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Titre : | There is a very distinct need for education among people with rotator cuff tendinopathy: An exploration of health professionals' attitudes (2020) |
Auteurs : | Jennifer H. White ; Sean Mc Auliffe ; Megan Jepson ; Frada Burstein ; Ruben Hopman ; Dylan Morrissey ; Terrence Haines ; Peter Malliaras |
Type de document : | Article |
Dans : | Musculoskeletal Science and Practice (Vol. 45, February 2020) |
Article en page(s) : | p. 1-5 |
Note générale : | doi:10.1016/j.msksp.2019.102103 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Éducation du patient comme sujet ; Réadaptation ; Syndrome de conflit sous-acromial |
Mots-clés: | Soins centrés sur le patient |
Résumé : |
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. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S2468781219303923 |