Evidence map›Paper›PMID 40866066›Full record

ArticleBMJ open2025

Use of a shared decision-making intervention to support treatment decision-making for patients following an anterior cruciate ligament rupture: a mixed methods feasibility study.

Hayley Carter, David Beard, Charlotte Dodsley, Paul Leighton, Joshua McCallion, Fiona Moffatt, Benjamin Edward Smith, Kate E Webster, Phillipa Logan

Abstract read
In one paragraph

Article in BMJ open, 2025. 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. Article
  2. Article
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

9 authors.

Hayley CarterPhysiotherapy Outpatients, Florence Nightingale Community Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK hayley.carter1@nhs.net.ORCID http://orcid.org/0000-0002-0837-0802
David BeardSurgical Intervention Trials Unit (SITU), Botnar Research Centre, University of Oxford NDORMS, Oxford, UK.ORCID http://orcid.org/0000-0001-7884-6389
Charlotte DodsleyPatient Representative, The POP-ACLR Study, Derby, UK.
Paul LeightonUniversity of Nottingham, School of Medicine, Nottingham, UK.
Joshua McCallionPatient Representative, The POP-ACLR Study, Derby, UK.
Fiona MoffattUniversity of Nottingham, School of Health Sciences, Nottingham, UK.
Benjamin Edward SmithPhysiotherapy Outpatients, Florence Nightingale Community Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK.ORCID http://orcid.org/0000-0002-4723-0028
Kate E WebsterSchool of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia.
Phillipa LoganUniversity of Nottingham, School of Medicine, Nottingham, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo understand feasibility, acceptability and indicators of effectiveness of a shared decision-making (SDM) intervention with patients following an anterior cruciate ligament (ACL) rupture.

designNon-randomised feasibility study with embedded qualitative interviews.

settingOrthopaedic and physiotherapy service at an acute National Health Service (NHS) Teaching Hospital in the Midlands, UK, between 29 January and 5 June 2024.

participantsPatients diagnosed with an ACL rupture following MRI.

interventionDelivery of a SDM intervention which comprised of two components: (1) patient information leaflet and (2) option grid. OUTCOME MEASURES: The primary outcome was to determine feasibility for a definitive trial using four outcomes: (1) recruitment rate, (2) fidelity of intervention delivery, (3) acceptability and (4) follow-up questionnaire completion. The secondary outcome was to explore indicators of the intervention's effectiveness using quantitative data from patient reported outcome measures (acceptability questionnaire and satisfaction with decision scale) and qualitative data from patient and clinician interviews.

results21 patients were approached to take part in the study, 20 were recruited with a mean age of 32.2 (SD 9.7), 40% were female. The recruitment rate was 95.2%, fidelity of intervention 100%, acceptability 94% and follow-up questionnaire completion 100%. The mean overall satisfaction with decision scale score was 24.85/30 (SD 3.82). There were no adverse events. Data from qualitative interviews with patients (n=5) and physiotherapists (n=5) suggested the SDM was acceptable and appeared effective in: (1) supporting decision-making about treatment, (2) conversations between patients and clinicians, (3) improving patient knowledge, (4) providing patients with access to health language and (5) supporting patients to ask questions deemed important to them.

conclusionThe novel SDM intervention is acceptable to both patients and physiotherapists. Indicators of effectiveness explored through quantitative and qualitative data suggest the intervention to be beneficial to decision-making processes for patients and clinicians deciding on treatment following an ACL rupture. All four feasibility outcomes were achieved, indicating a full trial is feasible to run in the NHS. TRIAL REGISTRATION NUMBER: ISRCTN17801081.

Indexed as

Anterior Cruciate Ligament InjuriesDecision Making, SharedPatient ParticipationAdultFeasibility StudiesFemaleHumansMalePatient Reported Outcome MeasuresQualitative ResearchUnited KingdomDecision MakingFeasibility StudiesOrthopedics

Identifiers

PMID40866066
PMCPMC12406910

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Registered trials

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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.