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Research article
Nicola Hurley
Dublin City University Faculty of Science and Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2394-4472
License:
This work is licensed under a CC BY 4.0 License. Read Full License
Background: Physical activity (PA) is a well-established therapeutic modality for the maintenance and improvement of long-term health in cystic fibrosis (CF). Healthcare professionals (HCP) are considered credible and well-placed messengers for the delivery of PA advice. Limited research exists investigating the extent of PA prescription within CF care. This study aimed to identify Irish HCP i) knowledge and practice of, and ii) motivators and barriers to PA prescription, and iii) proposed strategies to optimize PA promotion and prescription in CF populations.
Methods: HCP from six designated CF centres in Ireland and members of the national physiotherapy CF clinical interest group were invited to participate. Following an expression of interest, each HCP (n=81) received an email containing the plain language statement and link to the online survey. 48 HCP (physiotherapists n=24, other n=24) completed the 30-item investigator-developed survey, which included multiple choice single answer, matrix style and open-ended questions.
Results: Most HCP (81%) acknowledged that discussing PA with CF patients was part of their professional role. Almost all physiotherapists (95%) reported having sufficient knowledge regarding PA prescription, compared to 17% of other HCP. All physiotherapists reported discussing PA at every patient interaction, with 81% employing the current consensus guidelines, compared to 33% and 5% of other HCP, respectively. Among the most common barriers reported by HCP to recommending PA to their CF patients were; lack of motivation and compliance among patients to adhere to PA advice, limited availability of PA programmes to refer their patients to, limited time with patients during clinic visits and a lack of knowledge regarding PA prescription for CF care. Three-quarters of HCP reported a need to improve PA services for CF patients in Ireland.
Conclusion: As people with CF are living longer, it is imperative that HCP are expanding their scope of practice to include discussions around PA at every patient visit. Formal educational opportunities in the form of continuing professional development programmes are warranted for CF HCP to optimize long-term patient management and outcomes. There is also a need to develop patient-centered and evidence-based PA programmes underpinned by theories of behaviour change to enhance motivation and compliance among CF patients.
Keywords
clinical education, clinical practice, physical activity prescription, healthcare professional, physical activity, health promotion, optimize patient outcomes, cystic fibrosis.
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CURRENT STATUS: Published
View the published article at BMC Health Services Research.
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Submission checks complete
On 07 Nov, 2020
Editorial decision: Accept
On 05 Nov, 2020
Version 2
Posted 12 Oct, 2020
No comments provided
Editorial decision: Minor revision
On 03 Nov, 2020
Review #2 received
Received 29 Oct, 2020
Reviewer #2 agreed
On 05 Oct, 2020
Reviewer #1 agreed
On 02 Oct, 2020
Review #1 received
Received 02 Oct, 2020
Reviewers invited
Invitations sent on 01 Oct, 2020
Editor assigned
On 30 Sep, 2020
Submission checks complete
On 29 Sep, 2020
Editor invited
On 29 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 08 Sep, 2020
Reviewer #2 agreed
On 02 Sep, 2020
Review #2 received
Received 02 Sep, 2020
Review #1 received
Received 01 Sep, 2020
Reviewer #1 agreed
On 11 Aug, 2020
Editor assigned
On 04 Aug, 2020
Reviewers invited
Invitations sent on 04 Aug, 2020
Submission checks complete
On 03 Aug, 2020
Editor invited
On 03 Aug, 2020
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See the published version of this preprint at BMC Health Services Research.
This is a preprint, a preliminary version of a manuscript that has not completed peer review at a journal. Research Square does not conduct peer review prior to posting preprints. The posting of a preprint on this server should not be interpreted as an endorsement of its validity or suitability for dissemination as established information or for guiding clinical practice.
Learn more about In Review
Research article
Nicola Hurley
Dublin City University Faculty of Science and Health
Corresponding Author
ORCiD: https://orcid.org/0000-0002-2394-4472
Badges
Prescreen
This manuscript passed our Prescreen assessment
Complete author information
Appropriate declaration statements
Potential risks to human health
Prescreen
Peer Review Timeline
CURRENT STATUS: Published
View the published article at BMC Health Services Research.
No community comments so far
Submission checks complete
On 07 Nov, 2020
Editorial decision: Accept
On 05 Nov, 2020
Version 2
Posted 12 Oct, 2020
No comments provided
Editorial decision: Minor revision
On 03 Nov, 2020
Review #2 received
Received 29 Oct, 2020
Reviewer #2 agreed
On 05 Oct, 2020
Reviewer #1 agreed
On 02 Oct, 2020
Review #1 received
Received 02 Oct, 2020
Reviewers invited
Invitations sent on 01 Oct, 2020
Editor assigned
On 30 Sep, 2020
Submission checks complete
On 29 Sep, 2020
Editor invited
On 29 Sep, 2020
No comments provided
Editorial decision: Minor revision
On 08 Sep, 2020
Reviewer #2 agreed
On 02 Sep, 2020
Review #2 received
Received 02 Sep, 2020
Review #1 received
Received 01 Sep, 2020
Reviewer #1 agreed
On 11 Aug, 2020
Editor assigned
On 04 Aug, 2020
Reviewers invited
Invitations sent on 04 Aug, 2020
Submission checks complete
On 03 Aug, 2020
Editor invited
On 03 Aug, 2020
Metrics
Comments: 0
PDF Downloads: ...
HTML Views: ...
License:
This work is licensed under a CC BY 4.0 License. Read Full License
View the published article at BMC Health Services Research.
Background: Physical activity (PA) is a well-established therapeutic modality for the maintenance and improvement of long-term health in cystic fibrosis (CF). Healthcare professionals (HCP) are considered credible and well-placed messengers for the delivery of PA advice. Limited research exists investigating the extent of PA prescription within CF care. This study aimed to identify Irish HCP i) knowledge and practice of, and ii) motivators and barriers to PA prescription, and iii) proposed strategies to optimize PA promotion and prescription in CF populations.
Methods: HCP from six designated CF centres in Ireland and members of the national physiotherapy CF clinical interest group were invited to participate. Following an expression of interest, each HCP (n=81) received an email containing the plain language statement and link to the online survey. 48 HCP (physiotherapists n=24, other n=24) completed the 30-item investigator-developed survey, which included multiple choice single answer, matrix style and open-ended questions.
Results: Most HCP (81%) acknowledged that discussing PA with CF patients was part of their professional role. Almost all physiotherapists (95%) reported having sufficient knowledge regarding PA prescription, compared to 17% of other HCP. All physiotherapists reported discussing PA at every patient interaction, with 81% employing the current consensus guidelines, compared to 33% and 5% of other HCP, respectively. Among the most common barriers reported by HCP to recommending PA to their CF patients were; lack of motivation and compliance among patients to adhere to PA advice, limited availability of PA programmes to refer their patients to, limited time with patients during clinic visits and a lack of knowledge regarding PA prescription for CF care. Three-quarters of HCP reported a need to improve PA services for CF patients in Ireland.
Conclusion: As people with CF are living longer, it is imperative that HCP are expanding their scope of practice to include discussions around PA at every patient visit. Formal educational opportunities in the form of continuing professional development programmes are warranted for CF HCP to optimize long-term patient management and outcomes. There is also a need to develop patient-centered and evidence-based PA programmes underpinned by theories of behaviour change to enhance motivation and compliance among CF patients.
Figure 1
This is a list of supplementary files associated with this preprint. Click to download.
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