Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain

Isobel C. O’Sullivan; Nathalia Cordeiro da Costa; Melinda M. Franettovich Smith; Bill Vicenzino; Kay M. Crossley; Steven J. Kamper; Marienke van Middelkoop; Hylton B. Menz; Kylie Tucker; Karina T. O’Leary; Natalie J. Collins

doi:10.1186/s13047-022-00537-4

Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain

Isobel C. O’Sullivan, Nathalia Cordeiro da Costa, Melinda M. Franettovich Smith, Bill Vicenzino, Kay M. Crossley, Steven J. Kamper, Marienke van Middelkoop, Hylton B. Menz, Kylie Tucker, Karina T. O’Leary, Natalie J. Collins^*

^*Corresponding author for this work

General Practice

Research output: Contribution to journal › Article › Academic › peer-review

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Abstract

Background: Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was to explore adolescents’ perspectives of participating in HAPPi Kneecaps!. Methods: All 36 adolescents with PFP from the HAPPi Kneecaps! study were invited to participate in semi-structured interviews. We used a descriptive qualitative methodology underpinned by a relativist framework to investigate adolescents’ perspectives on participating in the trial. Inductive thematic analysis was used to examine patterns regarding how each adolescent experienced the HAPPi Kneecaps! study within their social, cultural, and historical contexts. Results: 14 out of 36 HAPPi Kneecaps! participants provided consent and participated in interviews (12 females; mean [SD] age 14.9 [2.4] years). Overall, most adolescents responded positively when discussing their experience, such as improvements in their knee pain and satisfaction with how the study was run. Major themes that were generated from the analysis and feedback were: (1) shoe inserts require little effort to use; (2) perceptions of the program were generally positive; (3) participation in the trial could be made easier; (4) warm weather matters; and (5) life happens. Conclusion: Adolescents with PFP who participated in the HAPPi Kneecaps! study found that shoe inserts were easy to wear. Most adolescents experienced an improvement in their symptoms and enhanced participation in sport and exercise. Adolescents with PFP prefer an option for warmer climates (e.g. flip flops or sandals), access to online logbooks, and clinicians who are easily accessible.

Original language	English
Article number	37
Journal	Journal of Foot and Ankle Research
Volume	15
Issue number	1
Early online date	16 May 2022
DOIs	https://doi.org/10.1186/s13047-022-00537-4
Publication status	Published - Dec 2022

Bibliographical note

Funding Information:
The HAPPi Kneecaps! Trial was supported by an Arthritis Australia Project Grant (Molly Saint Grant), and a New Staff Start-up Grant from the School of Health and Rehabilitation Sciences, The University of Queensland. Isobel O’Sullivan is supported by a UQ Graduate School Scholarship. The study was designed independently of the funding bodies. Steven Kamper is supported by a National Health and Medical Research Council of Australia (NHMRC) Emerging Leadership Fellowship (ID: 1194769). Melinda Franettovich Smith was supported by a University of Queensland Development Fellowship (ID: UQFEL1832429). Hylton Menz is supported by a National Health and Medical Research Council of Australia Senior Research Fellowship (ID: 1135995).

Publisher Copyright:
© 2022, The Author(s).

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O’Sullivan, I. C., da Costa, N. C., Franettovich Smith, M. M., Vicenzino, B., Crossley, K. M., Kamper, S. J., van Middelkoop, M., Menz, H. B., Tucker, K., O’Leary, K. T., & Collins, N. J. (2022). Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain. Journal of Foot and Ankle Research, 15(1), Article 37. https://doi.org/10.1186/s13047-022-00537-4

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title = "Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain",

abstract = "Background: Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was to explore adolescents{\textquoteright} perspectives of participating in HAPPi Kneecaps!. Methods: All 36 adolescents with PFP from the HAPPi Kneecaps! study were invited to participate in semi-structured interviews. We used a descriptive qualitative methodology underpinned by a relativist framework to investigate adolescents{\textquoteright} perspectives on participating in the trial. Inductive thematic analysis was used to examine patterns regarding how each adolescent experienced the HAPPi Kneecaps! study within their social, cultural, and historical contexts. Results: 14 out of 36 HAPPi Kneecaps! participants provided consent and participated in interviews (12 females; mean [SD] age 14.9 [2.4] years). Overall, most adolescents responded positively when discussing their experience, such as improvements in their knee pain and satisfaction with how the study was run. Major themes that were generated from the analysis and feedback were: (1) shoe inserts require little effort to use; (2) perceptions of the program were generally positive; (3) participation in the trial could be made easier; (4) warm weather matters; and (5) life happens. Conclusion: Adolescents with PFP who participated in the HAPPi Kneecaps! study found that shoe inserts were easy to wear. Most adolescents experienced an improvement in their symptoms and enhanced participation in sport and exercise. Adolescents with PFP prefer an option for warmer climates (e.g. flip flops or sandals), access to online logbooks, and clinicians who are easily accessible. ",

author = "O{\textquoteright}Sullivan, {Isobel C.} and {da Costa}, {Nathalia Cordeiro} and {Franettovich Smith}, {Melinda M.} and Bill Vicenzino and Crossley, {Kay M.} and Kamper, {Steven J.} and {van Middelkoop}, Marienke and Menz, {Hylton B.} and Kylie Tucker and O{\textquoteright}Leary, {Karina T.} and Collins, {Natalie J.}",

