{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,17]],"date-time":"2026-06-17T17:49:02Z","timestamp":1781718542148,"version":"3.54.5"},"reference-count":29,"publisher":"BMJ","issue":"8","license":[{"start":{"date-parts":[[2021,8,25]],"date-time":"2021-08-25T00:00:00Z","timestamp":1629849600000},"content-version":"unspecified","delay-in-days":24,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100000940","name":"Arthritis Australia","doi-asserted-by":"publisher","award":["N\/A"],"award-info":[{"award-number":["N\/A"]}],"id":[{"id":"10.13039\/501100000940","id-type":"DOI","asserted-by":"publisher"}]},{"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"],"accepted":{"date-parts":[[2021,8,16]]},"published-print":{"date-parts":[[2021,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To develop and user test a patient decision aid for people with subacromial pain syndrome that presents evidence-based information on the benefits and harms of subacromial decompression surgery and rotator cuff repair surgery.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Mixed-methods study outlining the development of a patient decision aid.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>We assembled a multidisciplinary steering group, and used existing decision aids and decision science to draft the decision aid. Participants were recruited through social media (not restricted by country nor setting), local hospitals and the authors\u2019 collaboration network.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>People with shoulder pain and health professionals who manage people with shoulder pain.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Primary and secondary outcomes<\/jats:title>\n                    <jats:p>We interviewed participants to gather feedback on the decision aid, assessed useability and acceptability (using qualitative and quantitative methods) and performed iterative cycles of redrafting the decision aid and reinterviewing participants as necessary. Interview data were analysed using thematic analysis. Quantitative data were summarised descriptively.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>We interviewed 26 health professionals (11 physiotherapists, 7 orthopaedic surgeons, 4 general practitioners, 3 chiropractors and 1 osteopath) and 14 people with shoulder pain. Most health professionals and people with shoulder pain rated all aspects of decision aid acceptability as adequate-to-excellent (eg, length, presentation, comprehensibility). Interviews highlighted agreement among health professionals and people with shoulder pain on most aspects of the decision aid (eg, treatment options, summary of benefits, harms and practical issues, questions to ask a health professional, graphics, formatting). However, some aspects of the decision aid elicited divergent views among health professionals (eg, causes and symptoms of shoulder pain, evidence on benefits and harms).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>This decision aid could be an acceptable and valuable tool for helping people with subacromial pain syndrome make informed treatment choices. A randomised controlled trial evaluating whether this decision aid reduces people\u2019s intentions to undergo shoulder surgery and facilitates informed treatment choices is underway.<\/jats:p>\n                    <jats:p>\n                      <jats:bold>Trial registration number<\/jats:bold>\n                      ACTRN12621000992808\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2021-054032","type":"journal-article","created":{"date-parts":[[2021,8,30]],"date-time":"2021-08-30T12:30:46Z","timestamp":1630326646000},"page":"e054032","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Development of a patient decision aid on subacromial decompression surgery and rotator cuff repair surgery: an international mixed-methods study"],"prefix":"10.1136","volume":"11","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8981-2125","authenticated-orcid":false,"given":"Joshua","family":"Zadro","sequence":"first","affiliation":[{"name":"Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caitlin","family":"Jones","sequence":"additional","affiliation":[{"name":"Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ian","family":"Harris","sequence":"additional","affiliation":[{"name":"Ingham Institute for Applied Medical Research, South Western Sydney Clinical School, UNSW, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachelle","family":"Buchbinder","sequence":"additional","affiliation":[{"name":"Dept of Epidemiology and Preventive Medicine, Monash University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6836-122X","authenticated-orcid":false,"given":"Denise A","family":"O'Connor","sequence":"additional","affiliation":[{"name":"School of Public Health and Preventive Medicine, Monash University, Melbourne, Victoria, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2696-5006","authenticated-orcid":false,"given":"Kirsten","family":"McCaffery","sequence":"additional","affiliation":[{"name":"Sydney Health Literacy Lab, School of Public Health, The University of Sydney, Sydney, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Thompson","sequence":"additional","affiliation":[{"name":"School of Public Health, University of Sydney, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7518-0307","authenticated-orcid":false,"given":"Sascha","family":"Karunaratne","sequence":"additional","affiliation":[{"name":"Surgical Outcomes Research Centre (SOuRCe), Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4948-0335","authenticated-orcid":false,"given":"Min Jiat","family":"Teng","sequence":"additional","affiliation":[{"name":"Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Maher","sequence":"additional","affiliation":[{"name":"Institute for Musculoskeletal Health, Sydney School of Public Health, University of Sydney and Sydney Local Health District, Camperdown, New South Wales, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tammy","family":"Hoffmann","sequence":"additional","affiliation":[{"name":"Institute for Evidence-Based Healthcare, Faculty of Health Sciences and Medicine, Bond University, Gold Coast, Queensland, Australia"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,8,30]]},"reference":[{"key":"2025121604225247000_11.8.e054032.1","unstructured":"Medicare item reports 2000\/2001 to 2018\/19. Available: http:\/\/medicarestatistics.humanservices.gov.au\/statistics\/mbs_item.jsp [Accessed 01 Jun 2020]."