How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment.
BMJ Open
; 13(5): e069779, 2023 05 05.
Article
en En
| MEDLINE
| ID: mdl-37147087
ABSTRACT
OBJECTIVES:
To explore how people perceive different advice for rotator cuff disease in terms of words/feelings evoked by the advice and treatment needs.SETTING:
We performed a content analysis of qualitative data collected in a randomised experiment.PARTICIPANTS:
2028 people with shoulder pain read a vignette describing someone with rotator cuff disease and were randomised to bursitis label plus guideline-based advice, bursitis label plus treatment recommendation, rotator cuff tear label plus guideline-based advice and rotator cuff tear label plus treatment recommendation. Guideline-based advice included encouragement to stay active and positive prognostic information. Treatment recommendation emphasised that treatment is needed for recovery. PRIMARY AND SECONDARYOUTCOMES:
Participants answered questions about (1) words/feelings evoked by the advice; (2) treatments they feel are needed. Two researchers developed coding frameworks to analyse responses.RESULTS:
1981 (97% of 2039 randomised) responses for each question were analysed. Guideline-based advice (vs treatment recommendation) more often elicited words/feelings of reassurance, having a minor issue, trust in expertise and feeling dismissed, and treatment needs of rest, activity modification, medication, wait and see, exercise and normal movements. Treatment recommendation (vs guideline-based advice) more often elicited words/feelings of needing treatment/investigation, psychological distress and having a serious issue, and treatment needs of injections, surgery, investigations, and to see a doctor.CONCLUSIONS:
Words/feelings evoked by advice for rotator cuff disease and perceived treatment needs may explain why guideline-based advice reduces perceived need for unnecessary care compared to a treatment recommendation.Palabras clave
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Manguito de los Rotadores
/
Lesiones del Manguito de los Rotadores
Tipo de estudio:
Clinical_trials
/
Guideline
/
Qualitative_research
Límite:
Humans
Idioma:
En
Revista:
BMJ Open
Año:
2023
Tipo del documento:
Article
País de afiliación:
Australia