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Preparedness to Implement Physical Activity and Rehabilitation Guidelines in Routine Primary Care Cancer Rehabilitation: Focus Group Interviews Exploring Rehabilitation Professionals Perceptions
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Society and Health. Linköping University, Faculty of Medicine and Health Sciences. Region Östergötland, Heart and Medicine Center, Rehabilitation Center HMC.
Linköping University, Department of Health, Medicine and Caring Sciences, Division of Prevention, Rehabilitation and Community Medicine. Region Östergötland, Local Health Care Services in West Östergötland, Department of Rehabilitation in Motala. Linköping University, Faculty of Medicine and Health Sciences.ORCID iD: 0000-0002-3259-3133
Region Östergötland.
2020 (English)In: Journal of Cancer Education, ISSN 0885-8195, E-ISSN 1543-0154Article in journal (Refereed) Epub ahead of print
Abstract [en]

To explore primary care professionals perceptions of physical activity and other cancer rehabilitation practice in cancer survivors, investigating the preparedness to implement guidelines regarding cancer rehabilitation. We collected qualitative data through seven semi-structured focus group interviews with 48 rehabilitation professionals, with mean 9 years of experience in primary care rehabilitation (32 physiotherapists, 15 occupational therapists, and 1 rehabilitation assistant) in a primary care setting. Data was analyzed using content analysis. Primary care rehabilitation professionals expressed limited experience of cancer survivors, experienced lack of knowledge of cancer-related disability, and had doubts concerning how to treat cancer survivors. They also experienced uncertainty about where to find collaboration and support in the healthcare system outside their own rehabilitation clinic. There is a need to combine different implementation strategies to tackle multiple barriers for effective cancer survivor rehabilitation in primary care, to boost individual rehabilitation professionals knowledge and self-efficacy, to clarify roles and responsibilities for cancer rehabilitation across levels of care, and to develop and strengthen organizational bridges to provide adequate access to rehabilitation for cancer survivors.

Place, publisher, year, edition, pages
Springer-Verlag New York, 2020.
Keywords [en]
Occupational therapy; Physiotherapy; Cancer survivorship; Physical activity; Primary care; Implementation
National Category
Cancer and Oncology
Identifiers
URN: urn:nbn:se:liu:diva-164626DOI: 10.1007/s13187-020-01704-6ISI: 000516239800001PubMedID: 32062799Scopus ID: 2-s2.0-85079726924OAI: oai:DiVA.org:liu-164626DiVA, id: diva2:1417306
Note

Funding Agencies|County Council of Ostergotlands funding of research time, Local Research Council of Western County Council of Ostergotland, and Research Council of Southeast Sweden

Available from: 2020-03-27 Created: 2020-03-27 Last updated: 2020-04-20Bibliographically approved

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Landén Ludvigsson, Maria

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Neher, MargitLandén Ludvigsson, MariaEnblom, Anna
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Division of Society and HealthFaculty of Medicine and Health SciencesRehabilitation Center HMCDivision of Prevention, Rehabilitation and Community MedicineDepartment of Rehabilitation in MotalaRegion Östergötland
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Journal of Cancer Education
Cancer and Oncology

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