{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T04:28:48Z","timestamp":1789187328655,"version":"build-2803163510"},"reference-count":15,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,12,27]],"date-time":"2020-12-27T00:00:00Z","timestamp":1609027200000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>To investigate acceptability, barriers to adherence with the interventions, and which outcome measures best reflect the participants\u2019 rehabilitation goals in a pilot and feasibility randomised controlled trial evaluating early patient-directed rehabilitation and standard rehabilitation, including sling immobilisation for four weeks, following surgical repair of the rotator cuff of the shoulder.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design:<\/jats:title>\n                    <jats:p>Nested qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting:<\/jats:title>\n                    <jats:p>Five English National Health Service Hospitals.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Subjects:<\/jats:title>\n                    <jats:p>Nineteen patient participants who had undergone surgical repair of the rotator cuff and 10 healthcare practitioners involved in the trial.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method:<\/jats:title>\n                    <jats:p>Individual semi-structured interviews. Data were analysed thematically.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Four themes: (1) Preconceptions of early mobilisation; many participants were motivated to enter the trial for the opportunity of removing their sling and getting moving early. (2) Sling use and movement restrictions; for some, sling use for four weeks was unacceptable and contributed to their pain, rather than relieving it. (3) Tensions associated with early mobilisation; clinical tensions regarding early mobilisation and the perceived risk to the surgical repair were apparent. (4) Processes of running the trial; participants found the trial processes to be largely appropriate and acceptable, but withholding the results of the post-operative research ultrasound scan was contentious.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Trial processes were largely acceptable, except for withholding results of the ultrasound scan. For some participants, use of the shoulder sling for a prolonged period after surgery was a reported barrier to standard rehabilitation whereas the concept of early mobilisation contributed tension for some healthcare practitioners due to concern about the effect on the surgical repair.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0269215520984025","type":"journal-article","created":{"date-parts":[[2020,12,27]],"date-time":"2020-12-27T05:08:02Z","timestamp":1609045682000},"page":"911-919","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":13,"title":["Rehabilitation following rotator cuff repair: A nested qualitative study exploring the perceptions and experiences of participants in a randomised controlled trial"],"prefix":"10.1177","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9373-0026","authenticated-orcid":false,"given":"Gareth","family":"Stephens","sequence":"first","affiliation":[{"name":"The Royal Orthopaedic Hospital NHS Foundation Trust, Birmingham, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7703-727X","authenticated-orcid":false,"given":"Chris","family":"Littlewood","sequence":"additional","affiliation":[{"name":"Department of Health Professions, Faculty of Health, Psychology and Social Care, Manchester Metropolitan University, Manchester, UK"},{"name":"Primary Care Centre Versus Arthritis, School of Primary, Community and Social Care, Keele University, Staffordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadine E","family":"Foster","sequence":"additional","affiliation":[{"name":"Primary Care Centre Versus Arthritis, School of Primary, Community and Social Care, Keele University, Staffordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Dikomitis","sequence":"additional","affiliation":[{"name":"School of Medicine, Keele University, Staffordshire, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2020,12,27]]},"reference":[{"key":"bibr1-0269215520984025","doi-asserted-by":"crossref","unstructured":"Littlewood C, Bateman M, Cooke K, et al. Protocol for a multi-centre pilot and feasibility randomised controlled trial with a nested qualitative study: rehabilitation following rotator cuff repair (the RaCeR study). Trials 2019; 20(1): 328.","DOI":"10.1186\/s13063-019-3407-3"},{"key":"bibr2-0269215520984025","author":"Littlewood C","journal-title":"Clin Rehabil"},{"key":"bibr3-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1177\/1758573214567702"},{"key":"bibr4-0269215520984025","doi-asserted-by":"crossref","unstructured":"Mazuquin BF, Wright AC, Russell S, et al. Effectiveness of early compared with conservative rehabilitation for patients having rotator cuff repair surgery: an overview of systematic reviews. Br J Sports Med 2018; 52: 111\u2013121.","DOI":"10.1136\/bjsports-2016-095963"},{"key":"bibr5-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1016\/j.jse.2020.01.097"},{"key":"bibr6-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"bibr7-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-017-0574-8"},{"key":"bibr8-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1037\/13620-004"},{"key":"bibr9-0269215520984025","volume-title":"Qualitative data analysis with NVivo","author":"Jackson K","year":"2019","edition":"3"},{"key":"bibr10-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1057\/9780230583993"},{"key":"bibr11-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1002\/msc.1514"},{"key":"bibr12-0269215520984025","doi-asserted-by":"crossref","unstructured":"Tirefort J, Schwitzguebel AJ, Collin P, et al. Postoperative mobilization after superior rotator cuff repair: sling versus no sling: a randomized prospective study. J Bone Joint Surg Am 2019; 101(6): 494\u2013503.","DOI":"10.2106\/JBJS.18.00773"},{"key":"bibr13-0269215520984025","doi-asserted-by":"publisher","DOI":"10.1016\/j.arthro.2018.10.139"},{"key":"bibr14-0269215520984025","doi-asserted-by":"crossref","unstructured":"Donovan JL, Rooshenas L, Jepson M, et al. Optimising recruitment and informed consent in randomised controlled trials: the development and implementation of the Quintet Recruitment Intervention (QRI). Trials 2016; 17(1): 283.","DOI":"10.1186\/s13063-016-1391-4"},{"key":"bibr15-0269215520984025","doi-asserted-by":"publisher","DOI":"10.3310\/hta19800"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215520984025","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0269215520984025","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0269215520984025","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:55:13Z","timestamp":1777395313000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0269215520984025"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,12,27]]},"references-count":15,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2021,6]]}},"alternative-id":["10.1177\/0269215520984025"],"URL":"https:\/\/doi.org\/10.1177\/0269215520984025","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,12,27]]}}}