Journal
MUSCULOSKELETAL SCIENCE AND PRACTICE
Volume 45, Issue -, Pages -Publisher
ELSEVIER
DOI: 10.1016/j.msksp.2019.102103
Keywords
Education; Patient centred care; Qualitative; Rotator cuff tendinopathy; Rehabilitation
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Funding
- Monash Health
- EPSRC [EP/P009964/1] Funding Source: UKRI
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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.
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