An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study

P.M. Holm; C. Simonÿ; N.K. Brydegaard; D. Høgsgaard; K. Thorborg; M. Møller; J.L. Whittaker; Ewa M. Roos; S.T. Skou

doi:10.1016/j.ptsp.2023.08.006

An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study

P.M. Holm^*
, C. Simonÿ
, N.K. Brydegaard
, D. Høgsgaard
, K. Thorborg
, M. Møller
, J.L. Whittaker
, Ewa M. Roos
, S.T. Skou

^*Corresponding author for this work

Department of Physiotherapy and Occupational Therapy (PROgrez)

Research output: Contribution to journal › Article › Research › peer-review

Abstract

OBJECTIVES: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.

DESIGN: Qualitative interviews.

SETTING: Public healthcare in Denmark.

PARTICIPANTS: Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).

MAIN OUTCOME MEASURE: Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.

RESULTS: The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.

CONCLUSION: Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.

Original language	English
Pages (from-to)	32-40
Number of pages	9
Journal	Physical Therapy in Sport
Volume	64
Early online date	30 Aug 2023
DOIs	https://doi.org/10.1016/j.ptsp.2023.08.006
Publication status	Published - 1 Nov 2023

Funding

Paetur M. Holm and Charlotte Simony are funded by a program grant from Region Zealand (Exercise First) . Ditte Hogsgaard is supported by a grant from the Novo Nordisk Foundation. Jackie L. Whittaker is supported by a Michael Smith Foundation for Health Research a Scholar Award (SCH-2020-0403) and an Arthritis Society STAR Career Development Award (STAR-19-0493) . Soren T. Skou is supported by a program grant from Region Zealand (Exercise First) and two grants from the European Union's Horizon 2020 research and innovation program, one from the European Research Council (MOBILIZE, grant agreement No 801790) and the other under grant agreement No 945377 (ESCAPE) .

Funders	Funder number
Novo Nordisk Foundation
Michael Smith Foundation for Health Research	SCH-2020-0403
Arthritis Society Canada	STAR-19-0493
European Union
European Research Council under the European Union	801790, 945377

Keywords

Healthcare professionals
Injury
Knee
Qualitative
Sports

Access to Document

10.1016/j.ptsp.2023.08.006

https://pubmed.ncbi.nlm.nih.gov/37696196/

e-knee. Exercise for Knee injuries
Holm, P. M. (PI), Skou, S. T. (Project manager/Co-project manager), Roos, E. M. (Project participant), Whittaker, J. L. (Project participant) & Møller, M. (Project participant)
1/02/20 → …
Project: Research

Cite this

Holm, P. M., Simonÿ, C., Brydegaard, N. K., Høgsgaard, D., Thorborg, K., Møller, M., Whittaker, J. L., Roos, E. M., & Skou, S. T. (2023). An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study. Physical Therapy in Sport, 64, 32-40. https://doi.org/10.1016/j.ptsp.2023.08.006

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abstract = "OBJECTIVES: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.DESIGN: Qualitative interviews.SETTING: Public healthcare in Denmark.PARTICIPANTS: Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).MAIN OUTCOME MEASURE: Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.RESULTS: The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.CONCLUSION: Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.",

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doi = "10.1016/j.ptsp.2023.08.006",

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Holm, PM , Simonÿ, C, Brydegaard, NK, Høgsgaard, D, Thorborg, K, Møller, M, Whittaker, JL, Roos, EM & Skou, ST 2023, 'An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study', Physical Therapy in Sport, vol. 64, pp. 32-40. https://doi.org/10.1016/j.ptsp.2023.08.006

TY - JOUR

T1 - An early care void

T2 - The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study

AU - Holm, P.M.

AU - Simonÿ, C.

AU - Brydegaard, N.K.

AU - Høgsgaard, D.

AU - Thorborg, K.

AU - Møller, M.

AU - Whittaker, J.L.

AU - Roos, Ewa M.

AU - Skou, S.T.

PY - 2023/11/1

Y1 - 2023/11/1

N2 - OBJECTIVES: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.DESIGN: Qualitative interviews.SETTING: Public healthcare in Denmark.PARTICIPANTS: Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).MAIN OUTCOME MEASURE: Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.RESULTS: The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.CONCLUSION: Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.

AB - OBJECTIVES: To better comprehend the initial injury experience and care requirements of knee-injured individuals, as well as healthcare professionals' interactions with early care.DESIGN: Qualitative interviews.SETTING: Public healthcare in Denmark.PARTICIPANTS: Ten individuals (6 women) with major knee injuries (6 anterior cruciate ligament (ACL) and meniscal tears, 2 isolated ACL tears, 1 isolated meniscal tear, 1 patella dislocation), aged 16-33 years (median 19 years), 1-26 months post-injury (median 3 months). Thirteen HCPs (5 physiotherapists, 5 orthopedic surgeons, 3 general practitioners).MAIN OUTCOME MEASURE: Semi-structured individual and focus group interviews, transcribed verbatim and with latent thematic analysis.RESULTS: The three main themes were: 1) Emotional struggles in solitude - knee-injured individuals dealing with emotions alone due to limited HCP resources for emotional support. 2) Blurry beginning - knee-injured individuals finding initial care frustrating, a sentiment shared by HCPs. 3) A journey with no map - knee-injured individuals holding varied outcome expectations, while HCPs hesitate to discuss long-term knee health.CONCLUSION: Early care for knee-injured individuals is filled with worries and unmet emotional and information support needs. HCPs need more support and training to deliver timely and appropriate care.

KW - Healthcare professionals

KW - Injury

KW - Knee

KW - Qualitative

KW - Sports

U2 - 10.1016/j.ptsp.2023.08.006

DO - 10.1016/j.ptsp.2023.08.006

M3 - Article

C2 - 37696196

SN - 1873-1600

VL - 64

SP - 32

EP - 40

JO - Physical Therapy in Sport

JF - Physical Therapy in Sport

ER -

An early care void: The injury experience and perceptions of treatment among knee-injured individuals and healthcare professionals - A qualitative interview study

Abstract

Funding

Keywords

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Projects

e-knee. Exercise for Knee injuries

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