{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:49:54Z","timestamp":1776232194278,"version":"3.50.1"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2025,10,17]],"date-time":"2025-10-17T00:00:00Z","timestamp":1760659200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,4,13]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>This study examines how rheumatoid arthritis (RA) peer support groups affect patients\u2019 lives and identifies the roles of these groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twelve RA patients from a peer support group participated in a focus group interview discussing reasons for joining, emotional changes, and disease management. Data were analysed using qualitative methods.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The analysis identified 65 codes, organized into 22 subcategories and synthesized into five pre- and five post-membership experience categories. The five pre-membership categories were: prolonged time for diagnosis, persistent anxiety even after starting treatment, expectation of interacting with peers with the same disease, encounter with the peer support group, and decision to join due to worsening condition. The five post-membership categories were meeting peers with whom they could empathize, need to understand their own illnesses, diverse information from other members\u2019 experiences, active participation in treatment and a place to belong and share with understanding peers. The group was considered to be a supportive community where patients can obtain necessary information, peer support, and increased treatment motivation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>This study indicates that peer support group could be valuable social resources, helping patients manage illness and improve quality of life.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/mr\/roaf101","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T12:25:34Z","timestamp":1760617534000},"page":"381-386","source":"Crossref","is-referenced-by-count":0,"title":["The significance of participation in peer support groups for people with rheumatoid arthritis: a qualitative study"],"prefix":"10.1093","volume":"36","author":[{"given":"Izumi","family":"Kobayashi","sequence":"first","affiliation":[{"name":"School of Nursing, Takarazuka University , Osaka , Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-5986-4809","authenticated-orcid":false,"given":"Hideko","family":"Nakahara","sequence":"additional","affiliation":[{"name":"Faculty of Health Science, Osaka Yukioka College of Health Science , Ibaraki , Osaka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6636-2835","authenticated-orcid":false,"given":"Mie","family":"Fusama","sequence":"additional","affiliation":[{"name":"Department of Nursing, Kansai University of International Studies , Miki, Hyogo ,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,10,17]]},"reference":[{"key":"2026041500572277000_ref1","doi-asserted-by":"crossref","first-page":"2023","DOI":"10.1016\/S0140-6736(16)30173-8","article-title":"Rheumatoid arthritis","volume":"388","author":"Smolen","year":"2016","journal-title":"Lancet"},{"key":"2026041500572277000_ref2","doi-asserted-by":"crossref","first-page":"789","DOI":"10.1080\/14397595.2017.1416940","article-title":"Residual symptoms and disease burden among patients with rheumatoid arthritis in remission or low disease activity: a systematic literature review","volume":"28","author":"Ishida","year":"2018","journal-title":"Mod Rheumatol"},{"key":"2026041500572277000_ref3","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1111\/j.1547-5069.1988.tb00082.x","article-title":"Uncertainty in illness","volume":"20","author":"Mishel","year":"1988","journal-title":"Image J Nurs Sch"},{"key":"2026041500572277000_ref4","doi-asserted-by":"crossref","first-page":"457","DOI":"10.1007\/s40744-020-00217-4","article-title":"Rheumatoid arthritis: the impact of mental health on disease: a narrative review","volume":"7","author":"Lwin","year":"2020","journal-title":"Rheumatol Ther"},{"key":"2026041500572277000_ref5","doi-asserted-by":"crossref","first-page":"450","DOI":"10.1002\/msc.1480","article-title":"\u201cTo be lonely in your own loneliness\u201d: the interplay between self-perceived loneliness and rheumatoid arthritis in everyday life: a qualitative study","volume":"18","author":"Bay","year":"2020","journal-title":"Musculoskeletal Care"},{"key":"2026041500572277000_ref6","doi-asserted-by":"publisher","first-page":"111514","DOI":"10.1016\/j.jpsychores.2023.111514","article-title":"A cross-sectional study of existential concerns and fear of progression in people with rheumatoid arthritis","volume":"175","author":"Sharpe","year":"2023","journal-title":"J Psychosom Res"},{"key":"2026041500572277000_ref7","doi-asserted-by":"crossref","first-page":"933","DOI":"10.1002\/acr.23907","article-title":"Patient and rheumatologist perspectives regarding challenges to achieving optimal disease control in rheumatoid arthritis","volume":"72","author":"Owensby","year":"2020","journal-title":"Arthritis Care Res (Hoboken)"},{"key":"2026041500572277000_ref8","doi-asserted-by":"crossref","first-page":"121","DOI":"10.2147\/PPA.S70834","article-title":"Reasons for discontinuation of subcutaneous biologic therapy in the treatment of rheumatoid arthritis: a patient perspective","volume":"9","author":"Bolge","year":"2015","journal-title":"Patient Prefer Adherence"},{"key":"2026041500572277000_ref9","doi-asserted-by":"crossref","first-page":"373","DOI":"10.1177\/1054773816629897","article-title":"Experiences of patients with rheumatoid arthritis: a qualitative study","volume":"26","author":"Poh","year":"2017","journal-title":"Clin Nurs Res"},{"key":"2026041500572277000_ref10","doi-asserted-by":"publisher","first-page":"41","DOI":"10.1186\/s41927-023-00365-4","article-title":"Employment of patients with rheumatoid arthritis - 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