{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T07:37:15Z","timestamp":1773387435713,"version":"3.50.1"},"reference-count":10,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"3","license":[{"start":{"date-parts":[[2018,5,1]],"date-time":"2018-05-01T00:00:00Z","timestamp":1525132800000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2018,5]]},"abstract":"<jats:sec>\n            <jats:title>Introduction:<\/jats:title>\n            <jats:p>Uveitis is a significant complication in patients with juvenile idiopathic arthritis (JIA) and can be asymptomatic until vision loss develops. Published guidelines recommend uveitis screening eye examinations every 3\u201312 months depending on multiple factors, but no literature evaluates adherence with and barriers to obtaining these screening eye examinations. This study assesses barriers in nonadherent patients to establish key drivers for future interventions.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods:<\/jats:title>\n            <jats:p>We identified patients with JIA who were nonadherent with uveitis screening guidelines through the electronic medical record (EMR). A rheumatologist conducted semistructured interviews with the patients or guardians regarding the patients\u2019 most recent eye examinations, knowledge of the screening frequency, and barriers to completing the eye examinations. The results were qualitatively analyzed to determine any categorical variables present.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results:<\/jats:title>\n            <jats:p>Ninety-two patients were identified as nonadherent, and the rheumatologist interviewed 45 patients or guardians. Categories identified following the interviews were system problems, access to care issues, and knowledge deficits. The largest category identified was system problems that included most recent eye examination not being in the EMR, the wrong eye provider identified in the EMR or difficulty with scheduling eye appointments.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions:<\/jats:title>\n            <jats:p>This qualitative study identified categories of barriers to obtaining screening eye examinations in patients with JIA. Identification of these barriers will facilitate the development of a specific aim and key driver diagram to guide future quality improvement interventions.<\/jats:p>\n          <\/jats:sec>","DOI":"10.1097\/pq9.0000000000000084","type":"journal-article","created":{"date-parts":[[2019,6,11]],"date-time":"2019-06-11T20:48:49Z","timestamp":1560286129000},"page":"e084","source":"Crossref","is-referenced-by-count":12,"title":["Assessing Barriers to Uveitis Screening in Patients with Juvenile Idiopathic Arthritis Through Semi-Structured Interviews"],"prefix":"10.1097","volume":"3","author":[{"given":"Laura R.","family":"Ballenger","sequence":"first","affiliation":[{"name":"From the Division of Rheumatology, Nationwide Children\u2019s Hospital, Columbus, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stacy P.","family":"Ardoin","sequence":"additional","affiliation":[{"name":"From the Division of Rheumatology, Nationwide Children\u2019s Hospital, Columbus, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyla D.","family":"Driest","sequence":"additional","affiliation":[{"name":"From the Division of Rheumatology, Nationwide Children\u2019s Hospital, Columbus, Ohio."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"R1-20230930","first-page":"390","article-title":"International League of Associations for Rheumatology classification of juvenile idiopathic arthritis: second revision, Edmonton, 2001.","volume":"31","author":"Petty","year":"2004","journal-title":"J Rheumatol"},{"key":"R2-20230930","doi-asserted-by":"crossref","first-page":"575","DOI":"10.1016\/S0049-0172(96)80009-6","article-title":"Epidemiology of chronic arthritis in childhood.","volume":"26","author":"Oen","year":"1996","journal-title":"Semin Arthritis Rheum"},{"key":"R3-20230930","doi-asserted-by":"crossref","first-page":"1544","DOI":"10.1016\/j.ophtha.2009.05.002","article-title":"Epidemiology and course of disease in childhood uveitis.","volume":"116","author":"Smith","year":"2009","journal-title":"Ophthalmology"},{"key":"R4-20230930","doi-asserted-by":"crossref","first-page":"1874","DOI":"10.1016\/j.ophtha.2006.05.016","article-title":"Visual outcomes in children with juvenile idiopathic arthritis-associated uveitis.","volume":"113","author":"Kump","year":"2006","journal-title":"Ophthalmology"},{"key":"R5-20230930","doi-asserted-by":"crossref","first-page":"19","DOI":"10.1186\/s12969-015-0018-8","article-title":"Characteristics of a cohort of children with juvenile idiopathic arthritis and JIA-associated uveitis.","volume":"13","author":"Angeles-Han","year":"2015","journal-title":"Pediatr Rheumatol Online J"},{"key":"R6-20230930","first-page":"1403","article-title":"Chronic uveitis in children with and without juvenile idiopathic arthritis: differences in patient characteristics and clinical course.","volume":"35","author":"Heinz","year":"2008","journal-title":"J Rheumatol"},{"key":"R7-20230930","first-page":"1139","article-title":"Prevalence and outcome of juvenile idiopathic arthritis-associated uveitis and relation to articular disease.","volume":"34","author":"Grassi","year":"2007","journal-title":"J Rheumatol"},{"key":"R8-20230930","doi-asserted-by":"crossref","first-page":"647","DOI":"10.1002\/art.22381","article-title":"Prevalence, risk factors, and outcome of uveitis in juvenile idiopathic arthritis: a long-term followup study.","volume":"56","author":"Saurenmann","year":"2007","journal-title":"Arthritis Rheum"},{"key":"R9-20230930","doi-asserted-by":"crossref","first-page":"840","DOI":"10.1016\/j.ajo.2007.01.033","article-title":"Juvenile idiopathic arthritis-associated uveitis: incidence of ocular complications and visual acuity loss.","volume":"143","author":"Thorne","year":"2007","journal-title":"Am J Ophthalmol"},{"key":"R10-20230930","doi-asserted-by":"crossref","first-page":"1015","DOI":"10.1093\/rheumatology\/kem053","article-title":"Prevalence and complications of uveitis in juvenile idiopathic arthritis in a population-based nation-wide study in Germany: suggested modification of the current screening guidelines.","volume":"46","author":"Heiligenhaus","year":"2007","journal-title":"Rheumatology (Oxford)"}],"container-title":["Pediatric Quality &amp; Safety"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.lww.com\/01949578-201805000-00007","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T07:05:53Z","timestamp":1696057553000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.lww.com\/01949578-201805000-00007"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,5]]},"references-count":10,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2018]]}},"URL":"https:\/\/doi.org\/10.1097\/pq9.0000000000000084","relation":{},"ISSN":["2472-0054"],"issn-type":[{"value":"2472-0054","type":"electronic"}],"subject":[],"published":{"date-parts":[[2018,5]]}}}