How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment
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...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2023-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/13/5/e069779.full |
| _version_ | 1797832855760404480 |
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| author | 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 |
| author_facet | 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 |
| author_sort | Ian A Harris |
| collection | DOAJ |
| description | 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. |
| first_indexed | 2024-04-09T14:14:24Z |
| format | Article |
| id | doaj.art-aa93d86ec6844acd8becdebca71c64b0 |
| institution | Directory Open Access Journal |
| issn | 2044-6055 |
| language | English |
| last_indexed | 2024-04-09T14:14:24Z |
| publishDate | 2023-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj.art-aa93d86ec6844acd8becdebca71c64b02023-05-05T21:00:06ZengBMJ Publishing GroupBMJ Open2044-60552023-05-0113510.1136/bmjopen-2022-069779How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experimentIan A Harris0Adrian C Traeger1Christopher G Maher2Mary O'Keeffe3Giovanni E Ferreira4Richard Page5Zoe A Michaleff6Joshua R Zadro7Andrew R Gamble8Frederick Afeaki9Yaozhuo Li10Erya Wen11Jiawen Yao12Kejie Zhu13DISTINCT Study Group, Whitlam Orthopaedic Research Centre, Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, University of New South Wales, Liverpool, New South Wales, AustraliaSydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, Australiaprofessor4 Institute for Musculoskeletal Health, School of Public Health, University of Sydney, Sydney, New South Wales, AustraliaSydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, AustraliaDepartment of Thoracic Surgery, Liverpool Heart and Chest Hospital, Liverpool, UKFaculty of Health Sciences and Medicine, Institute for Evidence-Based Healthcare, Bond University, Gold Coast, Queensland, Australiaresearch fellowSchool of Health Sciences, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, AustraliaObjectives 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.https://bmjopen.bmj.com/content/13/5/e069779.full |
| spellingShingle | 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 How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment BMJ Open |
| title | How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment |
| title_full | How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment |
| title_fullStr | How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment |
| title_full_unstemmed | How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment |
| title_short | How do people perceive different advice for rotator cuff disease? A content analysis of qualitative data collected in a randomised experiment |
| title_sort | how do people perceive different advice for rotator cuff disease a content analysis of qualitative data collected in a randomised experiment |
| url | https://bmjopen.bmj.com/content/13/5/e069779.full |
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