Griffiths, Frances, Borkan, Jeffrey M., Byrne, D. S., Crabtree, Benjamin F., Dowrick, Christopher, Gunn, Jane, Kokanovic, Renata, Lamb, S. E., Lindenmeyer, Antje, Parchman, Michael, Reis, Shmuel and Sturt, Jackie (2010) Developing evidence for how to tailor medical interventions for the individual patient. Qualitative Health Research, Vol.20 (No.12). pp. 1629-1641. doi:10.1177/1049732310377453 ISSN 1049-7323.

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Abstract

We aim to answer the question: How can we develop an evidence base that will assist tailoring health interventions to individual patients? Using social theory and interview data from people living with chronic illness, we developed a new approach to analysis. Individuals were considered as emergent complex systems, adjusting and adapting within their environment and sometimes transforming. The notion of illness trajectory brought our attention to data in the interviews about the "emergent present," the current period of time when all domains of life, from across time, have expression. We summarized patterns of adjustment and adaptation within the emergent present for people living with chronic back pain, depression, and diabetes. We considered the potential of this analysis approach to inform medical decision making. Our analysis approach is the first step in developing a categorization of individuals that might be useful in tailoring health care interventions to the individual.

Item Type:	Journal Article
Subjects:	R Medicine > R Medicine (General)
Divisions:	Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Biomedical Sciences > Translational & Experimental Medicine > Metabolic and Vascular Health (- until July 2016) Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School Faculty of Science, Engineering and Medicine > Medicine > Warwick Medical School > Health Sciences > Social Science & Systems in Health (SSSH)
Library of Congress Subject Headings (LCSH):	Evidence-based medicine, Chronic diseases -- Treatment, Medical care -- Research
Journal or Publication Title:	Qualitative Health Research
Publisher:	Sage Publications, Inc.
ISSN:	1049-7323
Official Date:	December 2010
Dates:	Date Event December 2010 Published
Volume:	Vol.20
Number:	No.12
Page Range:	pp. 1629-1641
DOI:	10.1177/1049732310377453
Status:	Peer Reviewed
Publication Status:	Published
Access rights to Published version:	Restricted or Subscription Access
Funder:	Economic and Social Research Council (Great Britain) (ESRC)

Data sourced from Thomson Reuters' Web of Knowledge

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