{
  "abstract": "Objectives To understand feasibility, acceptability and indicators of effectiveness of a shared decision-making (SDM) intervention with patients following an anterior cruciate ligament (ACL) rupture.Design Non-randomised feasibility study with embedded qualitative interviews.Setting Orthopaedic and physiotherapy service at an acute National Health Service (NHS) Teaching Hospital in the Midlands, UK, between 29 January and 5 June 2024.Participants Patients diagnosed with an ACL rupture following MRI.Intervention Delivery 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.Results 21 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.Conclusion The 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.",
  "authors": [
    {
      "affiliations": [
        "Physiotherapy Outpatients, Florence Nightingale Community Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK",
        "University of Nottingham, School of Medicine, Nottingham, UK"
      ],
      "name": "Hayley Carter"
    },
    {
      "affiliations": [
        "Surgical Intervention Trials Unit (SITU), Botnar Research Centre, University of Oxford NDORMS, Oxford, UK",
        "NHMRC Clinical Trials Centre, Faculty of Medicine and Health, University of Sydney AU, University of Sydney, Sydney, New South Wales, Australia"
      ],
      "name": "David Beard"
    },
    {
      "affiliations": [
        "Patient Representative, The POP-ACLR Study, Derby, UK"
      ],
      "name": "Charlotte Dodsley"
    },
    {
      "affiliations": [
        "University of Nottingham, School of Medicine, Nottingham, UK"
      ],
      "name": "Paul Leighton"
    },
    {
      "affiliations": [
        "Patient Representative, The POP-ACLR Study, Derby, UK"
      ],
      "name": "Joshua McCallion"
    },
    {
      "affiliations": [
        "University of Nottingham, School of Health Sciences, Nottingham, UK"
      ],
      "name": "Fiona Moffatt"
    },
    {
      "affiliations": [
        "Physiotherapy Outpatients, Florence Nightingale Community Hospital, University Hospitals of Derby and Burton NHS Foundation Trust, Derby, UK",
        "University of Nottingham, School of Medicine, Nottingham, UK"
      ],
      "name": "Benjamin Edward Smith"
    },
    {
      "affiliations": [
        "School of Allied Health, Human Services and Sport, La Trobe University, Melbourne, Victoria, Australia"
      ],
      "name": "Kate E Webster"
    },
    {
      "affiliations": [
        "University of Nottingham, School of Medicine, Nottingham, UK",
        "Surgical, Treatment and Rehabilitation Service (STARS) Education and Research Alliance, The University of Queensland, Brisbane, Queensland, Australia"
      ],
      "name": "Phillipa Logan"
    }
  ],
  "title": "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",
  "uid": "07dabc5e-2bb3-5720-9b66-c536682955cf"
}