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Guideline-based advice<\/jats:italic>included encouragement to stay active and positive prognostic information.<jats:italic>Treatment recommendation<\/jats:italic>emphasised that treatment is needed for recovery.<\/jats:p><\/jats:sec><jats:sec><jats:title>Primary and secondary outcomes<\/jats:title><jats:p>Participants answered questions about: (1) words\/feelings evoked by the advice; (2) treatments they feel are needed. Two researchers developed coding frameworks to analyse responses.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>1981 (97% of 2039 randomised) responses for each question were analysed.<jats:italic>Guideline-based advice<\/jats:italic>(vs<jats:italic>treatment recommendation<\/jats:italic>) more often elicited words\/feelings of reassurance, having a minor issue, trust in expertise and feeling dismissed, and treatment needs of rest, activity modification, medication, wait and see, exercise and normal movements.<jats:italic>Treatment recommendation<\/jats:italic>(vs<jats:italic>guideline-based advice<\/jats:italic>) more often elicited words\/feelings of needing treatment\/investigation, psychological distress and having a serious issue, and treatment needs of injections, surgery, investigations, and to see a doctor.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Words\/feelings evoked by advice for rotator cuff disease and perceived treatment needs may explain why<jats:italic>guideline-based advice<\/jats:italic>reduces perceived need for unnecessary care compared to a<jats:italic>treatment recommendation<\/jats:italic>.<\/jats:p><\/jats:sec>","DOI":"10.1136\/bmjopen-2022-069779","type":"journal-article","created":{"date-parts":[[2023,5,5]],"date-time":"2023-05-05T14:23:00Z","timestamp":1683296580000},"page":"e069779","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":4,"title":["How do people perceive different advice for rotator cuff disease? 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