Hvilken patientgruppe viser større forbedring med kun patientundervisning ved rotator cuff-relateret skuldersmerte? - En kohortestudie
Hvilken patientgruppe viser størst forbedring med kun patientundervisning ved rotator cuff-relateret skuldersmerte? - En kohortestudie
The primary aim of this study is to determine the clinical effectiveness of patient education alone in individuals with rotator cuff-related shoulder pain and to identify which patient subgroups benefit more from this approach. In addition, the translation and cultural adaptation of the "Patient Knowledge Questionnaire (PKQ-RCRSP)" into Turkish will be carried out to measure the level of patient knowledge regarding patient education.
Studieoversigt
Status
Status
Betingelser
Betingelser
Intervention / Behandling
Intervention / Behandling
Detaljeret beskrivelse
Individuals who present with shoulder pain to the Orthopedics and Traumatology Department, Shoulder-Elbow Surgery Outpatient Clinic of Göztepe Prof. Dr. Süleyman Yalçın City Hospital and who volunteer to participate will be included in our study. Before beginning the study, the purpose of the study will be explained to the participants, and all information regarding the study will be provided both verbally and in writing. Informed consent will be obtained from participants, confirming that they voluntarily agree to take part in the study. A total of 116 participants will be included in the study, and the PKQ-RCRSP questionnaire will be administered at baseline and after one week. Following the validation process, participants will receive two face-to-face patient education sessions. After the first patient education session, pain will be assessed at the 4th, 12th, and 24th week follow-ups using the Numerical Pain Rating Scale (NPRS); functional limitation will be assessed using the Shoulder Pain and Disability Index (SPADI); clinical improvement using the Global Rating of Change Scale (GRC); illness perception using the Brief Illness Perception Questionnaire (B-IPQ); patient knowledge level using the PKQ-RCRSP; health literacy using the European Health Literacy Survey-Short Form (HLS-EU-Q6); and physical activity level using the International Physical Activity Questionnaire (IPAQ).
Undersøgelsestype
Undersøgelsestype
Tilmelding (Anslået)
Tilmelding
Fase
Fase
- Ikke anvendelig
Kontakter og lokationer
Studiekontakt
Studiekontakt
- Navn: Merve KOYUNCU CENİKLİ Research asistant, MSc
- Telefonnummer: +90(0212) 414 15 00
- E-mail: merve.cenikli@iuc.edu.tr
Studiesteder
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-
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Istanbul, Tyrkiet (Türkiye)
- Rekruttering
- İstanbul University Cerrahpasa Faculty of Health Sciences, İstanbul
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Kontakt:
- Merve Koyuncu Cenikli Research Asistant, MSc
- Telefonnummer: +90(0212) 414 15 00
- E-mail: merve.cenikli@iuc.edu.tr
-
-
Deltagelseskriterier
Berettigelseskriterier
Berettigelseskriterier
Aldre berettiget til at studere
Tager imod sunde frivillige
Køn, der er berettiget til at studere
Beskrivelse
Inclusion Criteria:
- Individuals aged 18-65 years
- Shoulder pain persisting for at least 4 weeks
- Diagnosed by an orthopedic physician with impingement, subacromial bursitis, rotator cuff (RC) tendinopathy, or partial tear
- Activity-related pain ≥3 on the NPRS
- Cognitively able to understand the education and provide written informed consent
Exclusion Criteria:
- History of shoulder surgery
- Diagnosis of frozen shoulder, full-thickness or massive rotator cuff (RC) tear, or instability
- Presence of neurological or psychiatric conditions that prevent exercise
- History of physical therapy-rehabilitation or injection treatment within the past 6 months
- Pain persisting for more than 12 months
Studieplan
Hvordan er undersøgelsen tilrettelagt?
