Development of a tool to support general practitioners to help adolescents with knee pain: an analysis using the Theoretical Domains Framework

Using the Theoretical Domains Framework (TDF) and COM-B model, this study aimed to determine the facilitators to a support tool for adolescent non-traumatic knee pain in general practice. Many children and adolescents with non-traumatic knee pain consult their general practice. Currently, there are...

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Bibliographic Details
Published in:Primary health care research & development 2023-04, Vol.24, p.e24-e24, Article e24
Main Authors: Guldhammer, Clara, Holden, Sinead, Audreucci, Alessandro, Johansen, Simon Kristoffer, Thomsen, Janus Nikolaj Laust, Rathleff, Michael Skovdal
Format: Article
Language:English
Subjects:
Adolescent
Behavior
Child
Family physicians
Focus Groups
General Practice
General Practitioners
Humans
Influence
Interviews
Knee
Pain
Qualitative Research
Sports medicine
Teenagers
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Summary:Using the Theoretical Domains Framework (TDF) and COM-B model, this study aimed to determine the facilitators to a support tool for adolescent non-traumatic knee pain in general practice. Many children and adolescents with non-traumatic knee pain consult their general practice. Currently, there are no tools to support general practitioners in the diagnosis and management of this group. There is a need to identify behavioural targets that would facilitate further development and implementation of such a tool. This study was designed as a qualitative study using focus group interviews with 12 medical doctors working in general practice. The semi-structured focus group interviews conducted online and followed an interview guide based on the TDF and COM-B model. Data were analysed via thematic text analysis. One of the biggest challenges from the general practitioner's perspective was how to manage and guide adolescents with non-traumatic knee pain. The doctors had doubts in their capability to diagnose knee pain and saw opportunity to help structure the consultation. The doctors felt motivated to use a tool but considered access a potential barrier. Increasing opportunity and motivation by creating access in the community among general practitioners was considered important. We identified several barriers and facilitators for a support tool for the management of adolescent non-traumatic knee pain in general practice. To align with user needs, future tools should support diagnostic workup, structure the consultation and be easily available among doctors working in general practice.
ISSN:1463-4236
1477-1128
DOI:10.1017/S1463423623000130