Perspectives and experiences of people who were randomly assigned to wait-and-see approach in a gluteal tendinopathy trial: A qualitative follow-up study
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Mellor, R
Setchell, J
Ford, K
Lynch, L
Melrose, J
Polansky, C
Vicenzino, B
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Objective: To explore participants' perspectives on, and experiences of, being assigned to a wait-and-see arm of a gluteal tendinopathy trial. Design: Descriptive qualitative. Setting: General community in Brisbane and Melbourne, Australia. Participants: Fifteen participants who had been randomly allocated to the wait-and-see group in a recent parallel group superiority clinical trial. That trial compared the wait-and-see approach to a physiotherapist-led education plus exercise approach, and an ultrasound-guided corticosteroid injection. The wait-and-see approach involved one physiotherapy session in which participants received reassurance, general advice and encouragement to stay active for the management of gluteal tendinopathy. Data collection and analysis: Semistructured interviews were conducted by four interviewers in person or over the internet, audio recorded and transcribed verbatim. Transcripts were coded and data analysed using an inductive thematic approach. Results: Five themes were extracted from the interview transcripts: (1) Feeling disenfranchised by being assigned to a wait-and-see approach; (2) the importance of having a clinical and imaging diagnosis during screening for inclusion into the clinical trial; (3) feelings regarding the effectiveness of the approach; (4) the convenient and easy to follow nature of the wait-and-see approach and (5) the connotation of wait-and-see not always being perceived as an intervention. Conclusions: Participants found the wait-and-see approach convenient and easy to follow, yet almost always felt disenfranchised that nothing was being done. Participants highlighted the importance of a definite clinical and imaging diagnosis. Trial registration number: ACTRN12612001126808; Post-results.
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BMJ Open
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11
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4
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© Author(s) (or their employer(s)) 2021. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.
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Clinical sciences
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pain management
qualitative research
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Plinsinga, ML; Mellor, R; Setchell, J; Ford, K; Lynch, L; Melrose, J; Polansky, C; Vicenzino, B, Perspectives and experiences of people who were randomly assigned to wait-and-see approach in a gluteal tendinopathy trial: A qualitative follow-up study, BMJ Open, 2021, 11 (4), pp. 1-5