Design detaljer
- Primært formål: Behandling
- Tildeling: N/A
- Interventionel model: Enkelt gruppeopgave
- Maskning: Ingen (Åben etiket)
Antal våben
Våben og indgreb
Deltagergruppe / ArmDeltagergruppe / Arm |
Intervention / BehandlingIntervention / Behandling |
|---|---|
|
Eksperimentel: Patient Education
Participants in this study will receive structured patient education sessions for rotator cuff-related shoulder pain. |
During the Turkish adaptation of the PKQ-RCRSP questionnaire, written permission was obtained from the original developer. At least two experts independently translated the questionnaire into Turkish, and a single reconciled version was created. This version was back-translated by an independent translator to ensure semantic and conceptual equivalence. Revisions were made following expert panel review and pilot testing. For validation, the PKQ-RCRSP will be administered to participants at baseline (V0). One week later (V1), the questionnaire will be repeated, and participants will be asked if their shoulder problem or knowledge has significantly changed in the past week. Those answering "Yes," who do not return, or who receive any intervention will be excluded from the test-retest analysis. Results from participants answering "No" will complete the test-retest analysis, and all participants' data will be included in other validity analyses. This concludes the validation phase. Participants in this arm will receive structured patient education sessions for rotator cuff-related shoulder pain. The program consists of two 30-minute face-to-face sessions delivered by a physiotherapist with at least 5 years of experience in orthopedic rehabilitation. Educational topics include disease information, symptom management, treatment options, reducing fear of movement, exercise promotion, pain and stress management, physical activity recommendations, nutrition advice, and lifestyle-specific guidance. Informational brochures will be provided after the first session. The second session, delivered two weeks later, focuses on reviewing progress and enhancing motivation; no new information will be provided. |
Hvad måler undersøgelsen?
Primære resultatmål
Primære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Numerical Pain Rating Scale (NPRS)
Tidsramme: İmmediately before the first education session, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
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Pain intensity assessed using the Numerical Pain Rating Scale (NPRS). |
İmmediately before the first education session, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
Sekundære resultatmål
Sekundære resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
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Patient Knowledge Questionnaire (PKQ-RCRSP)
Tidsramme: Baseline, immediately before the first education session, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
Patient knowledge regarding rotator cuff-related shoulder pain assessed |
Baseline, immediately before the first education session, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
Andre resultatmål
Andre resultatmål
Resultatmål |
Foranstaltningsbeskrivelse |
Tidsramme |
|---|---|---|
|
Shoulder Pain and Disability Index (SPADI)
Tidsramme: Baseline, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
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Shoulder pain and functional disability assessed using the Shoulder Pain and Disability Index (SPADI). |
Baseline, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
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Sociodemographic Characteristics
Tidsramme: Baseline.
|
Sociodemographic characteristics including age, sex, education level, occupation, and other relevant demographic variables collected using a Sociodemographic Assessment Form. |
Baseline.
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Patient-Reported Global Change Assessed by the Global Rating of Change Scale (GRC)
Tidsramme: 4 weeks, 12 weeks, and 24 weeks after the start of the education program
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Patient-perceived overall change in condition assessed using the Global Rating of Change Scale (GRC). |
4 weeks, 12 weeks, and 24 weeks after the start of the education program
|
|
Illness Perceptions Assessed by the Brief Illness Perception Questionnaire (B-IPQ)
Tidsramme: Baseline and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
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Patient perceptions of illness assessed using the Brief Illness Perception Questionnaire (B-IPQ). |
Baseline and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
|
European Health Literacy Survey - Short Form (HLS-EU-Q6)
Tidsramme: Baseline, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
Health literacy level assessed using the European Health Literacy Survey - Short Form (HLS-EU-Q6). |
Baseline, and at 4 weeks, 12 weeks, and 24 weeks after the start of the education program.
|
|
European Health Literacy Survey - Short Form (HLS-EU-Q6).
Tidsramme: Baseline and at 12 weeks and 24 weeks after the start of the education program.
|
Health literacy level assessed using the European Health Literacy Survey - Short Form (HLS-EU- |
Baseline and at 12 weeks and 24 weeks after the start of the education program.
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|
International Physical Activity Questionnaire - Short Form (IPAQ-SF / UFAA-KF)
Tidsramme: Baseline and at 12 weeks and 24 weeks after the start of the education program.
|
Physical activity level assessed using the International Physical Activity Questionnaire - Short Form (IPAQ-SF). |
Baseline and at 12 weeks and 24 weeks after the start of the education program.
|
Samarbejdspartnere og efterforskere
Sponsor
Sponsor
Datoer for undersøgelser
Studer store datoer
Studiestart (Faktiske)
Studiestart
Primær færdiggørelse (Anslået)
Primær færdiggørelse
Studieafslutning (Anslået)
Studieafslutning
Datoer for studieregistrering
Først indsendt
Først indsendt
Først indsendt, der opfyldte QC-kriterier
Først indsendt, der opfyldte QC-kriterier
Først opslået (Faktiske)
Først opslået
Opdateringer af undersøgelsesjournaler
Sidste opdatering sendt (Faktiske)
Sidste opdatering sendt
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier
Sidst verificeret
Sidst verificeret
Mere information
Begreber relateret til denne undersøgelse
Yderligere relevante MeSH-vilkår
Andre undersøgelses-id-numre
Andre undersøgelses-id-numre
- 2150061
Plan for individuelle deltagerdata (IPD)
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