Affected person Experiences of Swallowing Workout routines After Head and Neck Most cancers: A Qualitative Examine Analyzing Limitations and Facilitators Utilizing Behaviour Change Concept.
Dysphagia. 2017 Aug;32(four):559-569
Authors: Govender R, Wooden CE, Taylor SA, Smith CH, Barratt H, Gardner B
Poor affected person adherence to swallowing workouts is usually reported within the dysphagia literature on sufferers handled for head and neck most cancers. Establishing the effectiveness of train interventions for this inhabitants could also be undermined by affected person non-adherence. The aim of this examine was to discover the limitations and facilitators to train adherence from a affected person perspective, and to find out one of the best methods to cut back the limitations and improve the facilitators. In-depth interviews have been performed on 13 sufferers. We used a behaviour change framework and mannequin [Theoretical domains framework and COM-B (Capability-opportunity-motivation-behaviour) model] to tell our interview schedule and construction our outcomes, utilizing a content material evaluation method. Probably the most frequent barrier recognized was psychological functionality. This was highlighted by affected person stories of not clearly understanding causes for the workouts, forgetting to do the workouts and never having a system to maintain monitor. Different limitations included feeling overwhelmed by data at a troublesome time (lack of automated motivation) and ache and fatigue (lack of bodily functionality). Essential facilitators included having social assist from household and mates, the will to forestall damaging penalties similar to long-term tube feeding (reflective motivation), having the abilities to do the workouts (bodily functionality), having a routine or set off and receiving suggestions on the result of doing workouts (automated motivation). Linking these findings again to the theoretical mannequin permits for a extra systematic collection of theory-based methods which will improve the design of future swallowing train interventions for sufferers with head and neck most cancers.
PMID: 28424898 [PubMed – indexed for MEDLINE]