PDF(Pubmed)
Abstract：
OBJECTIVE: Exercise prehabilitation aims to increase preoperative fitness, reduce post-operative complications, and improve health-related quality of life. For prehabilitation to work, access to an effective programme which is acceptable to stakeholders is vital. The aim was to explore acceptability of exercise prehabilitation before cancer surgery among key stakeholders specifically patients, family members and healthcare providers.
METHODS: A mixed-methods approach (questionnaire and semi-structured interview) underpinned by the Theoretical Framework of Acceptability was utilised. Composite acceptability score, (summation of acceptability constructs and a single-item overall acceptability construct), and median of each construct was calculated. Correlation analysis between the single-item overall acceptability and each construct was completed. Qualitative data was analysed using deductive and inductive thematic analysis.
RESULTS: 244 participants completed the questionnaire and n=31 completed interviews. Composite acceptability was comparable between groups (p=0.466). Four constructs positively correlated with overall acceptability: affective attitude (r=0.453), self-efficacy (r=0.399), ethicality (r=0.298) and intervention coherence (r=0.281). Qualitative data confirmed positive feelings, citing psychological benefits including a sense of control. Participants felt flexible prehabilitation program would be suitable for everyone, identifying barriers and facilitators to reduce burden.
CONCLUSIONS: Exercise prehabilitation is highly acceptable to key stakeholders. Despite some burden, it is a worthwhile and effective intervention. Stakeholders understand its purpose, are confident in patients\' ability to participate, and regard it is an important intervention contributing to patients\' psychological and physical wellbeing.
CONCLUSIONS: •Introduction should be comprehensively designed and clearly presented, providing appropriate information and opportunity for questions. •Programmes should be patient-centred, designed to overcome barriers and address patients\' specific needs and goals. •Service must be appropriately resourced with a clear referral-pathway.
METHODS: A mixed-methods approach (questionnaire and semi-structured interview) underpinned by the Theoretical Framework of Acceptability was utilised. Composite acceptability score, (summation of acceptability constructs and a single-item overall acceptability construct), and median of each construct was calculated. Correlation analysis between the single-item overall acceptability and each construct was completed. Qualitative data was analysed using deductive and inductive thematic analysis.
RESULTS: 244 participants completed the questionnaire and n=31 completed interviews. Composite acceptability was comparable between groups (p=0.466). Four constructs positively correlated with overall acceptability: affective attitude (r=0.453), self-efficacy (r=0.399), ethicality (r=0.298) and intervention coherence (r=0.281). Qualitative data confirmed positive feelings, citing psychological benefits including a sense of control. Participants felt flexible prehabilitation program would be suitable for everyone, identifying barriers and facilitators to reduce burden.
CONCLUSIONS: Exercise prehabilitation is highly acceptable to key stakeholders. Despite some burden, it is a worthwhile and effective intervention. Stakeholders understand its purpose, are confident in patients\' ability to participate, and regard it is an important intervention contributing to patients\' psychological and physical wellbeing.
CONCLUSIONS: •Introduction should be comprehensively designed and clearly presented, providing appropriate information and opportunity for questions. •Programmes should be patient-centred, designed to overcome barriers and address patients\' specific needs and goals. •Service must be appropriately resourced with a clear referral-pathway.
摘要：
目的：运动前康复旨在提高术前适应性，减少术后并发症，改善与健康相关的生活质量。为了适应工作，获得利益相关者可以接受的有效计划至关重要。目的是探索癌症手术前运动康复在主要利益相关者特别是患者中的可接受性。家庭成员和医疗保健提供者。
方法：采用了以可接受性理论框架为基础的混合方法方法（问卷调查和半结构化访谈）。综合可接受性评分,(可接受性结构和单项总体可接受性结构的总和)，并计算每个构建体的中位数。完成了单个项目总体可接受性与每个构建体之间的相关性分析。使用演绎和归纳主题分析对定性数据进行分析。
结果：244名参与者完成了问卷，n=31完成了访谈。组间复合可接受性相当(p=0.466)。四个结构与总体可接受性呈正相关：情感态度(r=0.453)，自我效能感(r=0.399)，伦理(r=0.298)与干涉相干(r=0.281)。定性数据证实了积极的感觉，引用心理益处，包括控制感。参与者认为灵活的康复计划适合每个人，确定障碍和促进者以减轻负担。
结论：运动前康复对于关键利益相关者是高度可接受的。尽管有一些负担，这是一个值得和有效的干预。利益相关者理解它的目的，对患者的参与能力充满信心，并认为这是一种有助于患者心理和身体健康的重要干预措施。
结论：•导言应全面设计并清晰介绍，为问题提供适当的信息和机会。•方案应以患者为中心，旨在克服障碍，满足患者的特定需求和目标。•必须通过明确的转诊途径为服务提供适当的资源。
方法：采用了以可接受性理论框架为基础的混合方法方法（问卷调查和半结构化访谈）。综合可接受性评分,(可接受性结构和单项总体可接受性结构的总和)，并计算每个构建体的中位数。完成了单个项目总体可接受性与每个构建体之间的相关性分析。使用演绎和归纳主题分析对定性数据进行分析。
结果：244名参与者完成了问卷，n=31完成了访谈。组间复合可接受性相当(p=0.466)。四个结构与总体可接受性呈正相关：情感态度(r=0.453)，自我效能感(r=0.399)，伦理(r=0.298)与干涉相干(r=0.281)。定性数据证实了积极的感觉，引用心理益处，包括控制感。参与者认为灵活的康复计划适合每个人，确定障碍和促进者以减轻负担。
结论：运动前康复对于关键利益相关者是高度可接受的。尽管有一些负担，这是一个值得和有效的干预。利益相关者理解它的目的，对患者的参与能力充满信心，并认为这是一种有助于患者心理和身体健康的重要干预措施。
结论：•导言应全面设计并清晰介绍，为问题提供适当的信息和机会。•方案应以患者为中心，旨在克服障碍，满足患者的特定需求和目标。•必须通过明确的转诊途径为服务提供适当的资源。
