{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,26]],"date-time":"2026-10-26T13:51:13Z","timestamp":1793022673400,"version":"4.5.0"},"reference-count":57,"publisher":"Human Kinetics","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026]]},"abstract":"<jats:p>\n                    <jats:italic>\n                      <jats:bold>Context<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Individuals with anterior cruciate ligament (ACL) injury are at high risk of knee osteoarthritis. Black individuals with osteoarthritis have worse pain and disability than White individuals. Racial disparities in ACL treatment use (ACL reconstruction and physical therapy) may contribute to disparities in long-term osteoarthritis-related disability. However, factors influencing ACL injury disparities are unknown. We explored facilitators and barriers to treatment access and use in Black individuals with ACL injury.\n                    <jats:italic>\n                      <jats:bold>Design<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Qualitative (semistructured interviews).\n                    <jats:italic>\n                      <jats:bold>Methods<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    We included Black or African American individuals who self-reported ACL injury up to 5\u00a0years prior to recruitment, no longer seeking care for the injury, and 16\u201350\u00a0years old. We conducted one-on-one semistructured interviews and topics included facilitators and barriers to care, perceived communication, medical trust, and perceived discrimination. We used a reflexive thematic analysis approach to analyze the interviews.\n                    <jats:italic>\n                      <jats:bold>Results<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    We included 10 participants (age 21\u201349\u00a0y, 8 women). We generated 4 themes: (1) path to diagnosis, (2) patient approach to treatment, (3) patient\u2013provider interactions, and (4) life demands. ACL injury recovery was often complex with frustrations particularly common during the diagnosis process due to lack of an accurate diagnosis and poor communication on next steps. Participants took various approaches to treatment use including active, passive, and more autonomous approaches. Family obligations and transportation barriers posed challenges to accessing treatment. Lack of health insurance was a barrier affecting multiple aspects of recovery. Participants often desired shared decision making. Several types of perceived discrimination were discussed including race, gender, insurance, and weight. Facilitators were often related to positive communication or athletic program resources.\n                    <jats:italic>\n                      <jats:bold>Conclusion<\/jats:bold>\n                      :\n                    <\/jats:italic>\n                    Facilitators included shared decision making, provider empathy and encouragement, and athletic program resources. Barriers included a lack of listening to patients\u2019 concerns, lack of health insurance, transportation challenges, and perceived discrimination.\n                  <\/jats:p>","DOI":"10.1123\/jsr.2025-0473","type":"journal-article","created":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T17:36:25Z","timestamp":1792604185000},"page":"1-11","source":"Crossref","is-referenced-by-count":0,"title":["Facilitators and Barriers to Treatment Access and Use in Black Individuals With Anterior Cruciate Ligament Injury: A Qualitative Study"],"prefix":"10.1123","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0343-7542","authenticated-orcid":true,"given":"Chris Y.","family":"Lane","sequence":"first","affiliation":[{"name":"Department of Orthopaedic Surgery, Northwestern University, Chicago, IL, USA"},{"name":"Human Movement Science Curriculum, Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-9340-6947","authenticated-orcid":true,"given":"Joel R.","family":"Thompson","sequence":"additional","affiliation":[{"name":"Human Movement Science Curriculum, Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Division of Physical Therapy, Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1165-6841","authenticated-orcid":true,"given":"Tamara A.","family":"Baker","sequence":"additional","affiliation":[{"name":"Department of Psychiatry, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3077-0423","authenticated-orcid":true,"given":"Louise M.","family":"Thoma","sequence":"additional","affiliation":[{"name":"Human Movement Science Curriculum, Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Division of Physical Therapy, Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA"},{"name":"Thurston Arthritis Research Center, Chapel Hill, NC, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"100","reference":[{"issue":"6","key":"r1","series-title":"J Athl Train","doi-asserted-by":"publisher","first-page":"491","DOI":"10.4085\/1062-6050-51.5.08","article-title":"Epidemiology of posttraumatic osteoarthritis","volume":"52","author":"Thomas AC","year":"2017","unstructured":"Thomas AC, Hubbard-Turner T, Wikstrom EA, Palmieri-Smith RM. 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