{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,22]],"date-time":"2026-09-22T22:37:31Z","timestamp":1790116651116,"version":"4.0.1"},"reference-count":34,"publisher":"BMJ","issue":"12","license":[{"start":{"date-parts":[[2021,12,23]],"date-time":"2021-12-23T00:00:00Z","timestamp":1640217600000},"content-version":"unspecified","delay-in-days":22,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000925","name":"National Health and Medical Research Council","doi-asserted-by":"crossref","award":["APP1113532"],"award-info":[{"award-number":["APP1113532"]}],"id":[{"id":"10.13039\/501100000925","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:sec><jats:title>Objectives<\/jats:title><jats:p>Explore how people perceive different labels for rotator cuff disease in terms of words or feelings evoked by the label and treatments they feel are needed.<\/jats:p><\/jats:sec><jats:sec><jats:title>Setting<\/jats:title><jats:p>We performed a content analysis of qualitative data collected in a six-arm, online randomised controlled experiment.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants<\/jats:title><jats:p>1308 people with and without shoulder pain read a vignette describing a patient with rotator cuff disease and were randomised to one of six labels:<jats:italic>subacromial impingement syndrome, rotator cuff tear, bursitis, rotator-cuff-related shoulder pain, shoulder sprain<\/jats:italic>and<jats:italic>episode of shoulder pain<\/jats:italic>.<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary and secondary outcomes<\/jats:title><jats:p>Participants answered two questions (free-text response) about: (1) words or feelings evoked by the label; (2) what treatments they feel are needed. Two researchers iteratively developed coding frameworks to analyse responses.<\/jats:p><jats:p><jats:bold>Results<\/jats:bold><\/jats:p><jats:p>1308\/1626 (80%) complete responses for each question were analysed. Psychological distress (21%), uncertainty (22%), serious condition (15%) and poor prognosis (9%) were most often expressed by those labelled with<jats:italic>subacromial impingement syndrome<\/jats:italic>. For those labelled with a<jats:italic>rotator cuff tear,<\/jats:italic>psychological distress (13%), serious condition (9%) and poor prognosis (8%) were relatively common, while minor issue was expressed least often compared with the other labels (5%). Treatment\/investigation and surgery were common among those labelled with a<jats:italic>rotator cuff tear<\/jats:italic>(11% and 19%, respectively) and<jats:italic>subacromial impingement syndrome<\/jats:italic>(9% and 10%) compared with<jats:italic>bursitis<\/jats:italic>(7% and 5%).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Words or feelings evoked by certain labels for rotator cuff disease and perceived treatment needs may explain why some labels drive management preferences towards surgery and imaging more than others.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2021-052092","type":"journal-article","created":{"date-parts":[[2021,12,24]],"date-time":"2021-12-24T16:41:04Z","timestamp":1640364064000},"page":"e052092","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["How do people perceive different labels for rotator cuff disease? 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