PDF(Pubmed)
Abstract：
BACKGROUND: Treatment for anterior cruciate ligament (ACL) rupture may follow a surgical or nonsurgical pathway. At present, there is uncertainty around treatment choice. Two shared decision-making tools have been codesigned to support patients to make a decision about treatment following an ACL rupture. The shared decision-making tools include a patient information leaflet and an option grid. We report the protocol for a mixed-methods feasibility study, with nested qualitative interviews, to understand feasibility, acceptability, indicators of effectiveness and implementation factors of these shared decision-making tools (combined to form one shared decision-making intervention).
METHODS: A single-centre non-randomised feasibility study will be conducted with 20 patients. Patients diagnosed with an ACL rupture following magnetic resonance imaging will be identified from an orthopaedic clinic. The shared decision-making intervention will be delivered during a clinical consultation with a physiotherapist. The primary feasibility outcomes include the following: recruitment rate, fidelity, acceptability and follow-up questionnaire completion. The secondary outcome is the satisfaction with decision scale. The nested qualitative interview will explore experience of using the shared decision-making intervention to understand acceptability, implementation factors and areas for further refinement.
CONCLUSIONS: This study will determine the feasibility of using a newly developed shared decision-making intervention designed to support patients to make a decision about treatment of their ACL rupture. The acceptability and indicators of effectiveness will also be explored. In the long term, the shared decision-making intervention may improve service and patient outcomes and ensure cost-effectiveness for the NHS; ensuring those most likely to benefit from surgical treatment proceed along this pathway.
BACKGROUND: Pending registration on ISRCTN.
METHODS: A single-centre non-randomised feasibility study will be conducted with 20 patients. Patients diagnosed with an ACL rupture following magnetic resonance imaging will be identified from an orthopaedic clinic. The shared decision-making intervention will be delivered during a clinical consultation with a physiotherapist. The primary feasibility outcomes include the following: recruitment rate, fidelity, acceptability and follow-up questionnaire completion. The secondary outcome is the satisfaction with decision scale. The nested qualitative interview will explore experience of using the shared decision-making intervention to understand acceptability, implementation factors and areas for further refinement.
CONCLUSIONS: This study will determine the feasibility of using a newly developed shared decision-making intervention designed to support patients to make a decision about treatment of their ACL rupture. The acceptability and indicators of effectiveness will also be explored. In the long term, the shared decision-making intervention may improve service and patient outcomes and ensure cost-effectiveness for the NHS; ensuring those most likely to benefit from surgical treatment proceed along this pathway.
BACKGROUND: Pending registration on ISRCTN.
摘要：
背景：前交叉韧带（ACL）断裂的治疗可以遵循手术或非手术途径。目前,治疗选择存在不确定性。已共同设计了两个共享的决策工具，以支持患者在ACL破裂后做出有关治疗的决定。共享的决策工具包括患者信息传单和选项网格。我们报告了混合方法可行性研究的方案，通过嵌套的定性访谈，为了了解可行性，可接受性,这些共享决策工具的有效性和实施因素的指标(组合形成一个共享决策干预)。
方法：将对20名患者进行单中心非随机可行性研究。磁共振成像后被诊断为ACL破裂的患者将从骨科诊所进行鉴定。共享决策干预将在与物理治疗师的临床咨询期间交付。主要可行性结果包括：招聘率，保真度，可接受性和后续问卷完成情况。次要结果是对决策量表的满意度。嵌套定性访谈将探索使用共享决策干预来理解可接受性的经验，实施因素和进一步完善的领域。
结论：这项研究将确定使用新开发的共享决策干预措施的可行性，该干预措施旨在支持患者对ACL破裂的治疗做出决定。还将探讨有效性的可接受性和指标。从长远来看,共享的决策干预措施可以改善服务和患者结局,并确保NHS的成本效益;确保那些最有可能从手术治疗中受益的人沿着这一途径前进.
背景：待在ISRCTN上注册。
方法：将对20名患者进行单中心非随机可行性研究。磁共振成像后被诊断为ACL破裂的患者将从骨科诊所进行鉴定。共享决策干预将在与物理治疗师的临床咨询期间交付。主要可行性结果包括：招聘率，保真度，可接受性和后续问卷完成情况。次要结果是对决策量表的满意度。嵌套定性访谈将探索使用共享决策干预来理解可接受性的经验，实施因素和进一步完善的领域。
结论：这项研究将确定使用新开发的共享决策干预措施的可行性，该干预措施旨在支持患者对ACL破裂的治疗做出决定。还将探讨有效性的可接受性和指标。从长远来看,共享的决策干预措施可以改善服务和患者结局,并确保NHS的成本效益;确保那些最有可能从手术治疗中受益的人沿着这一途径前进.
背景：待在ISRCTN上注册。