note = "Funding Information: The HAPPi Kneecaps! Trial was supported by an Arthritis Australia Project Grant (Molly Saint Grant), and a New Staff Start-up Grant from the School of Health and Rehabilitation Sciences, The University of Queensland. Isobel O{\textquoteright}Sullivan is supported by a UQ Graduate School Scholarship. The study was designed independently of the funding bodies. Steven Kamper is supported by a National Health and Medical Research Council of Australia (NHMRC) Emerging Leadership Fellowship (ID: 1194769). Melinda Franettovich Smith was supported by a University of Queensland Development Fellowship (ID: UQFEL1832429). Hylton Menz is supported by a National Health and Medical Research Council of Australia Senior Research Fellowship (ID: 1135995). Publisher Copyright: {\textcopyright} 2022, The Author(s).",

year = "2022",

month = dec,

doi = "10.1186/s13047-022-00537-4",

language = "English",

volume = "15",

journal = "Journal of Foot and Ankle Research",

issn = "1757-1146",

publisher = "John Wiley & Sons Inc.",

number = "1",

}

O’Sullivan, IC, da Costa, NC, Franettovich Smith, MM, Vicenzino, B, Crossley, KM, Kamper, SJ, van Middelkoop, M, Menz, HB, Tucker, K, O’Leary, KT & Collins, NJ 2022, 'Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain', Journal of Foot and Ankle Research, vol. 15, no. 1, 37. https://doi.org/10.1186/s13047-022-00537-4

TY - JOUR

T1 - Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain

AU - O’Sullivan, Isobel C.

AU - da Costa, Nathalia Cordeiro

AU - Franettovich Smith, Melinda M.

AU - Vicenzino, Bill

AU - Crossley, Kay M.

AU - Kamper, Steven J.

AU - van Middelkoop, Marienke

AU - Menz, Hylton B.

AU - Tucker, Kylie

AU - O’Leary, Karina T.

AU - Collins, Natalie J.

N1 - Funding Information: The HAPPi Kneecaps! Trial was supported by an Arthritis Australia Project Grant (Molly Saint Grant), and a New Staff Start-up Grant from the School of Health and Rehabilitation Sciences, The University of Queensland. Isobel O’Sullivan is supported by a UQ Graduate School Scholarship. The study was designed independently of the funding bodies. Steven Kamper is supported by a National Health and Medical Research Council of Australia (NHMRC) Emerging Leadership Fellowship (ID: 1194769). Melinda Franettovich Smith was supported by a University of Queensland Development Fellowship (ID: UQFEL1832429). Hylton Menz is supported by a National Health and Medical Research Council of Australia Senior Research Fellowship (ID: 1135995). Publisher Copyright: © 2022, The Author(s).

PY - 2022/12

Y1 - 2022/12

N2 - Background: Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was to explore adolescents’ perspectives of participating in HAPPi Kneecaps!. Methods: All 36 adolescents with PFP from the HAPPi Kneecaps! study were invited to participate in semi-structured interviews. We used a descriptive qualitative methodology underpinned by a relativist framework to investigate adolescents’ perspectives on participating in the trial. Inductive thematic analysis was used to examine patterns regarding how each adolescent experienced the HAPPi Kneecaps! study within their social, cultural, and historical contexts. Results: 14 out of 36 HAPPi Kneecaps! participants provided consent and participated in interviews (12 females; mean [SD] age 14.9 [2.4] years). Overall, most adolescents responded positively when discussing their experience, such as improvements in their knee pain and satisfaction with how the study was run. Major themes that were generated from the analysis and feedback were: (1) shoe inserts require little effort to use; (2) perceptions of the program were generally positive; (3) participation in the trial could be made easier; (4) warm weather matters; and (5) life happens. Conclusion: Adolescents with PFP who participated in the HAPPi Kneecaps! study found that shoe inserts were easy to wear. Most adolescents experienced an improvement in their symptoms and enhanced participation in sport and exercise. Adolescents with PFP prefer an option for warmer climates (e.g. flip flops or sandals), access to online logbooks, and clinicians who are easily accessible.

AB - Background: Patellofemoral pain (PFP) affects one-quarter of adolescents, yet there are few evidence-informed recommendations to treat PFP in this population. HAPPi Kneecaps! is a randomised, controlled, participant- and assessor-blind, parallel-group feasibility trial of shoe inserts for adolescents with PFP. The aim of this qualitative study was to explore adolescents’ perspectives of participating in HAPPi Kneecaps!. Methods: All 36 adolescents with PFP from the HAPPi Kneecaps! study were invited to participate in semi-structured interviews. We used a descriptive qualitative methodology underpinned by a relativist framework to investigate adolescents’ perspectives on participating in the trial. Inductive thematic analysis was used to examine patterns regarding how each adolescent experienced the HAPPi Kneecaps! study within their social, cultural, and historical contexts. Results: 14 out of 36 HAPPi Kneecaps! participants provided consent and participated in interviews (12 females; mean [SD] age 14.9 [2.4] years). Overall, most adolescents responded positively when discussing their experience, such as improvements in their knee pain and satisfaction with how the study was run. Major themes that were generated from the analysis and feedback were: (1) shoe inserts require little effort to use; (2) perceptions of the program were generally positive; (3) participation in the trial could be made easier; (4) warm weather matters; and (5) life happens. Conclusion: Adolescents with PFP who participated in the HAPPi Kneecaps! study found that shoe inserts were easy to wear. Most adolescents experienced an improvement in their symptoms and enhanced participation in sport and exercise. Adolescents with PFP prefer an option for warmer climates (e.g. flip flops or sandals), access to online logbooks, and clinicians who are easily accessible.

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Adolescent perspectives on participating in a feasibility trial investigating shoe inserts for patellofemoral pain

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