Table III.
An overview of included papers of patients’ treatment experiences.
References | Aim/research question | Recruitment methods | Setting | Diagnostic criteria | Research design and analysis | Intervention | Sample characteristics | Findings expressed in the authors’ themes |
---|---|---|---|---|---|---|---|---|
Broughton et al., 2017 UK | To explore experiences of patients who were completing a treatment at specialist clinics | Convenience sampling | Specialist clinics | Diagnosed- criteria not reported | Semi-structured, individual interviews Thematic analysis | Comprehensive treatment including CBT and GET | 14 women. 2 men Age 24 to 62 yrs Illness duration 1 to 17 yrs | Journey to specialist care, Things that hinder treatment Support systems |
Cheshire et al., 2020 UK | What are the differences and similarities in treatment perceptions and experiences of guided graded exercise among those reporting improvements compared with those deteriorated? | Strategic sampling according to responses to questionnaires showing much improvements/much deterioration | Specialist clinic | Diagnosed—criteria not reported | Semi-structured, individual interviews Thematic analysis | Guided graded exercise self-help (GES) | 17 women, 3 men Age 21 to 66 yrs | Getting started and false starts Indeterminate phase of GES Competing commitments Interfering symptoms and comorbid conditions Maintaining motivation |
Chew-Graham et al., 2011 UK | What factors are important for patients to engage in a new intervention? | Purposive sampling from an RCT trial | Primary health care | Diagnosed by Oxford criteria | Semi-structured individual interviews Inductive thematic analysis based on data from those in trial arm | Nurse-led rehabilitation program | 13 women, 6 men Age 23 to 61 yrs Illness duration 9 months to 16 yrs | Feeling accepted by therapist Own acceptance of diagnosis Accept of (treatment) model |
Dennison et al., 2010 UK | To examine participants’ views and experiences of taking part in family-focused cognitive behavioural therapy | All participants in an RCT around three years earlier were invited | Outpatient clinic at a hospital | Diagnosed—criteria not reported | Semi-structured individual interviews Inductive thematic analysis | Either cognitive behavioural therapy or psycho-education | 16 out of 46 invited were interviewed 10 women, 6 men Age 16 to 24 yrs | Pre-therapy ideas and expectations Therapy experiences Perspectives on effectiveness |
McDermott et al., 2011 UK | To explore hopes and expectations of patients newly referred to a ME/CFS centre | All referred to the service last five months were invited | Specialist clinic | Diagnosed—criteria not reported | Semi-structured individual interviews Constant comparative analysis | Self-help advice to improve symptoms informed by Lifestyle Management Group Program | 20 out of 56 invited were interviewed 17 women, 3 men Age 22 to 60 yrs | Needing a diagnosis In search of guidance and support Engaging with complexity to understand the illness In search of hope for the future |
Picariello et al., 2017 UK | To explore the reasons for why some patients engage in treatment more than others, and to assess whether CBT meets patients’ needs | Consecutively recruited if finished or in follow-up after treatment | Specialist clinic | Diagnosed—criteria not reported | Semi-structured individual interviews Inductive thematic analysis | Cognitive behavioural therapy (CBT) | 13 out of 32 invited were interviewed 11 women, 2 men Age 18 to 64 yrs | Hopes and expectations Real, not imagined Collaborative therapeutic alliance Motivation and engagement Gain and loss Change |
Pinxsterhuis et al., 2015 Norway | To elicit participants’ experiences with a patient education programme and its usefulness | All participants in a patient education, self-management programme were invited | Outpatient clinic at a hospital | Centres for Disease Control and Prevention—1994 criteria and Canadian Consensus Criteria | Focus group interviews immediately and 9 months after the program Thematic analysis | A self-management programme based on envelope and self-efficacy theories | 10 out of 33 invited were interviewed 8 women, 2 men Age 32 to 57 yrs Illness duration 2.5 to 20 yrs | Experiences of chaos and insecurity Experiences of understanding, acceptance and coping Mediating factors |
Reme et al., 2013 US/UK | To explore the experienes of young people after having undergone Lightening process | Recruited through a website for young people with ME | Members of website forum | Oxford criteria | Semi-structured individual interviews Inductive thematic analysis | Lightening Process | 8 females, 1 male Age 14 to 26 yrs Illness duration 2 to 12 yrs | Pretreatment thoughts and expectations Experiences with treatment Perspectives on effectiveness |