{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,17]],"date-time":"2026-08-17T14:50:32Z","timestamp":1786978232212,"version":"build-2736575974"},"reference-count":48,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T00:00:00Z","timestamp":1753833600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Musculoskeletal Care"],"published-print":{"date-parts":[[2025,9]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>To evaluate the beliefs of people with patellofemoral pain (PFP) about their condition's development and persistence, and treatment options, before and after self\u2010directed access to a web\u2010based education platform.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Pre\u2010 and post\u2010intervention trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Fifty\u2010eight people with PFP completed custom questionnaires (open\u2010ended and multiple choice) before and 6 weeks after accessing the \u201cMy Knee Cap\u201d web\u2010based education platform. Questions covered beliefs about causes and persistence of pain, effectiveness of treatments, and willingness to undergo surgery. Open\u2010ended responses were analysed thematically. McNemar's test with Yates correction compared changes between pre\u2010 and post\u2010intervention for multiple choice questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>At baseline and 6 weeks, PFP onset was primarily attributed to loading. At baseline, pain persistence was linked to loading, structure, and muscle impairments, with muscle impairments being replaced by sedentary behaviour at the 6\u2010week follow\u2010up. At baseline, most participants (69%\u201381%) believed that taping, bracing, foot orthoses, and exercises were effective treatment options. Fewer participants (16%\u201322%) believed that dry needling, injections, ultrasound, and surgery were effective. At 6 weeks, beliefs about the effectiveness of exercise (16% increase, ES\u00a0=\u00a00.15), injections (13% decrease, ES\u00a0=\u00a00.44), and ultrasound (15% decrease, ES\u00a0=\u00a00.50) changed. At baseline and 6 weeks, most participants (93%\u201395%) believed exercise was more effective than surgery, and 46%\u201359% were willing to undergo surgery if imaging revealed abnormalities.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Beliefs about the causes and persistence of PFP centred on loading and pathoanatomical factors, remaining largely unchanged after self\u2010directed web\u2010based education. Web\u2010based education may help to promote the benefits of exercise and reduce beliefs that injection and ultrasound are helpful.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/msc.70165","type":"journal-article","created":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T14:55:43Z","timestamp":1753887343000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Beliefs of People With Patellofemoral Pain About Their Condition and Treatments Before and After Self\u2010Directed Access to a Web\u2010Based Education Platform"],"prefix":"10.1002","volume":"23","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0968-4835","authenticated-orcid":false,"given":"Larissa Rodrigues","family":"Souto","sequence":"first","affiliation":[{"name":"La Trobe Sport and Exercise Medicine Research Centre La Trobe University  Melbourne Australia"},{"name":"Department of Physiotherapy Universidade Federal de S\u00e3o Carlos  S\u00e3o Paulo Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Danilo","family":"De Oliveira Silva","sequence":"additional","affiliation":[{"name":"La Trobe Sport and Exercise Medicine Research Centre La Trobe University  Melbourne Australia"},{"name":"Discipline of Physiotherapy School of Allied Health Human Services and Sport La Trobe University  Bundoora Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marcella Ferraz","family":"Pazzinatto","sequence":"additional","affiliation":[{"name":"La Trobe Sport and Exercise Medicine Research Centre La Trobe University  Melbourne Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christian John","family":"Barton","sequence":"additional","affiliation":[{"name":"La Trobe Sport and Exercise Medicine Research Centre La Trobe University  Melbourne Australia"},{"name":"Discipline of Physiotherapy School of Allied Health Human Services and Sport La Trobe University  Bundoora 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