title: Communicating the diagnosis of multiple sclerosis - a qualitative study.
abstract: Studies on communicating the diagnosis of multiple sclerosis (MS) are few, and all reveal communication and information deficits. We explored the personal experience of diagnosis communication of people with MS and health professionals, using a qualitative methodology. Data were obtained from two sets of focus group meetings (FGM) with people with MS (total 23; 16 females; age range: 23-70) and one FGMs with health professionals (four neurologists, three psychologists, two nurses). The methods of framework analysis were applied to meeting transcripts to identify key topics and categories. The experience of communicating/receiving an MS diagnosis was highly varied; all patients reported the moment as powerfully evocative and unforgettable. Very poor levels of support and information were sometimes given. Although diagnosis communication had improved in more recent experience, all felt it should be further improved with appropriate setting (privacy, no interruptions, sufficient time), information tailored to the individual, and continuity of care. Such improvements imply a more meaningful patientneurologist relationship, and also structural and organisational changes.
authors.affiliation: Neuroepidemiology Unit, C Besta National Neurological Institute, Milan, Italy. solari@istituto-besta.it
authors.forename: A
authors.initials: A
authors.lastname: Solari
authors.forename: N
authors.initials: N
authors.lastname: Acquarone
authors.forename: E
authors.initials: E
authors.lastname: Pucci
authors.forename: V
authors.initials: V
authors.lastname: Martinelli
authors.forename: M G
authors.initials: MG
authors.lastname: Marrosu
authors.forename: M
authors.initials: M
authors.lastname: Trojano
authors.forename: C
authors.initials: C
authors.lastname: Borreani
authors.forename: M
authors.initials: M
authors.lastname: Messmer Uccelli
mesh_terms: D000328:Adult; D017668:Age of Onset; D000368:Aged; D003142:Communication; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D009103:Multiple Sclerosis / Q000175:diagnosis* / Q000523:psychology*; D010817:Physician-Patient Relations; D012959:Socioeconomic Factors