‘There is a very distinct need for education’ among people with rotator cuff tendinopathy: An exploration of health professionals' attitudes

Jennifer White, Sean Mc Auliffe, Megan Jepson, Frada Burstein, Ruben Hopman, Dylan Morrissey, Terence Haines, Peter Malliaras

Research output: Contribution to journalArticleResearchpeer-review

Abstract

Background: Clinical practice guidelines recommend non-surgical care in the management of rotator cuff tendinopathy prior to considering imaging or surgery. However, this requires effective education to promote adherence to treatment. Objectives: To explore expert shoulder clinician's experiences with managing rotator cuff tendinopathy including practice beliefs towards providing education. Design: An in-depth qualitative study. Method: We conducted interviews (n = 8) with an international sample of expert shoulder clinician-researchers. Data were analysed using an inductive thematic approach with constant comparison. Results: Three key themes emerged: (1) The need for early, focused education: “Some beliefs can be detrimental to rehabilitation options”, (2) Developing therapeutic alliance: “If a patients trust you then you are generally going to get much better results” and (3) What is required moving forward in current day RT management: “Maybe we can get better.” Conclusions: Our findings highlight the importance of education to alleviate potential barriers to effective conservative care (including exercise) and self-management for rotator cuff tendinopathy. We also identified actionable ways to promote a collaborative therapeutic alliance however, this hinges on sufficient clinical time to educate patients adequately, which may be a barrier in busy clinical settings. Further, there is need for targeted education to facilitate development of clinical skills required to implement effective patient education strategies.

Original languageEnglish
Article number102103
Number of pages5
JournalMusculoskeletal Science and Practice
Volume45
DOIs
Publication statusPublished - Feb 2020

Keywords

  • Education
  • Patient centred care
  • Qualitative
  • Rehabilitation
  • Rotator cuff tendinopathy

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