Barriers and enablers of COPD telerehabilitation - a frontline staff perspective

Christina Sadolin Damhus; Christina Emme; Henrik Hansen

doi:10.2147/COPD.S167501

Barriers and enablers of COPD telerehabilitation - a frontline staff perspective

Christina Sadolin Damhus, Christina Emme, Henrik Hansen

Section of General Practice

13 Citations (Scopus)

6 Downloads (Pure)

Abstract

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.

Original language	English
Journal	International journal of chronic obstructive pulmonary disease
Volume	13
Pages (from-to)	2473-2482
Number of pages	10
ISSN	1178-2005
DOIs	https://doi.org/10.2147/COPD.S167501
Publication status	Published - 2018

Keywords

Adult
Attitude of Health Personnel
Denmark
Exercise Therapy/methods
Female
Focus Groups
Humans
Male
Middle Aged
Nurses
Physical Therapists
Professional Role
Pulmonary Disease, Chronic Obstructive/rehabilitation
Qualitative Research
Quality of Life
Symptom Assessment
Telerehabilitation

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10.2147/COPD.S167501Licence: CC BY-NC

copd-167501-barriers-and-enablers-of-copd-telerehabilitation-ndash-a-f-081618Final published version, 467 KBLicence: CC BY-NC

Cite this

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title = "Barriers and enablers of COPD telerehabilitation - a frontline staff perspective",

abstract = "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.",

keywords = "Adult, Attitude of Health Personnel, Denmark, Exercise Therapy/methods, Female, Focus Groups, Humans, Male, Middle Aged, Nurses, Physical Therapists, Professional Role, Pulmonary Disease, Chronic Obstructive/rehabilitation, Qualitative Research, Quality of Life, Symptom Assessment, Telerehabilitation",

author = "Damhus, {Christina Sadolin} and Christina Emme and Henrik Hansen",

year = "2018",

doi = "10.2147/COPD.S167501",

language = "English",

volume = "13",

pages = "2473--2482",

journal = "International journal of chronic obstructive pulmonary disease",

issn = "1178-2005",

publisher = "Dove Medical Press Ltd",

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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

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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

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SN - 1178-2005

VL - 13

SP - 2473

EP - 2482

JO - International journal of chronic obstructive pulmonary disease

JF - International journal of chronic obstructive pulmonary disease

ER -

Barriers and enablers of COPD telerehabilitation - a frontline staff perspective

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Keywords

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