Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia
Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia.
BMJ Open. 2021 Aug 30;11(8):e054032. doi: 10.1136/bmjopen-2021-054032.
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.
Mixed-methods study outlining the development of a patient decision aid.
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.
People with shoulder pain and health professionals who manage people with shoulder pain.
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.
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).
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. ACTRN12621000992808.
为患有肩峰下疼痛综合征的患者开发并测试一种患者决策辅助工具，该工具提供了关于肩峰下减压手术和肩袖修复手术的益处和危害的基于证据的信息。
概述患者决策辅助工具开发的混合方法研究。
我们组建了一个多学科指导小组，并利用现有的决策辅助工具和决策科学来起草决策辅助工具。参与者通过社交媒体（不受国家和环境限制）、当地医院和作者的合作网络招募。
患有肩部疼痛的患者和管理肩部疼痛患者的健康专业人员。
我们采访了参与者，以收集对决策辅助工具的反馈，评估可用性和可接受性（使用定性和定量方法），并在必要时进行迭代循环重新起草决策辅助工具并重新采访参与者。使用主题分析对访谈数据进行分析。定量数据以描述性方式总结。
我们采访了 26 名健康专业人员（11 名物理治疗师、7 名骨科医生、4 名全科医生、3 名脊椎按摩师和 1 名整骨医生）和 14 名患有肩部疼痛的患者。大多数健康专业人员和肩部疼痛患者对决策辅助工具的所有方面的可接受性评价为足够到优秀（例如，长度、呈现方式、可理解性）。访谈突出了健康专业人员和肩部疼痛患者在决策辅助工具的大多数方面的共识（例如，治疗选择、益处、危害和实际问题的总结、向健康专业人员提出的问题、图形、格式）。然而，决策辅助工具的某些方面引起了健康专业人员之间的不同看法（例如，肩部疼痛的原因和症状、益处和危害的证据）。
该决策辅助工具可能是帮助肩峰下疼痛综合征患者做出明智治疗选择的一种可接受且有价值的工具。正在进行一项随机对照试验，以评估该决策辅助工具是否能减少人们进行肩部手术的意愿并促进知情治疗选择。ACTRN12621000992808。
