Working together: How to facilitate inclusion of adolescents with non-traumatic musculoskeletal knee pain in the creation of new rehabilitation models with physiotherapists.
Authors
Christensen, Jeppe ; Wittrup, Jørgen
Term
4. semester
Education
Publication year
2022
Submitted on
2022-05-31
Pages
16
Abstract
Background: Many adolescents experience non‑traumatic musculoskeletal knee pain, and although exercise is recommended, adherence to rehabilitation is often low. Actively involving young people in shaping their care may improve motivation and adherence. Aim: To develop and test whether a design‑thinking approach can facilitate inclusion of adolescents alongside physiotherapists in co‑creating new rehabilitation models. Method: We designed a Future Workshop with three adolescents (14–19 years) who had at least six months of rehabilitation experience for knee pain and three physiotherapists with at least two years’ experience treating adolescents. Group interactions were observed and audio‑recorded, followed by semi‑structured interviews with all participants; data were thematically analyzed. To limit exclusion, we addressed setting, behaviors, and language. Ideas generated were consolidated into an initial tool, A helping hand to rehabilitation, centered on adolescents’ perspectives and building capacity to manage pain in daily life. Results: Analysis revealed challenges in collaborating across age and experience, with authority differences sometimes limiting adolescents’ participation. At the same time, the Future Workshop’s creative and structured elements appeared to support adolescents’ active involvement as decision‑makers. Conclusion: Including adolescents in co‑design with physiotherapists is feasible but requires careful facilitation to reduce authority imbalances. The Future Workshop shows promise for fostering inclusion, though certain design elements warrant further refinement.
Baggrund: Mange unge oplever ikke-traumatiske muskel‑skelet knæsmerter, og selv om træning anbefales, er deres fastholdelse i genoptræning ofte lav. At inddrage de unge aktivt i at forme deres forløb kan styrke motivation og tilslutning. Formål: At udvikle og afprøve, om en design‑tænkningstilgang kan facilitere inddragelse af unge sammen med fysioterapeuter i samskabelsen af nye rehabiliteringsmodeller. Metode: Vi designede et fremtidsværksted med tre unge (14–19 år) med mindst et halvt års erfaring med genoptræning for knæsmerter og tre fysioterapeuter med mindst to års erfaring med unge. Samtaler i værkstedet blev observeret og optaget, og alle deltagere blev efterfølgende semi‑struktureret interviewet; materialet blev tematisk analyseret. For at modvirke eksklusion blev der arbejdet med rammer, adfærd og sprogbrug. Idéerne fra værkstedet blev samlet i et indledende værktøj, A helping hand to rehabilitation, som fokuserer på den unges perspektiv og evne til at håndtere smerter i hverdagen. Resultater: Analysen viste udfordringer i samarbejdet på tværs af alder og erfaring, hvor forskelle i autoritet til tider begrænsede de unges deltagelse. Samtidig understøttede fremtidsværkstedets kreative og strukturerede elementer, at de unge kunne deltage aktivt som medbeslutningstagere. Konklusion: Det er muligt at inddrage unge i samskabelse med fysioterapeuter, men det kræver omhyggelig facilitering for at mindske autoritetsforskelle. Fremtidsværkstedet fremstår som en lovende metode til at fremme inklusion, men enkelte designelementer bør justeres yderligere.
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