I can refer over, and look at that picture, and then connect the dots in my head. I really like having the little picture. I think having a bigger picture or a couple different diagrams, absolutely.” 22 years old; 4 years since pan-plexus BPI |
The succinct table of diagnostic tests is easily digestible | “I think, is a lot more digestible. I think this is getting closer to the approach that you’ve been talking about in terms of how you want to present the information. I think this is all good.” 28 years old; 4 years since upper-trunk BPI | |
Photos of or quotes from real patients adapting to BPI feel more personalized | “I’ve seen people playing guitar instruments or doing activities that show that normal life—the new normal can still go on. I think that is valuable.” 22 years old; 4 years since pan-plexus BPI | |
The journey guide would be most beneficial for patients recently diagnosed with a BPI | The journey guide would be helpful immediately following diagnosis | “If this had been around when I was first injured and starting to go through this process, it probably would’ve made a lot of things easier.” 42 years old; 5 years since lower-trunk BPI |
The journey guide is less helpful for patients who have been living with a BPI for many years | “I think that being this far out, I probably wouldn’t use it. Where I would use it: as a resource to give to people that are just coming into the injury.” 22 years old; 4 years since pan-plexus BPI | |
The journey guide is unique; the most common sources of information are online forums or social media | “I never came across anything like that. Certainly not in my physician’s offices.” 62 years old; 40 years since pan-plexus BPI | |
The 5-year recovery timeline helps to set expectations | “It was great…especially the 5-year recovery timeline. Look, like, it’s one of those things that’s a hard pill to swallow.” 53 years old; 20 years since pan-plexus BPI | |
The journey guide is an effective organizational tool | Areas to record provider names, appointments, treatment plans, etc., are useful | “Maybe a section, maybe it’s 1 page, where you can put, like, “Okay, date of MRI, date of EMG,” and the doctor’s name or something like that, where you could put, “Okay, this is where I had it. This is where I had it, who performed it, and this was the date,” that you could keep a track of who you’ve seen and the tests that you’ve undergone.” 22 years old; 4 years since pan-plexus BPI |
Sections for notes are convenient for many patients | “Knowing my mom and how she’d take notes and processes information, I’m sure she would use those note lines if we were sitting down through a doctor’s appointment.” 22 years old; 4 years since pan-plexus BPI | |
It is difficult to orient patients toward future hardships | Pain experiences vary widely and can have major effects on daily living | “I think everybody’s situation is so different. I don’t think there’s a complete guide to help you with that.” 52 years old; 35 years since upper-trunk BPI |
Reading about BPI can be daunting | “I think all that information does need to be there, just maybe can be presented in a way that’s—to our point earlier—more digestible to somebody who’s not—somebody who’s already going through something a lot mentally and emotionally.” 28 years old; 4 years since upper-trunk BPI | |
Diagnostic tests can be physically and emotionally difficult | “Yeah, those are really mentally terrible because you watch the doctor note the things that aren’t working. That one’s just an emotional one to have done.” 28 years old; 4 years since upper-trunk BPI | |
Mental health is an important topic that should be highlighted | “Yes, you’re going through the physical therapies and so forth, and you’re seeing your doctor, and you’re having your tests, but if you’re not taking care of the mental part, I honestly think that’s a major missing link.” 58 years old; 2 years since upper-trunk BPI |