Development of an intervention for patients following an anterior cruciate ligament rupture: an online nominal group technique consensus study.
BMJ Open
; 14(7): e082387, 2024 Jul 18.
Article
in En
| MEDLINE
| ID: mdl-39025812
ABSTRACT
OBJECTIVES:
(1) To develop an intervention for to support patients diagnosed with an anterior cruciate ligament (ACL) rupture with decision-making regarding treatment. (2) To define evidence-based recommendations for the treatment of patients following an ACL rupture.DESIGN:
Nominal group technique consensus study.SETTING:
Online meetings with patients and key stakeholders working and receiving treatment in the National Health Service, UK.PARTICIPANTS:
Consensus meetings composed of eight voting participants and five non-voting facilitators. Voting participants included five clinicians, one outpatient therapy manager and two patients with experience in an ACL rupture and reconstructive surgery. Non-voting facilitators supported group discussions and/or observed study procedures. This included a clinical academic expert, two methodology experts and two patient representatives.METHOD:
Two online meetings were held. Pre-elicitation material was distributed ahead of the first meeting. Premeeting voting was conducted ahead of both meetings. A draft of the shared decision-making intervention and recommendations were shared ahead of the second meeting. Components were discussed and ranked for inclusion based on a 70% agreement threshold.RESULTS:
The meetings led to the development of a shared decision-making intervention to support treatment decision-making following an ACL rupture. The intervention includes two components (1) a patient information leaflet and key questions diagram and (2) option grid. The evidence-based recommendations encompass core components of treatment reaching the 70% threshold agreed by the group. The recommendations cover (1) advice and education, (2) exercise guidance, (3) intervention delivery, (4) outcome measure use and (5) shared decision-making.CONCLUSION:
This study has successfully developed a shared decision-making intervention to support ACL treatment decision-making, ready for testing in a future feasibility study. Evidence-based recommendations for the treatment of patients following ACL injury, ready for testing in a National Health Service (UK) setting, are also presented. TRIAL REGISTRATION NUMBER NCT05529511.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Consensus
/
Anterior Cruciate Ligament Injuries
/
Decision Making, Shared
Limits:
Female
/
Humans
/
Male
Country/Region as subject:
Europa
Language:
En
Journal:
BMJ Open
Year:
2024
Document type:
Article
Country of publication:
United kingdom