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DC Field | Value | Language |
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dc.contributor.author | Cox, Narelle S | - |
dc.contributor.author | Oliveira, Cristino C | - |
dc.contributor.author | Lahham, Aroub | - |
dc.contributor.author | Holland, Anne E | - |
dc.date | 2017-02-28 | - |
dc.date.accessioned | 2017-08-03T00:15:58Z | - |
dc.date.available | 2017-08-03T00:15:58Z | - |
dc.date.issued | 2017-04 | - |
dc.identifier.citation | Journal of Physiotherapy 2017; 63(2): 84-93 | en_US |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/16762 | - |
dc.description.abstract | QUESTION: What are the barriers and enablers of referral, uptake, attendance and completion of pulmonary rehabilitation for people with chronic obstructive pulmonary disease (COPD)? DESIGN: Systematic review of qualitative or quantitative studies reporting data relating to referral, uptake, attendance and/or completion in pulmonary rehabilitation. PARTICIPANTS: People aged >18years with a diagnosis of COPD and/or their healthcare professionals. DATA EXTRACTION AND ANALYSIS: Data were extracted regarding the nature of barriers and enablers of pulmonary rehabilitation referral and participation. Extracted data items were mapped to the Theoretical Domains Framework (TDF). RESULTS: A total of 6969 references were screened, with 48 studies included and 369 relevant items mapped to the TDF. The most frequently represented domain was 'Environment' (33/48 included studies, 37% of mapped items), which included items such as waiting time, burden of illness, travel, transport and health system resources. Other frequently represented domains were 'Knowledge' (18/48 studies, including items such as clinician knowledge of referral processes, patient understanding of rehabilitation content) and 'Beliefs about consequences' (15/48 studies, including items such as beliefs regarding role and safety of exercise, expectations of rehabilitation outcomes). Barriers to referral, uptake, attendance or completion represented 71% (n=183) of items mapped to the TDF. All domains of the TDF were represented; however, items were least frequently coded to the domains of 'Optimism' and 'Memory'. The methodological quality of included studies was fair (mean quality score 9/12, SD 2). CONCLUSION: Many factors - particularly those related to environment, knowledge, attitudes and behaviours - interact to influence referral, uptake, attendance and completion of pulmonary rehabilitation. Overcoming the challenges associated with the personal and/or healthcare system environment will be imperative to improving access and uptake of pulmonary rehabilitation. TRIAL REGISTRATION: PROSPERO CRD42015015976. [Cox NS, Oliveira CC, Lahham A, Holland AE (2017) Pulmonary rehabilitation referral and participation are commonly influenced by environment, knowledge, and beliefs about consequences: a systematic review using the Theoretical Domains Framework. Journal of Physiotherapy 63: 84-93]. | en_US |
dc.subject | Pulmonary rehabilitation | en_US |
dc.subject | Chronic obstructive pulmonary disease (COPD) | en_US |
dc.subject | Barriers | en_US |
dc.subject | Facilitators | en_US |
dc.subject | Participation | en_US |
dc.title | Pulmonary rehabilitation referral and participation are commonly influenced by environment, knowledge, and beliefs about consequences: a systematic review using the Theoretical Domains Framework | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | Journal of Physiotherapy | en_US |
dc.identifier.affiliation | Physiotherapy Department, La Trobe University, Victoria, Australia | en_US |
dc.identifier.affiliation | Institute for Breathing and Sleep, Heidelberg, Victoria, Australia | en_US |
dc.identifier.affiliation | Federal University of Juiz de Fora – Campus GV, Minas Gerais, Brazil | en_US |
dc.identifier.affiliation | Department of Physiotherapy, Alfred Health, Melbourne, Australia | en_US |
dc.type.studyortrial | Reviews/Systematic Reviews | en_US |
dc.identifier.doi | 10.1016/j.jphys.2017.02.002 | en_US |
dc.type.content | Text | en_US |
dc.identifier.pubmedid | 28433238 | - |
dc.type.austin | Journal Article | en_US |
local.name.researcher | Cox, Narelle S | |
item.fulltext | With Fulltext | - |
item.grantfulltext | open | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.cerifentitytype | Publications | - |
item.openairetype | Journal Article | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Institute for Breathing and Sleep | - |
crisitem.author.dept | Physiotherapy | - |
Appears in Collections: | Journal articles |
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1-s2.0-S1836955317300140-main.pdf | 327.64 kB | Adobe PDF | View/Open |
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