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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
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.
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.
