'Managing My Patellofemoral Pain': the creation of an education leaflet for patients

Christian J Barton, Michael S Rathleff, Christian J Barton, Michael S Rathleff

Abstract

Study design: Qualitative, including consultation with international experts and patients.

Purpose: Develop a brief yet comprehensive evidence-based education leaflet to be used as an adjunct in the management of patellofemoral pain (PFP) through consultation with both experts (clinical academics) and individuals with PFP.

Background: Appropriate patient education is an essential component of effective PFP management. However, there are currently no published educational resources for clinicians and researchers treating individuals with PFP to help translate current evidence into clinical practice.

Methods: A preliminary education leaflet titled 'Managing My Patellofemoral Pain' was created using information from the 'Best Practice Guide to Conservative Management of Patellofemoral Pain' and educational content used in published research. Feedback was sought from 21 experts (clinical academics) for accuracy, adequacy and clarity of the information in the leaflet using a semistructured questionnaire, and a number of suggested modifications were made as a result. Further feedback was sought from 20 patients diagnosed with PFP regarding the clarity and adequacy of information contained in the leaflet, and to determine additional educational resource needs.

Results: The leaflet created is titled 'Managing My Patellofemoral Pain' and the main topics of the leaflet are 'What might cause my knee pain?' and 'Treatment options', which are divided into exercise and additional treatments. Patient feedback was positive, and included a number of considerations for further education resource development.

Conclusions: The 'Managing My Patellofemoral Pain' education leaflet may provide a valuable resource for patients, clinicians and researchers to assist the provision of education and translation of the current evidence.

Keywords: Education; Exercise rehabilitation; Knee; Rehabilitation.

Figures

Figure 1
Figure 1
The ‘Managing My Patellofemoral Pain’ education leaflet.

References

    1. Taunton JE, Ryan MB, Clement DB et al. . A retrospective case-control analysis of 2002 running injuries. Br J Sports Med 2002;36:95–101. 10.1136/bjsm.36.2.95
    1. Barton CJ, Lack S, Hemmings S et al. . The ‘Best Practice Guide to Conservative Management of Patellofemoral Pain’: incorporating level 1 evidence with expert clinical reasoning. Br J Sports Med 2015;49:923–34. 10.1136/bjsports-2014-093637
    1. Fernandes L, Hagen KB, Bijlsma JW et al. . EULAR recommendations for the non-pharmacological core management of hip and knee osteoarthritis. Ann Rheum Dis 2013;72:1125–35. 10.1136/annrheumdis-2012-202745
    1. Oshodi TO. The impact of preoperative education on postoperative pain. Part 1. Br J Nurs 2007;16:706–10. 10.12968/bjon.2007.16.12.23719
    1. Johnson A, Sandford J. Written and verbal information versus verbal information only for patients being discharged from acute hospital settings to home: systematic review. Health Educ Res 2005;20:423–9. 10.1093/her/cyg141
    1. Rathleff MS, Roos EM, Olesen JL et al. . Exercise during school hours when added to patient education improves outcome for 2 years in adolescent patellofemoral pain: a cluster randomised trial. Br J Sports Med 2015;49:406–12. 10.1136/bjsports-2014-093929
    1. Collins N, Crossley K, Beller E et al. . Foot orthoses and physiotherapy in the treatment of patellofemoral pain syndrome: randomised clinical trial. BMJ 2008;337:a1735 10.1136/bmj.a1735
    1. Clark DI, Downing N, Mitchell J et al. . Physiotherapy for anterior knee pain: a randomised controlled trial. Ann Rheum Dis 2000;59:700–4. 10.1136/ard.59.9.700
    1. van Linschoten R, van Middelkoop M, Berger MY et al. . Supervised exercise therapy versus usual care for patellofemoral pain syndrome: an open label randomised controlled trial. BMJ 2009;339:b4074 10.1136/bmj.b4074
    1. Witvrouw E, Callaghan MJ, Stefanik JJ et al. . Patellofemoral pain: consensus statement from the 3rd International Patellofemoral Pain Research Retreat held in Vancouver, September 2013. Br J Sports Med 2014;48:411–14. 10.1136/bjsports-2014-093450
    1. Mays N, Pope C. Qualitative research in healthcare: analysing qualitative data. 2nd edn BMJ Books, 1999.
    1. Riemsma RP, Kirwan JR, Taal E et al. . Patient education for adults with rheumatoid arthritis. Cochrane Database Syst Rev 2003;(2):CD003688.
    1. Rathleff MS, Roos EM, Olesen JL et al. . Lower mechanical pressure pain thresholds in female adolescents with patellofemoral pain syndrome. J Orthop Sports Phys Ther 2013;43:414–21. 10.2519/jospt.2013.4383

Source: PubMed

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