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Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians

Research output: Contribution to journalArticle

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Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians. / Bayly, Joanne; Edwards, Bethany M; Peat, Nicola; Warwick, Geoffrey; Hennig, Ivo; Arora, Arvind ; Wilcock, Andrew; Higginson, Irene J; Maddocks, Matthew.

In: Pilot and Feasibility Studies, 2018.

Research output: Contribution to journalArticle

Harvard

Bayly, J, Edwards, BM, Peat, N, Warwick, G, Hennig, I, Arora, A, Wilcock, A, Higginson, IJ & Maddocks, M 2018, 'Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians', Pilot and Feasibility Studies. https://doi.org/10.1186/s40814-018-0350-0

APA

Bayly, J., Edwards, B. M., Peat, N., Warwick, G., Hennig, I., Arora, A., Wilcock, A., Higginson, I. J., & Maddocks, M. (2018). Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians. Pilot and Feasibility Studies, [160]. https://doi.org/10.1186/s40814-018-0350-0

Vancouver

Bayly J, Edwards BM, Peat N, Warwick G, Hennig I, Arora A et al. Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians. Pilot and Feasibility Studies. 2018. 160. https://doi.org/10.1186/s40814-018-0350-0

Author

Bayly, Joanne ; Edwards, Bethany M ; Peat, Nicola ; Warwick, Geoffrey ; Hennig, Ivo ; Arora, Arvind ; Wilcock, Andrew ; Higginson, Irene J ; Maddocks, Matthew. / Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians. In: Pilot and Feasibility Studies. 2018.

Bibtex Download

@article{810812ca812c4564a9ecab94b418cd57,
title = "Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians",
abstract = "Background: Access to rehabilitation to prevent disability and optimise function is recommended for patients with cancer, including following diagnosis. Models to integrate rehabilitation within oncology services as cancer treatment commences are required, but must be informed by those they are intended to support. We aimed to identify views of patients, carers and clinicians to develop and refine a rehabilitation model to be tested in a feasibility trial for people newly diagnosed with lung cancer or mesothelioma.Methods: We conducted a focus group study with people affected by lung cancer or mesothelioma, their carers, and clinicians providing their care to identify priorities for rehabilitation in this period. We sought views on core intervention components, processes and outcomes, and integration with oncology services. Data were analysed using thematic analysis.Results: Fifteen clinicians (oncologists, nurse specialists, physiotherapists and occupational therapists), nine patients and five carers participated. A proposed outline rehabilitation model was perceived as highly relevant for this population. Participants recommended prompt and brief rehabilitation input, delivered whilst people attend for hospital appointments or at home to maximise accessibility and acceptability. Participants recognized variation in need and all prioritised tailored support for symptom self-management, daily activities and the involvement of carers. Clinicians also prioritised achieving fitness for oncology treatment. Patients and carers prioritised a sensitive manner of approach, positivity and giving hope for the future. Participant{\textquoteright}s recommendations for outcome measurement related to confidence in usual daily activities, symptom control, and oncology treatment completion rates over objective measures of cardiorespiratory fitness. Conclusion: The importance of providing tailored rehabilitation around the time of diagnosis for people with lung cancer or mesothelioma was affirmed by all participants. The refined model of rehabilitation recommended for testing in a feasibility trial is flexible, tailored and short-term. It aims to support people to self-manage symptoms, tolerate cancer treatments and to remain active and independent in daily life. It is delivered alongside scheduled hospital appointments or at home by an expert practitioner sensitive to the psycho-social sequelae that follow a diagnosis of thoracic cancer. ",
keywords = "Lung cancer, mesothelioma, focus groups, rehabilitation, qualitative, feasibility trial",
author = "Joanne Bayly and Edwards, {Bethany M} and Nicola Peat and Geoffrey Warwick and Ivo Hennig and Arvind Arora and Andrew Wilcock and Higginson, {Irene J} and Matthew Maddocks",
year = "2018",
doi = "10.1186/s40814-018-0350-0",
language = "English",
journal = "Pilot and Feasibility Studies",
issn = "2055-5784",
publisher = "BioMed Central",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Developing an integrated rehabilitation model for thoracic cancer services: Views of patients, carers and clinicians

