Barriers and enablers of COPD telerehabilitation - a frontline staff perspective
Research output: Contribution to journal › Journal article › Research › peer-review
Standard
Barriers and enablers of COPD telerehabilitation - a frontline staff perspective. / Damhus, Christina Sadolin; Emme, Christina; Hansen, Henrik.
In: International Journal of Chronic Obstructive Pulmonary Disease, Vol. 13, 2018, p. 2473-2482.Research output: Contribution to journal › Journal article › Research › peer-review
Harvard
APA
Vancouver
Author
Bibtex
}
RIS
TY - JOUR
T1 - Barriers and enablers of COPD telerehabilitation - a frontline staff perspective
AU - Damhus, Christina Sadolin
AU - Emme, Christina
AU - Hansen, Henrik
PY - 2018
Y1 - 2018
N2 - Background: Telerehabilitation (TR) aimed at patients with COPD has shown promising effects on symptoms, physical function, and quality of life, but little research has been conducted to understand the impact of implementation on frontline health professionals. Therefore, the aim of this study was to examine the barriers and enablers of health professionals to online exercise-based TR in patients with COPD, to support a successful implementation process.Methods: Semistructured individual and focus group interviews were conducted with 25 health professionals working with conventional COPD rehabilitation or TR. Interviews were audio-taped and transcribed verbatim. Investigator triangulation was applied during data generation. The Theoretical Domains Framework directed the interview guide and was used as a coding framework in the analysis.Results: We identified six predominant domains essential in understanding the enablers and barriers of TR from a staff perspective: 1) skills, 2) professional role and identity, 3) beliefs about capabilities, 4) beliefs about consequences, 5) environmental context and resources, and 6) social influences. We found that health professionals held both enablers and barriers important for the implementation process of TR. TR introduces new work tasks and new ways for the health professionals to communicate and exercise with the patients, which influence their professional role and self-perceived capability.Conclusion: Specific attention toward involvement of the health professionals in the decision process combined with sufficient education and skill training is highly essential to support a successful implementation of TR in clinical practice.
AB - Background: Telerehabilitation (TR) aimed at patients with COPD has shown promising effects on symptoms, physical function, and quality of life, but little research has been conducted to understand the impact of implementation on frontline health professionals. Therefore, the aim of this study was to examine the barriers and enablers of health professionals to online exercise-based TR in patients with COPD, to support a successful implementation process.Methods: Semistructured individual and focus group interviews were conducted with 25 health professionals working with conventional COPD rehabilitation or TR. Interviews were audio-taped and transcribed verbatim. Investigator triangulation was applied during data generation. The Theoretical Domains Framework directed the interview guide and was used as a coding framework in the analysis.Results: We identified six predominant domains essential in understanding the enablers and barriers of TR from a staff perspective: 1) skills, 2) professional role and identity, 3) beliefs about capabilities, 4) beliefs about consequences, 5) environmental context and resources, and 6) social influences. We found that health professionals held both enablers and barriers important for the implementation process of TR. TR introduces new work tasks and new ways for the health professionals to communicate and exercise with the patients, which influence their professional role and self-perceived capability.Conclusion: Specific attention toward involvement of the health professionals in the decision process combined with sufficient education and skill training is highly essential to support a successful implementation of TR in clinical practice.
KW - Adult
KW - Attitude of Health Personnel
KW - Denmark
KW - Exercise Therapy/methods
KW - Female
KW - Focus Groups
KW - Humans
KW - Male
KW - Middle Aged
KW - Nurses
KW - Physical Therapists
KW - Professional Role
KW - Pulmonary Disease, Chronic Obstructive/rehabilitation
KW - Qualitative Research
KW - Quality of Life
KW - Symptom Assessment
KW - Telerehabilitation
U2 - 10.2147/COPD.S167501
DO - 10.2147/COPD.S167501
M3 - Journal article
C2 - 30154650
VL - 13
SP - 2473
EP - 2482
JO - International Journal of COPD
JF - International Journal of COPD
SN - 1176-9106
ER -
ID: 222093695