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Foot pain and deformity are common in people with rheumatoid arthritis (RA). Previous research has identified that women with RA seek retail footwear to alleviate their foot problems. The specific footwear features that women with RA require, and what would help them to find shoes that meet these requirements, are unknown. This study aimed to determine the factors that influence the choice of appropriate retail footwear by women with RA.
An overarching qualitative approach was taken, using reflexive thematic analysis of conversational style interviews. The interviews explored experiences and use of retail footwear in 20 women with RA. The interviews were digitally recorded transcribed verbatim and analysed using a reflexive thematic framework.
Women with RA sought retail footwear which had adequate cushioning, width, a flexible sole, lightweight, were made from breathable materials and were easy to put on and take off. However, this choice was driven by the need for comfort, cost and usability, with aesthetics being less of a priority. Despite having opinions on what criteria they felt that they needed, these women did not feel empowered to make good choices about purchasing retail footwear for symptomatic relief. Furthermore, they did not receive the necessary support from podiatrists and shoe shop staff.
Women with RA have clear ideas about what features a retail shoe should have to achieve comfort. There is a constant compromise between achieving comfort and their feelings about their appearance and how they feel others perceive them. Women with RA describe negative experiences with shoe shop assistants and podiatrists leading to poor footwear choices. Both retail staff and podiatrists need increased understanding about the particular problems that women with RA experience.
JWK L, Schrier JC. Rheumatoid forefoot deformity: pathopysioogy, evaluation and operative treatment options. International orthopaedics. 2013;37(9):1719–29. CrossRef
Otter S, Lucas K, Springett K, Moore A, Davies K, Cheek L, Young A, Walker-Bone K. Foot pain in rheumatoid arhtiritis prevalence, risk factors and management: an epidemiological study. Clini Rheumatology. 2010;29(3):255–71. CrossRef
Grondal L, Tengstrand B, Nordmark B, Wretenberg P, Startk A. The foot: still the most important reason for walking incapacity in rheumatoid arthritis: distribution of symptomatic joints in 1,000 RA patients. Acta Orthop. 2008;79(2):257–61. CrossRef
Shi K., T.T., Hayashida K, Owaki H, Ochi T, Foot deformities in rheumatoid arthritis and relevnace of disease severity. J Rheumatol, 2000. 27(1): p. 1719–1729.
Turner D, Helliwell PS, Emery P, Woodburn J. The impact of rheumatoid arthritis on foot function in the early stages of disease: a clinical case series. BMC Musculoskelet Disord. 2006;7(102).
JA S. Nonsurgical management of the foot and ankle affected by rheumatoid arthritis. J Orthop Sport Phys Ther. 1999;29(12):703. CrossRef
Dahmen R, Buijsmann S, Siemonsma PC, Boers M, Lankhorst GJ, Roorda LD. Use and effects of custom-made therapeutic footwear on lower extremity related pain and acitivty limitations in patients with rheumatoid arthritis. J Rehab Med. 2014;46(6):561–7. CrossRef
Williams AE, Nester CJ, Ravey MI. Rheumatoid arthritis pateints’ experiences of wearing therapeutic footwear - a qualitiative investigation. BMC Musculoskelet Disord. 2007;8(1):104–14. CrossRef
Goodacre L, Candy FJ. If I didn’t have RA I wouldn’t give them house room’: the relationship between RA, footwear and clothing choices. Rheumatology. 2011;50:513–7. CrossRef
Naidoo S, Anderson S, Mills J, Parsons S, Breeden S, Bevan E, Edwards C, Otter S. “I could cry, the amount of shoes I can’t get into”: a qualitative exploration of the factors that influence footwear selection in women with rheumatoid arthritis. Journal of Foot and Ankle Research. 2011;4(21).
Kay J, Upchurch KS. ACR/EULAR 2010 rheumatoid arthritis classification criteria. Rheumatology (Oxford). 2012;51(Suppl 6):vi5–9. CrossRef
Budiman-Mak E, Conrad K, Stuck R, Matters M. Theoretical Model and Rasch Analysis to Develop a Revised Foot Function Index. Foot Ankle Int. 2006;27(7):519–27. CrossRef
Saag KG, et al. The foot function index for measuring rheumatoid arthritis pain: evaluating side-to-side reliability. Foot Ankle Int. 1996;17(8):506–10. CrossRef
Helliwell P, et al. Development of a foot impact scale for rheumatoid arthritis. Arthritis & Rheumatism. 2005;53(3):418–22. CrossRef
Walmsley S, et al. Development of a patient-reported outcome measure for the foot affected by rheumatoid arthritis. J Clin Epidemiol. 2012;65(4):413–22. CrossRef
Braun V., C.V., hayfield N., Terry G., Thematic Analysis. In: Handbook of Research Methods in Health Sciences. 2018: springer, Singaport.
Cho NS, et al. Randomized controlled trial for clinical effects of varying types of insoles combined with specialized shoes in patients with rheumatoid arthritis of the foot. Clin Rehabil. 2009;23(6):512–21. CrossRef
Nancarrow S. Footwear suitability scale: a measure of shoe-fit for people with diabetes. Australasian Journal of Podiatric Medicine. 1999;33(2):57–63.
Carter K, et al. Prevalence of foot problems in people with inflammatory arthritis in Singapore. Journal of Foot and Ankle Research. 2016;9(1):37. CrossRef
Korda J, Bálint GP. When to consult the podiatrist. Best Pract Res Clin Rheumatol. 2004;18(4):587–611. CrossRef
Hendry GJ, Gibson KA, Pile K, Taylor L, Du Toit V, Burns J, Rome K. “They just scraped off the calluses”: a mixed methods exploration of foot care access and provision foe people with rheumatoid arthritis in South-Western Sydney, Australia. Journal of Foot and Ankle Research. 2013;6(34).
Silvester R, Williams AE, Dalbeth N, Rome K. Choosing shoes’: a preliminary study into the challenges facing clinicians in assessing footwear for rheumatoid patients. Journal of Foot and Ankle Research. 2010;3(24).
- “Come and live with my feet and you’ll understand” – a qualitative study exploring the experiences of retail footwear in women with rheumatoid arthritis
Peta Ellen Tehan
Anita Ellen Williams
- BioMed Central