},{"key":"2025121604225247000_11.8.e054032.2","doi-asserted-by":"publisher","DOI":"10.2106\/JBJS.M.00364"},{"key":"2025121604225247000_11.8.e054032.3","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-015-0639-6"},{"key":"2025121604225247000_11.8.e054032.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2012.11.004"},{"key":"2025121604225247000_11.8.e054032.5","first-page":"CD005619","article-title":"Subacromial decompression surgery for rotator cuff disease","volume":"1","author":"Karjalainen","year":"2019","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121604225247000_11.8.e054032.6","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD013502"},{"key":"2025121604225247000_11.8.e054032.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2019-030229"},{"key":"2025121604225247000_11.8.e054032.8","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD001431.pub5"},{"key":"2025121604225247000_11.8.e054032.9","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6947-13-S2-S2","article-title":"A systematic development process for patient decision AIDS","volume":"13 Suppl 2","author":"Coulter","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"2025121604225247000_11.8.e054032.10","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.38926.629329.AE"},{"key":"2025121604225247000_11.8.e054032.11","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2040"},{"key":"2025121604225247000_11.8.e054032.12","first-page":"A48","article-title":"85 evaluating a patient decision aid for people with degenerative knee disease considering arthroscopic surgery: protocol for a randomised controlled trial","volume":"24","author":"O\u2019Connor","year":"2019","journal-title":"BMJ Evid Based Med"},{"key":"2025121604225247000_11.8.e054032.13","doi-asserted-by":"crossref","unstructured":"Abhyankar P , Volk RJ , Blumenthal-Barby J , et al . Balancing the presentation of information and options in patient decision AIDS: an updated review. BMC Med Inform Decis Mak 2013;13.doi:10.1186\/1472-6947-13-S2-S6","DOI":"10.1186\/1472-6947-13-S2-S6"},{"key":"2025121604225247000_11.8.e054032.14","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pmed.1000140"},{"key":"2025121604225247000_11.8.e054032.15","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6947-13-S2-S5","article-title":"Basing information on comprehensive, critically appraised, and up-to-date syntheses of the scientific evidence: a quality dimension of the International patient decision aid standards","volume":"13 Suppl 2","author":"Montori","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"2025121604225247000_11.8.e054032.16","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2014.04.009"},{"key":"2025121604225247000_11.8.e054032.17","doi-asserted-by":"crossref","DOI":"10.1186\/1472-6947-13-S2-S7","article-title":"Presenting quantitative information about decision outcomes: a risk communication primer for patient decision aid developers","volume":"13 Suppl 2","author":"Trevena","year":"2013","journal-title":"BMC Med Inform Decis Mak"},{"key":"2025121604225247000_11.8.e054032.18","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"2025121604225247000_11.8.e054032.19","unstructured":"Clarke V , Braun V , Hayfield N . Thematic analysis. In: Qualitative psychology: a practical guide to research methods, 2015: 222\u201348."},{"key":"2025121604225247000_11.8.e054032.20","unstructured":"Microsoft Corporation . Microsoft excel [Internet], 2018. Available: https:\/\/office.microsoft.com\/excel"},{"key":"2025121604225247000_11.8.e054032.21","doi-asserted-by":"publisher","DOI":"10.1177\/0272989X13501721"},{"key":"2025121604225247000_11.8.e054032.22","doi-asserted-by":"crossref","DOI":"10.2196\/15032","article-title":"An 11-item measure of user- and human-centered design for personal health tools (UCD-11): development and validation","volume":"23","author":"Witteman","year":"2021","journal-title":"J Med Internet Res"},{"key":"2025121604225247000_11.8.e054032.23","first-page":"CD004016","article-title":"Corticosteroid injections for shoulder pain","volume":"1","author":"Buchbinder","year":"2003","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121604225247000_11.8.e054032.24","first-page":"CD012224","article-title":"Manual therapy and exercise for rotator cuff disease","volume":"6","author":"Page","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121604225247000_11.8.e054032.25","first-page":"CD012225","article-title":"Electrotherapy modalities for rotator cuff disease","volume":"6","author":"Page","year":"2016","journal-title":"Cochrane Database Syst Rev"},{"key":"2025121604225247000_11.8.e054032.26","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-150-8-200904210-00106"},{"key":"2025121604225247000_11.8.e054032.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.pec.2010.04.014"},{"key":"2025121604225247000_11.8.e054032.28","article-title":"Problem with patient decision AIDS","author":"Zadro","year":"2020","journal-title":"BMJ Evid Based Med"},{"key":"2025121604225247000_11.8.e054032.29","unstructured":"O\u2019Connor AM , Cranney A . User manual - acceptability, 1996. Available: www.ohri.ca\/decisionaid"}],"container-title":["BMJ Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bmjopen-2021-054032","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T12:23:01Z","timestamp":1765887781000},"score":1,"resource":{"primary":{"URL":"https:\/\/bmjopen.bmj.com\/lookup\/doi\/10.1136\/bmjopen-2021-054032"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,8]]},"references-count":29,"journal-issue":{"issue":"8","published-online":{"date-parts":[[2021,8,30]]},"published-print":{"date-parts":[[2021,8]]}},"alternative-id":["10.1136\/bmjopen-2021-054032"],"URL":"https:\/\/doi.org\/10.1136\/bmjopen-2021-054032","relation":{},"ISSN":["2044-6055","2044-6055"],"issn-type":[{"value":"2044-6055","type":"print"},{"value":"2044-6055","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,8]]}}}