RESEARCH ARTICLE Everyday Life with Rheumatoid Arthritis and Implications for Patient Education and Clinical Practice: A Focus Group Study Tine Mechlenborg Kristiansen 1 * MPSC, Jette Primdahl 2 RN, MHH, PhD, Rasmus Antoft 3 MPSC, PhD & Kim Hørslev-Petersen 4 MD, DMSci 1 King Christian X Hospital for Rheumatic Diseases, Graasten, Denmark and Faculty of Health Sciences, University of Southern Denmark, Denmark 2 King Christian X Hospital for Rheumatic Diseases, Graasten, Denmark 3 Department of Sociology and Social Work, Aalborg University 4 Faculty of Health Sciences, University of Southern Denmark and King Christian X Hospital for Rheumatic Diseases, Graasten, Denmark Abstract Objectives. This study aimed to explore how everyday life is affected by rheumatoid arthritis (RA), in order to inform patient education and clinical practice and generate further research. Methods. Six focus group interviews were conducted with, in total, 32 participants. Interview data were analysed using content analysis methods. Results. The study showed that RA affected almost every aspect of participantseveryday lives, particularly self- identity, social relationships, work and relationships with health and social care professionals. A small number of the participants did not have these experiences, due to receiving fast diagnosis and effective medical treatment. Conclusion. The ndings point to a need to increase knowledge about RA, support symptom management and reduce the physical, social and psychological challenges posed by RA in everyday life. An individualized and engaged approach to patient education, taking the individual experiences as the point of departure, is suggested. The results indicate directions for further research. The general implications for patient education that emerge from this study might not address the support needs of those who did not experience signicant changes in everyday life. A more detailed and in-depth understanding about living with RA in the rst years after diagnosis would provide a valuable supplement to the many retrospective studies, and useful knowledge in the design of patient education tailored to those who are newly diagnosed with RA. Copyright © 2011 John Wiley & Sons, Ltd. Keywords Patient education; everyday life; focus group method *Correspondence Tine Mechlenborg Kristiansen, Institut for Regional Sundhedsforskning, Sygehus Sønderjylland, King Christian Xs Gigthospital, Toldbodgade 3, 6300 Gråsten, Denmark. Tel: +45 2327 5110 Email: tmkristiansen@gigtforeningen.dk Published online 26 December 2011 in Wiley Online Library (wileyonlinelibrary.com) DOI: 10.1002/msc.224 Introduction Background Rheumatoid arthritis (RA) is a uctuating, chronic autoimmune disease associated with pain, fatigue, joint stiffness and joint destruction that eventually leads to functional disability. Within recent years, both sociological and clinical international research have focused on RA as it is experienced by the individual living with this 29 Musculoskelet. Care 10 (2012) 2938 © 2011 John Wiley & Sons, Ltd.