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Related Concept Videos

The Scientific Method02:40

The Scientific Method

Research is what makes the difference between facts and opinions. Facts are observable realities, and opinions are personal judgments, conclusions, or attitudes that may or may not be accurate. In the scientific community, facts can be established only using evidence collected through empirical research.

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How do we explain painful non-traumatic knee conditions to adolescents? A multiple-method study to develop credible

C Djurtoft1,2, M K Bruun1, H Riel1,2,3

  • 1Center for General Practice at Aalborg University, Aalborg, Denmark.

European Journal of Pain (London, England)
|November 21, 2023
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Summary

Adolescents with non-traumatic knee pain received credible explanations to reduce diagnostic uncertainty. Key domains include understanding pain, its causes, and management strategies for better care.

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Area of Science:

  • Pediatric Rheumatology
  • Adolescent Health
  • Pain Management

Background:

  • Diagnostic uncertainty in adolescents with non-traumatic knee pain leads to confusion.
  • Developing clear, credible explanations is crucial for this population.

Purpose of the Study:

  • To develop credible explanations for adolescents experiencing non-traumatic knee pain.
  • To address diagnostic uncertainty and improve patient understanding.

Main Methods:

  • Integrated systematic literature searches (qualitative and quantitative).
  • Conducted Argumentative Delphi with 16 international experts.
  • Performed think-aloud interviews with 16 adolescents.

Main Results:

  • Identified 5 themes from literature: understanding pain, stigma, naming pain, controllability, and fear of missed diagnosis.
  • Delphi experts highlighted multidimensional perspectives, tailoring, validation, and careful wording.
  • Developed 3 essential domains for explanations: meaning of pain, causes, and management.

Conclusions:

  • Created 6 credible explanations for common non-traumatic knee pain diagnoses.
  • Identified 3 key domains to reduce diagnostic uncertainty in adolescents.
  • Clinicians should explore adolescents' perceptions of pain and management for better clinical insights.