How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment
Objectives Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.Setting We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participa...
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| Format: | Article |
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BMJ Publishing Group
2021-12-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/12/e052092.full |
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| author | Rachelle Buchbinder Ian A Harris Christopher G Maher Giovanni E Ferreira Romi Haas Zoe A Michaleff Joshua R Zadro |
| author_facet | Rachelle Buchbinder Ian A Harris Christopher G Maher Giovanni E Ferreira Romi Haas Zoe A Michaleff Joshua R Zadro |
| author_sort | Rachelle Buchbinder |
| collection | DOAJ |
| description | Objectives Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.Setting We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participants 1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain and episode of shoulder pain.Primary and secondary outcomes Participants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.Results1308/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with subacromial impingement syndrome. For those labelled with a rotator cuff tear, psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment/investigation and surgery were common among those labelled with a rotator cuff tear (11% and 19%, respectively) and subacromial impingement syndrome (9% and 10%) compared with bursitis (7% and 5%).Conclusions Words or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others. |
| format | Article |
| id | doaj-art-be546e1afcb047be86916c81a30a2d17 |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-be546e1afcb047be86916c81a30a2d172025-08-20T01:59:13ZengBMJ Publishing GroupBMJ Open2044-60552021-12-01111210.1136/bmjopen-2021-052092How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experimentRachelle Buchbinder0Ian A Harris1Christopher G Maher2Giovanni E Ferreira3Romi Haas4Zoe A Michaleff5Joshua R Zadro6Wiser Healthcare Research Collaboration, Sydney, New South Wales, Australia2 Sydney Musculoskeletal Health and Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, Australia1 Institute for Musculoskeletal Health, The University of Sydney, Sydney, New South Wales, AustraliaSydney Musculoskeletal Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, AustraliaWiser Healthcare Research Collaboration, Sydney, New South Wales, AustraliaNorthern NSW Local Health District, Lismore, New South Wales, AustraliaInstitute for Musculoskeletal Health, Sydney School of Public Health, Faculty of Medicine and Health, The University of Sydney and Sydney Local Health District, Sydney, New South Wales, AustraliaObjectives Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.Setting We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.Participants 1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels: subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain and episode of shoulder pain.Primary and secondary outcomes Participants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.Results1308/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with subacromial impingement syndrome. For those labelled with a rotator cuff tear, psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment/investigation and surgery were common among those labelled with a rotator cuff tear (11% and 19%, respectively) and subacromial impingement syndrome (9% and 10%) compared with bursitis (7% and 5%).Conclusions Words or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others.https://bmjopen.bmj.com/content/11/12/e052092.full |
| spellingShingle | Rachelle Buchbinder Ian A Harris Christopher G Maher Giovanni E Ferreira Romi Haas Zoe A Michaleff Joshua R Zadro How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment BMJ Open |
| title | How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment |
| title_full | How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment |
| title_fullStr | How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment |
| title_full_unstemmed | How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment |
| title_short | How do people perceive different labels for rotator cuff disease? A content analysis of data collected in a randomised controlled experiment |
| title_sort | how do people perceive different labels for rotator cuff disease a content analysis of data collected in a randomised controlled experiment |
| url | https://bmjopen.bmj.com/content/11/12/e052092.full |
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