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.
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。