{Reference Type}: Journal Article
{Title}: Will my shoulder pain get better? - secondary analysis of data from a multi-arm randomised controlled trial.
{Author}: Dubé MO;Desmeules F;Lewis J;Chester R;Roy JS;
{Journal}: Physiotherapy
{Volume}: 124
{Issue}: 0
{Year}: 2024 Jan 20
{Factor}: 3.704
{DOI}: 10.1016/j.physio.2024.01.003
{Abstract}: <B>OBJECTIVE: </B>To determine whether higher level or improvements over time in pain self-efficacy (PSE) and expectations of intervention effectiveness lead to better outcomes and whether the intervention used to manage rotator cuff related shoulder pain (RCRSP) impacts PSE and expectations over time.<BR><B>METHODS: </B>Secondary analysis of data from a randomised controlled trial.<BR><B>METHODS: </B>123 individuals (48 [15] years old; 51% female) with RCRSP.<BR><B>METHODS: </B>Participants randomised into one of three 12-weeks interventions (education; education and motor control exercises; education and strengthening exercises).<BR><B>METHODS: </B>QuickDASH and Western Ontario Rotator Cuff Index (WORC) were administered at baseline and 12 weeks. Pain self-efficacy was assessed at 0 and 6 weeks. Patients' expectations regarding intervention effectiveness were assessed before randomisation and after the first and the last intervention sessions. NparLD were used for the analyses. A time effect indicated a significant change in patients' expectations or PSE over time, while a resolution effect indicated a significant difference in patients' expectations or PSE between those whose symptoms resolved and those whose did not.<BR><B>RESULTS: </B>Patients' expectations (-3 to 3) increased over time (0.33/3 [0.19 to 0.77]). Overall expectations were higher for those who experienced symptom resolution based on the WORC (0.19/3 [0.05 to 0.33]). PSE increased over time (5.5/60 [3.6 to 7.4]). Overall PSE was higher for those who experienced symptom resolution based on the WORC (7.0 [3.9 to 10.1]) and the QuickDASH (4.9 [1.7 to 8.2]).<BR><B>CONCLUSIONS: </B>Clinicians should consider monitoring PSE and patients' expectations as they are important indicators of outcome. CONTRIBUTION OF THE PAPER.