AU - Bayly, Joanne

AU - Edwards, Bethany M

AU - Peat, Nicola

AU - Warwick, Geoffrey

AU - Hennig, Ivo

AU - Arora, Arvind

AU - Wilcock, Andrew

AU - Higginson, Irene J

AU - Maddocks, Matthew

PY - 2018

Y1 - 2018

N2 - Background: Access to rehabilitation to prevent disability and optimise function is recommended for patients with cancer, including following diagnosis. Models to integrate rehabilitation within oncology services as cancer treatment commences are required, but must be informed by those they are intended to support. We aimed to identify views of patients, carers and clinicians to develop and refine a rehabilitation model to be tested in a feasibility trial for people newly diagnosed with lung cancer or mesothelioma.Methods: We conducted a focus group study with people affected by lung cancer or mesothelioma, their carers, and clinicians providing their care to identify priorities for rehabilitation in this period. We sought views on core intervention components, processes and outcomes, and integration with oncology services. Data were analysed using thematic analysis.Results: Fifteen clinicians (oncologists, nurse specialists, physiotherapists and occupational therapists), nine patients and five carers participated. A proposed outline rehabilitation model was perceived as highly relevant for this population. Participants recommended prompt and brief rehabilitation input, delivered whilst people attend for hospital appointments or at home to maximise accessibility and acceptability. Participants recognized variation in need and all prioritised tailored support for symptom self-management, daily activities and the involvement of carers. Clinicians also prioritised achieving fitness for oncology treatment. Patients and carers prioritised a sensitive manner of approach, positivity and giving hope for the future. Participant’s recommendations for outcome measurement related to confidence in usual daily activities, symptom control, and oncology treatment completion rates over objective measures of cardiorespiratory fitness. Conclusion: The importance of providing tailored rehabilitation around the time of diagnosis for people with lung cancer or mesothelioma was affirmed by all participants. The refined model of rehabilitation recommended for testing in a feasibility trial is flexible, tailored and short-term. It aims to support people to self-manage symptoms, tolerate cancer treatments and to remain active and independent in daily life. It is delivered alongside scheduled hospital appointments or at home by an expert practitioner sensitive to the psycho-social sequelae that follow a diagnosis of thoracic cancer.

AB - Background: Access to rehabilitation to prevent disability and optimise function is recommended for patients with cancer, including following diagnosis. Models to integrate rehabilitation within oncology services as cancer treatment commences are required, but must be informed by those they are intended to support. We aimed to identify views of patients, carers and clinicians to develop and refine a rehabilitation model to be tested in a feasibility trial for people newly diagnosed with lung cancer or mesothelioma.Methods: We conducted a focus group study with people affected by lung cancer or mesothelioma, their carers, and clinicians providing their care to identify priorities for rehabilitation in this period. We sought views on core intervention components, processes and outcomes, and integration with oncology services. Data were analysed using thematic analysis.Results: Fifteen clinicians (oncologists, nurse specialists, physiotherapists and occupational therapists), nine patients and five carers participated. A proposed outline rehabilitation model was perceived as highly relevant for this population. Participants recommended prompt and brief rehabilitation input, delivered whilst people attend for hospital appointments or at home to maximise accessibility and acceptability. Participants recognized variation in need and all prioritised tailored support for symptom self-management, daily activities and the involvement of carers. Clinicians also prioritised achieving fitness for oncology treatment. Patients and carers prioritised a sensitive manner of approach, positivity and giving hope for the future. Participant’s recommendations for outcome measurement related to confidence in usual daily activities, symptom control, and oncology treatment completion rates over objective measures of cardiorespiratory fitness. Conclusion: The importance of providing tailored rehabilitation around the time of diagnosis for people with lung cancer or mesothelioma was affirmed by all participants. The refined model of rehabilitation recommended for testing in a feasibility trial is flexible, tailored and short-term. It aims to support people to self-manage symptoms, tolerate cancer treatments and to remain active and independent in daily life. It is delivered alongside scheduled hospital appointments or at home by an expert practitioner sensitive to the psycho-social sequelae that follow a diagnosis of thoracic cancer.

KW - Lung cancer, mesothelioma, focus groups, rehabilitation, qualitative, feasibility trial

U2 - 10.1186/s40814-018-0350-0

DO - 10.1186/s40814-018-0350-0

M3 - Article

JO - Pilot and Feasibility Studies

JF - Pilot and Feasibility Studies

SN - 2055-5784

M1 - 160

ER -

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