Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.

<h4>Objectives</h4>The overall purpose of this research programme is to develop and test the feasibility of a complex intervention for knee pain delivered by a nurse, and comprising both non-pharmacological and pharmacological interventions. In this first phase, we examined the acceptabi...

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Main Authors: Polykarpos Angelos Nomikos, Michelle C Hall, Amy Fuller, Reuben Ogollah, Ana M Valdes, Michael Doherty, David Andrew Walsh, Roshan das Nair, Abhishek Abhishek
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2022-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262422&type=printable
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author Polykarpos Angelos Nomikos
Michelle C Hall
Amy Fuller
Reuben Ogollah
Ana M Valdes
Michael Doherty
David Andrew Walsh
Roshan das Nair
Abhishek Abhishek
author_facet Polykarpos Angelos Nomikos
Michelle C Hall
Amy Fuller
Reuben Ogollah
Ana M Valdes
Michael Doherty
David Andrew Walsh
Roshan das Nair
Abhishek Abhishek
author_sort Polykarpos Angelos Nomikos
collection DOAJ
description <h4>Objectives</h4>The overall purpose of this research programme is to develop and test the feasibility of a complex intervention for knee pain delivered by a nurse, and comprising both non-pharmacological and pharmacological interventions. In this first phase, we examined the acceptability of the non-pharmacological component of the intervention; issues faced in delivery, and resolved possible challenges to delivery.<h4>Methods</h4>Eighteen adults with chronic knee pain were recruited from the community. The intervention comprised holistic assessment, education, exercise, weight-loss advice (where appropriate) and advice on adjunctive treatments such as hot/cold treatments, footwear modification and walking aids. After nurse training, the intervention was delivered in four sessions spread over five weeks. Participants had one to one semi-structured interview at the end of the intervention. The nurse was interviewed after the last visit of the last participant. These were audio recorded and transcribed verbatim. Themes were identified by one author through framework analysis of the transcripts, and cross-checked by another.<h4>Results</h4>Most participants found the advice from the nurse easy to follow and were satisfied with the package, though some felt that too much information was provided too soon. The intervention changed their perception of managing knee pain, learning that it can be improved with self-management. However, participants thought that the most challenging part of the intervention was fitting the exercise regime into their daily routine. The nurse found discussion of goal setting to be challenging.<h4>Conclusion</h4>The nurse-led package of care is acceptable within a research setting. The results are promising and will be applied in a feasibility randomised-controlled trial.
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spelling doaj-art-c93cb368b48943179e1d8a7ca51df4a02025-08-20T02:33:19ZengPublic Library of Science (PLoS)PLoS ONE1932-62032022-01-01171e026242210.1371/journal.pone.0262422Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.Polykarpos Angelos NomikosMichelle C HallAmy FullerReuben OgollahAna M ValdesMichael DohertyDavid Andrew WalshRoshan das NairAbhishek Abhishek<h4>Objectives</h4>The overall purpose of this research programme is to develop and test the feasibility of a complex intervention for knee pain delivered by a nurse, and comprising both non-pharmacological and pharmacological interventions. In this first phase, we examined the acceptability of the non-pharmacological component of the intervention; issues faced in delivery, and resolved possible challenges to delivery.<h4>Methods</h4>Eighteen adults with chronic knee pain were recruited from the community. The intervention comprised holistic assessment, education, exercise, weight-loss advice (where appropriate) and advice on adjunctive treatments such as hot/cold treatments, footwear modification and walking aids. After nurse training, the intervention was delivered in four sessions spread over five weeks. Participants had one to one semi-structured interview at the end of the intervention. The nurse was interviewed after the last visit of the last participant. These were audio recorded and transcribed verbatim. Themes were identified by one author through framework analysis of the transcripts, and cross-checked by another.<h4>Results</h4>Most participants found the advice from the nurse easy to follow and were satisfied with the package, though some felt that too much information was provided too soon. The intervention changed their perception of managing knee pain, learning that it can be improved with self-management. However, participants thought that the most challenging part of the intervention was fitting the exercise regime into their daily routine. The nurse found discussion of goal setting to be challenging.<h4>Conclusion</h4>The nurse-led package of care is acceptable within a research setting. The results are promising and will be applied in a feasibility randomised-controlled trial.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262422&type=printable
spellingShingle Polykarpos Angelos Nomikos
Michelle C Hall
Amy Fuller
Reuben Ogollah
Ana M Valdes
Michael Doherty
David Andrew Walsh
Roshan das Nair
Abhishek Abhishek
Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
PLoS ONE
title Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
title_full Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
title_fullStr Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
title_full_unstemmed Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
title_short Acceptability of a nurse-led non-pharmacological complex intervention for knee pain: Nurse and patient views and experiences.
title_sort acceptability of a nurse led non pharmacological complex intervention for knee pain nurse and patient views and experiences
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0262422&type=printable
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