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01-12-2012 | Research | Uitgave 1/2012 Open Access

Journal of Foot and Ankle Research 1/2012

Foot health education for people with rheumatoid arthritis — some patient perspectives

Journal of Foot and Ankle Research > Uitgave 1/2012
Andrea S Graham, Alison Hammond, Steven Walmsley, Anita E Williams
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Electronic supplementary material

The online version of this article (doi:10.​1186/​1757-1146-5-23) contains supplementary material, which is available to authorized users.

Competing interests

The authors declare they have no competing interests.

Authors’ contributions

AG conceived and executed the study design (with contributions from AW and AH), interpreted the findings with assistance from SW and drafted the manuscript with assistance from AW and AH. All authors read and approved the final manuscript.



Patient education is an important component of foot health management for people with rheumatoid arthritis (RA). The content and strategies for delivery require investigation in relation to the patients’ needs. This study explores patients’ experiences of foot health education, to inform how the patients’ needs could be identified in clinical practice and inform effective education delivery.


A focus group was used to collect data. The dialogue was recorded digitally, transcribed verbatim and analysed using a structured thematic approach. Member checking and peer review added to credibility of the data.
Six themes emerged; (i) content and purpose of patient education – what it should be, (ii) content of patient education – what it should not be, (iii) timing of information on foot health, (iv) method of delivery, (v) ability to engage with foot health education and (vi) the patient/practitioner relationship.


This study identified aspects of patient education considered important by this group of patients in relation to content, timing and delivery, forming the basis for further research on clinical and patient focussed outcomes of patient education.
Identifying health education needs and provision of supportive verbal and written information can foster an effective therapeutic relationship, supporting effective foot health education for people with RA.

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