Journal of sport rehabilitation · 2026
Facilitators and Barriers to Treatment Access and Use in Black Individuals With Anterior Cruciate Ligament Injury: A Qualitative Study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Lane Chris Y, Thompson Joel R, Baker Tamara A, Thoma Louise M
Аннотация
CONTEXT: Individuals with anterior cruciate ligament (ACL) injury are at high risk of knee osteoarthritis. Black individuals with osteoarthritis have worse pain and disability than White individuals. Racial disparities in ACL treatment use (ACL reconstruction and physical therapy) may contribute to disparities in long-term osteoarthritis-related disability. However, factors influencing ACL injury disparities are unknown. We explored facilitators and barriers to treatment access and use in Black individuals with ACL injury.
DESIGN: Qualitative (semistructured interviews).
METHODS: We included Black or African American individuals who self-reported ACL injury up to 5 years prior to recruitment, no longer seeking care for the injury, and 16-50 years old. We conducted one-on-one semistructured interviews and topics included facilitators and barriers to care, perceived communication, medical trust, and perceived discrimination. We used a reflexive thematic analysis approach to analyze the interviews.
RESULTS: We included 10 participants (age 21-49 y, 8 women). We generated 4 themes: (1) path to diagnosis, (2) patient approach to treatment, (3) patient-provider interactions, and (4) life demands. ACL injury recovery was often complex with frustrations particularly common during the diagnosis process due to lack of an accurate diagnosis and poor communication on next steps. Participants took various approaches to treatment use including active, passive, and more autonomous approaches. Family obligations and transportation barriers posed challenges to accessing treatment. Lack of health insurance was a barrier affecting multiple aspects of recovery. Participants often desired shared decision making. Several types of perceived discrimination were discussed including race, gender, insurance, and weight. Facilitators were often related to positive communication or athletic program resources.
CONCLUSION: Facilitators included shared decision making, provider empathy and encouragement, and athletic program resources. Barriers included a lack of listening to patients' concerns, lack of health insurance, transportation challenges, and perceived discrimination.
DESIGN: Qualitative (semistructured interviews).
METHODS: We included Black or African American individuals who self-reported ACL injury up to 5 years prior to recruitment, no longer seeking care for the injury, and 16-50 years old. We conducted one-on-one semistructured interviews and topics included facilitators and barriers to care, perceived communication, medical trust, and perceived discrimination. We used a reflexive thematic analysis approach to analyze the interviews.
RESULTS: We included 10 participants (age 21-49 y, 8 women). We generated 4 themes: (1) path to diagnosis, (2) patient approach to treatment, (3) patient-provider interactions, and (4) life demands. ACL injury recovery was often complex with frustrations particularly common during the diagnosis process due to lack of an accurate diagnosis and poor communication on next steps. Participants took various approaches to treatment use including active, passive, and more autonomous approaches. Family obligations and transportation barriers posed challenges to accessing treatment. Lack of health insurance was a barrier affecting multiple aspects of recovery. Participants often desired shared decision making. Several types of perceived discrimination were discussed including race, gender, insurance, and weight. Facilitators were often related to positive communication or athletic program resources.
CONCLUSION: Facilitators included shared decision making, provider empathy and encouragement, and athletic program resources. Barriers included a lack of listening to patients' concerns, lack of health insurance, transportation challenges, and perceived discrimination.