Fostering Adherence to Evidence-Based Care in the Management of Musculoskeletal Shoulder Pain: A Mixed-Methods Study.
Christina Maxwell, Jon Salsberg, Katie Robinson and 4 others
PMID 39680646WHAT IT FOUND
Patients with shoulder pain and clinicians wanted clear education about recovery timelines, treatment options, and a trusting therapeutic relationship.
Shared decision-making was rarely prioritized, so clinicians may need to build it deliberately.
Key findings
01Stakeholders identified three domains of priorities: education, patient-centered care, and health care communication.
02Patients prioritized a strong therapeutic relationship more than health care providers did, at 48% versus 21%.
03Shared decision-making was prioritized by only 7% of stakeholders.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
Only 21 patients completed the first survey, 4 completed the rating survey, and 3 joined the panel, so patient views are limited. Most respondents were physical therapists, at 89% in the first survey and 87% in the rating survey, and 4 authors and 3 panelists were physical therapists, so physical therapist views may dominate. The panel was all from Ireland, so interpretations may not transfer to other health systems. The article gives conflicting health care provider counts for the first survey, 155 in the text and 133 in the table. This study identifies priorities and ratings, not whether any education or relationship strategy improves adherence or outcomes.
Declared interests
The Irish Research Council funded the work and had no involvement in design, data collection, analysis, writing, or submission.
The easy way to misread this
Do not read these priorities as proof that explaining recovery timelines or building rapport improves adherence. The study reports what patients and clinicians said would help, not whether those actions changed care or outcomes.