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Patient experience of the diagnosis and management of patellofemoral pain: A qualitative exploration

Barber, Philip and Lack, Simon David and Bartholomew, Clare and Curran, Amy Jessica and Lowe, Catherine Minns and Morrissey, Dylan and Neal, Bradley Stephen (2022) 'Patient experience of the diagnosis and management of patellofemoral pain: A qualitative exploration.' Musculoskeletal Science and Practice, 57. p. 102473. ISSN 2468-8630

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Background Patellofemoral pain (PFP) is common and long-term treatment outcomes are unsatisfactory. Qualitative exploration of diagnosis and management from the perspective of people with PFP is lacking. Objectives To inform care and improve intervention delivery by exploring the experience of people with PFP regarding diagnosis and management. Design Qualitative study with semi-structured interviews. Method Online recruiting yielded a convenience sample of participants with PFP for semi-structured interview. Interviews were recorded, transcribed verbatim, and analysed using thematic analysis until theoretical saturation by multiple investigators to determine themes and sub-themes. Results 12 participants were interviewed, with three themes identified; the value of diagnosis, the need for tailored (individualised) care, and the role of education. Participants viewed receiving a diagnosis as essential to guide management, yet one was rarely provided, causing uncertainty about pain mechanisms; “it's nice to be told what it is that's wrong”. Interventions needed to be tailored to the individual as not all participants responded in the same way to treatment(s) or had the same needs; “everyone copes and reacts differently”. Finally, participants viewed education as essential to empower them to understand and manage the condition; “if I'd have been given more information, I think I'd know how to deal with it more”. Conclusions The overarching narrative from three themes was a desire for clearly communicated personalised care that meets individual needs. People with PFP desire a diagnosis to explain their pain, tailored interventions, and appropriate education to optimise their experience and outcomes.

Item Type: Article
Uncontrolled Keywords: Diagnosis; Education; Management; Patellofemoral; Qualitative; Treatment
Divisions: Faculty of Science and Health
Faculty of Science and Health > Sport, Rehabilitation and Exercise Sciences, School of
SWORD Depositor: Elements
Depositing User: Elements
Date Deposited: 17 Jan 2022 12:08
Last Modified: 28 Oct 2022 01:00

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