Evidence map›Paper›PMID 39694859›Full record

Trial reportMusculoskeletal care2024

Physiotherapists' Experiences and Perceived Acceptability of Delivering a Knee Bracing Intervention for People With Symptomatic Knee Osteoarthritis in a Randomised Trial (PROP OA): A Qualitative Study.

Laurna Bullock, Melanie A Holden, Clare Jinks, Evans Atiah Asamane, Dan Herron, Belinda Borrelli, Michael J Callaghan, Fraser Birrell, Nicola Halliday, Michelle Marshall and 9 more

Abstract readRandomized Controlled Trial
In one paragraph

Trial report in Musculoskeletal care, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Review
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

19 authors.

Laurna BullockSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.ORCID 0000-0002-4193-1835
Melanie A HoldenSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Clare JinksSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Evans Atiah AsamaneInstitute of Applied Health Research, University of Birmingham, Birmingham, UK.
Dan HerronDepartment of Psychology, School of Health, Education, Policing and Sciences, Staffordshire University, Stoke-on-Trent, UK.
Belinda BorrelliHenry M Goldman School of Dental Medicine, Boston University, Boston, Massachusetts, USA.
Michael J CallaghanCentre for Musculoskeletal Research, Manchester Academic Health Sciences Centre, The University of Manchester, Manchester, UK.
Fraser BirrellMRC-Versus Arthritis Centre for Integrated Research Into Musculoskeletal Ageing, Newcastle University, Newcastle upon Tyne, UK.
Nicola HallidaySchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Michelle MarshallSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Gail SowdenConnect Health, Newcastle Upon Tyne, UK.
Carol IngramResearch User Group, Primary Care Centre Versus Arthritis, School of Medicine, Keele University, Keele, UK.
John McBethSchool of Primary Care, Population Sciences and Medical Education, University of Southampton, Southampton, UK.
Krysia DziedzicSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Nadine E FosterSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Sue JowettSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Sarah LawtonSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
Christian D MallenSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.
George PeatSchool of Medicine, Primary Care Centre Versus Arthritis, Keele University, Keele, UK.

Funding

National Institute for Health and Care Research Health Technology Assessment Programme 16/160/03National Institute for Health and Care Research Health Technology Assessment Programme 205031
6 · The paper itself

Abstract

objectivesTo explore physiotherapists' experiences and perceived acceptability of delivering a bracing intervention for knee osteoarthritis (OA) in the 'PROvision of braces for Patients with knee OA' (PROP OA) randomised controlled trial.

methodSemi-structured telephone interviews with consenting physiotherapists who received the PROP OA training programme and delivered the knee bracing intervention (advice, information and exercise instruction plus knee brace matched to patients' clinical and radiographic presentation and with adherence support). Interviews were recorded and transcribed verbatim. Two-stage analytic framework: inductive thematic analysis preceded mapping to constructs of the Theoretical Framework of Acceptability.

resultsEight physiotherapists were interviewed and six key themes were developed. Perceptions of the training programme were generally positive, but additional formal training and experiential learning consolidated confidence and skills in novel intervention components. Advice, information, and exercise instruction reflected usual physiotherapy care for knee OA. Physiotherapists were confident in delivering the knee brace, but determining the pattern of knee OA to inform brace type selection was challenging. Physiotherapists valued brace adherence enhancing strategies and the follow-up appointment to facilitate adherence. Perceived impact of the bracing intervention for people with OA was positive. The bracing intervention was perceived as acceptable, although improving self-efficacy to deliver novel intervention components (e.g., reading x-rays) would enhance acceptability.

conclusionThe complex knee bracing intervention was broadly perceived as acceptable by physiotherapists. If implemented within clinical practice beyond the trial, physiotherapists might benefit from not only initial training in brace selection but also ongoing support and mentoring to increase self-efficacy in delivery.

Indexed as

BracesOsteoarthritis, KneePhysical TherapistsQualitative ResearchAdultAttitude of Health PersonnelFemaleHumansMaleMiddle Agedbracingkneeosteoarthritisphysiotherapyqualitativerandomised controlled trial

Identifiers

PMID39694859
PMCPMC11655417

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.