Authors | Granger, CL. Denehy, L. Remedios, L. Retica, S. Phongpagdi, P. Hart, N. Parry, SM |
---|---|
Type | Journal Article (Original Research) |
Journal | Annals of the American Thoracic Society |
Year of Publication | 2016 |
URL | https://www.ncbi.nlm.nih.gov/pubmed/27689958 |
DOI | http://dx.doi.org/10.1513/AnnalsATS.201607-540OC |
Abstract | RATIONALE: Evidence-based clinical practice guidelines recommend physical activity (physical activity) for people with lung cancer, however evidence has not translated into clinical practice and the majority of patients do not meet recommended activity levels. OBJECTIVES: To identify factors (barriers and enablers) that influence clinicians' translation of the physical activity guidelines into practice. METHODS: Qualitative study involving 17 participants (three respiratory physicians, two thoracic surgeons, two oncologists, two nurses, eight physical therapists) who were recruited using purposive sampling from five hospitals in Melbourne, Australia. Nine semi-structured interviews and a focus group were conducted, transcribed verbatim and independently crosschecked by a second researcher. Thematic analysis was used to analyse data. MEASUREMENTS AND MAIN RESULTS: Five consistent themes emerged: 1) the clinicians perception of patient-related physical and psychological influences (including symptoms and comorbidities) that impact on patient's ability to perform regular physical activity; 2) the influence of the patient's past physical activity behaviour and their perceived relevance and knowledge about physical activity; 3) the clinicians own knowledge and beliefs about physical activity; 4) workplace culture supporting or hindering physical activity; and 5) environmental and structural influences in the healthcare system (included clinicians time, staffing, protocols and services). Clinicians described potential strategies including: 1) the opportunity for nurse practitioners to act as champions of regular physical activity and triage referrals for physical activity services; 2) opportunistically using the time when patients are in hospital post-surgery to discuss physical activity; and 3) for all members of the multi-disciplinary team to provide consistent messages to patients about the importance of physical activity. CONCLUSIONS: Key barriers to implementation of the physical activity guidelines in lung cancer are diverse and include both clinician and healthcare system related factors. A combined approach to target a number of these factors should be used to inform research, improve clinical services and develop policies aiming to increase physical activity and improve survivorship outcomes for patients with lung cancer. |
http://www.ibas.org.au/what-we-do/publications/3872869
Motor neurone disease (MND) causes the body's muscles to weaken. Breathing muscle weakness means that most people affected by MND will eventually lose the ability to take a deep breath and cough strongly....
Sleep apnea is a condition where breathing is abnormal during sleep. There are two main forms of sleep apnea: obstructive and central. For obstructive sleep apnea, breathing is reduced because the airway...
RESPIRATORY BIOMARKERS IN MOTOR NEURONE DISEASE
The inability to breathe is unfortunately the most common cause of death in people living with Motor Neurone Disease (MND). Last year, our clinical research group in Melbourne reported that breathing...
Kudos to Dr. Lauren Booker & Dr. Jen Cori on their JOEM publication examining fatigue detection alarms in rural truck drivers. Their study explores the alarms' effectiveness, accuracy, and habituation, offering key insights into fatigue management.
HONORING EXCELLENCE IN RESEARCH
Congratulations to Prof. Anne Holland and A/Prof. Narelle Cox for being featured in the NHMRC's 10 of the Best - 16th Edition. Their work exemplifies groundbreaking research delivering extraordinary outcomes.
Grants Success: The Institute for Breathing and Sleep (IBAS) has received two research grants from the Austin Medical Research Foundation (AMRF) for 2025. Congratulations to Dr Charissa Zaga and Dr Catherine Hill from IBAS.
Congratulations to Professor David Berlowitz, Dr Marnie Graco, and Dr Nicole Sheers who were recognised by Motor Neurone Disease (MND) Australia at a Parliament House event sponsored by the Parliamentary Friends of MND in Canberra last week.