TY - JOUR
T1 - Development of a patient decision aid on subacromial decompression surgery and rotator cuff repair surgery
T2 - An international mixed-methods study
AU - Zadro, Joshua
AU - Jones, Caitlin
AU - Harris, Ian
AU - Buchbinder, Rachelle
AU - O'Connor, Denise A.
AU - McCaffery, Kirsten
AU - Thompson, Rachel Elizabeth
AU - Karunaratne, Sascha
AU - Teng, Min Jiat
AU - Maher, Christopher
AU - Hoffmann, Tammy
N1 - Funding Information:
Funding This study was funded by the Arthritis Australia Grants-in-Aid scheme (funder number N/A). The contribution of RET to this work was supported by a National Health and Medical Research Council (NHMRC) Programme Grant (APP1113532).
Publisher Copyright:
© 2021 BMJ Publishing Group. All rights reserved.
Copyright:
Copyright 2021 Elsevier B.V., All rights reserved.
PY - 2021/8
Y1 - 2021/8
N2 - Objective To develop and user test a patient decision aid for people with subacromial pain syndrome that presents evidence-based information on the benefits and harms of subacromial decompression surgery and rotator cuff repair surgery. Design Mixed-methods study outlining the development of a patient decision aid. Setting We assembled a multidisciplinary steering group, and used existing decision aids and decision science to draft the decision aid. Participants were recruited through social media (not restricted by country nor setting), local hospitals and the authors' collaboration network. Participants People with shoulder pain and health professionals who manage people with shoulder pain. Primary and secondary outcomes We interviewed participants to gather feedback on the decision aid, assessed useability and acceptability (using qualitative and quantitative methods) and performed iterative cycles of redrafting the decision aid and reinterviewing participants as necessary. Interview data were analysed using thematic analysis. Quantitative data were summarised descriptively. Results We interviewed 26 health professionals (11 physiotherapists, 7 orthopaedic surgeons, 4 general practitioners, 3 chiropractors and 1 osteopath) and 14 people with shoulder pain. Most health professionals and people with shoulder pain rated all aspects of decision aid acceptability as adequate-to-excellent (eg, length, presentation, comprehensibility). Interviews highlighted agreement among health professionals and people with shoulder pain on most aspects of the decision aid (eg, treatment options, summary of benefits, harms and practical issues, questions to ask a health professional, graphics, formatting). However, some aspects of the decision aid elicited divergent views among health professionals (eg, causes and symptoms of shoulder pain, evidence on benefits and harms). Conclusion This decision aid could be an acceptable and valuable tool for helping people with subacromial pain syndrome make informed treatment choices. A randomised controlled trial evaluating whether this decision aid reduces people's intentions to undergo shoulder surgery and facilitates informed treatment choices is underway. Trial registration number ACTRN12621000992808
AB - Objective To develop and user test a patient decision aid for people with subacromial pain syndrome that presents evidence-based information on the benefits and harms of subacromial decompression surgery and rotator cuff repair surgery. Design Mixed-methods study outlining the development of a patient decision aid. Setting We assembled a multidisciplinary steering group, and used existing decision aids and decision science to draft the decision aid. Participants were recruited through social media (not restricted by country nor setting), local hospitals and the authors' collaboration network. Participants People with shoulder pain and health professionals who manage people with shoulder pain. Primary and secondary outcomes We interviewed participants to gather feedback on the decision aid, assessed useability and acceptability (using qualitative and quantitative methods) and performed iterative cycles of redrafting the decision aid and reinterviewing participants as necessary. Interview data were analysed using thematic analysis. Quantitative data were summarised descriptively. Results We interviewed 26 health professionals (11 physiotherapists, 7 orthopaedic surgeons, 4 general practitioners, 3 chiropractors and 1 osteopath) and 14 people with shoulder pain. Most health professionals and people with shoulder pain rated all aspects of decision aid acceptability as adequate-to-excellent (eg, length, presentation, comprehensibility). Interviews highlighted agreement among health professionals and people with shoulder pain on most aspects of the decision aid (eg, treatment options, summary of benefits, harms and practical issues, questions to ask a health professional, graphics, formatting). However, some aspects of the decision aid elicited divergent views among health professionals (eg, causes and symptoms of shoulder pain, evidence on benefits and harms). Conclusion This decision aid could be an acceptable and valuable tool for helping people with subacromial pain syndrome make informed treatment choices. A randomised controlled trial evaluating whether this decision aid reduces people's intentions to undergo shoulder surgery and facilitates informed treatment choices is underway. Trial registration number ACTRN12621000992808
KW - elbow & shoulder
KW - musculoskeletal disorders
KW - Orthopaedic & trauma surgery
KW - primary care
KW - rehabilitation medicineorthopaedic & trauma surgery
KW - shoulder
UR - http://www.scopus.com/inward/record.url?scp=85114337240&partnerID=8YFLogxK
U2 - 10.1136/bmjopen-2021-054032
DO - 10.1136/bmjopen-2021-054032
M3 - Article
C2 - 34462283
AN - SCOPUS:85114337240
SN - 2044-6055
VL - 11
JO - BMJ Open
JF - BMJ Open
IS - 8
M1 - e054032
ER -
