| Autor: |
Ian A Harris, Adrian C Traeger, Christopher G Maher, Mary O'Keeffe, Giovanni E Ferreira, Richard Page, Zoe A Michaleff, Joshua R Zadro, Andrew R Gamble, Frederick Afeaki, Yaozhuo Li, Erya Wen, Jiawen Yao, Kejie Zhu |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
BMJ Open, Vol 13, Iss 5 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2044-6055 |
| DOI: |
10.1136/bmjopen-2022-069779 |
| Popis: |
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 secondary outcomes 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. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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