Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial
Objectives To explore the experiences of women with breast cancer taking part in an early physiotherapy-led exercise intervention compared with the experiences of those receiving usual care. To understand physiotherapists’ experience of delivering the trial intervention. To explore acceptability of...
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| Format: | Article |
| Language: | English |
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BMJ Publishing Group
2021-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/11/5/e040116.full |
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| author | Julie Bruce Sophie Rees Esther Williamson Helen Richmond Bruno Mazuquin |
| author_facet | Julie Bruce Sophie Rees Esther Williamson Helen Richmond Bruno Mazuquin |
| author_sort | Julie Bruce |
| collection | DOAJ |
| description | Objectives To explore the experiences of women with breast cancer taking part in an early physiotherapy-led exercise intervention compared with the experiences of those receiving usual care. To understand physiotherapists’ experience of delivering the trial intervention. To explore acceptability of the intervention and issues related to the implementation of the Prevention Of Shoulder Problems (PROSPER) programme from participant and physiotherapist perspective.Design Qualitative semistructured interviews with thematic analysis.Setting UK National Health Service.Participants Twenty participants at high risk of shoulder problems after breast cancer surgery recruited to the UK PROSPER trial (10 each from the intervention arm and control arm), and 11 physiotherapists who delivered the intervention. Trial participants were sampled using convenience sampling. Physiotherapists were purposively sampled from high and low recruiting sites.Results Participants described that the PROSPER exercise intervention helped them feel confident in what their body could do and helped them regain a sense of control in the context of cancer treatment, which was largely disempowering. Control arm participants expressed less of a sense of control over their well-being. Physiotherapists found the exercise intervention enjoyable to deliver and felt it was valuable to their patients. The extra time allocated for appointments during intervention delivery made physiotherapists feel they were providing optimal care, being the ‘perfect physio’. Lessons were learnt about the implementation of a complex exercise intervention for women with breast cancer, and the issues raised will inform the development of a future implementation strategy.Conclusions A physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies helped women at risk of shoulder problems following breast cancer treatment to feel more confident in their ability to mobilise their arm post-surgery. A physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies may address the sense of powerlessness that many women experience during breast cancer treatment.Trial registration number ISRCTN35358984. |
| format | Article |
| id | doaj-art-4e50c37d1e9c491a8e1f2e044597538e |
| institution | OA Journals |
| issn | 2044-6055 |
| language | English |
| publishDate | 2021-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-4e50c37d1e9c491a8e1f2e044597538e2025-08-20T02:18:46ZengBMJ Publishing GroupBMJ Open2044-60552021-05-0111510.1136/bmjopen-2020-040116Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trialJulie Bruce0Sophie Rees1Esther Williamson2Helen Richmond3Bruno Mazuquin4University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UKBristol Trials Centre, University of Bristol, Bristol, UKNuffield Department of Orthopaedics, Rheumatology, and Musculoskeletal Sciences, University of Oxford, Oxford, Oxfordshire, UKWarwick Clinical Trials Unit, University of Warwick Medical School, Coventry, UKHealth Professions, Manchester Metropolitan University, Manchester, UKObjectives To explore the experiences of women with breast cancer taking part in an early physiotherapy-led exercise intervention compared with the experiences of those receiving usual care. To understand physiotherapists’ experience of delivering the trial intervention. To explore acceptability of the intervention and issues related to the implementation of the Prevention Of Shoulder Problems (PROSPER) programme from participant and physiotherapist perspective.Design Qualitative semistructured interviews with thematic analysis.Setting UK National Health Service.Participants Twenty participants at high risk of shoulder problems after breast cancer surgery recruited to the UK PROSPER trial (10 each from the intervention arm and control arm), and 11 physiotherapists who delivered the intervention. Trial participants were sampled using convenience sampling. Physiotherapists were purposively sampled from high and low recruiting sites.Results Participants described that the PROSPER exercise intervention helped them feel confident in what their body could do and helped them regain a sense of control in the context of cancer treatment, which was largely disempowering. Control arm participants expressed less of a sense of control over their well-being. Physiotherapists found the exercise intervention enjoyable to deliver and felt it was valuable to their patients. The extra time allocated for appointments during intervention delivery made physiotherapists feel they were providing optimal care, being the ‘perfect physio’. Lessons were learnt about the implementation of a complex exercise intervention for women with breast cancer, and the issues raised will inform the development of a future implementation strategy.Conclusions A physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies helped women at risk of shoulder problems following breast cancer treatment to feel more confident in their ability to mobilise their arm post-surgery. A physiotherapist-delivered early supported exercise intervention with integrated behavioural strategies may address the sense of powerlessness that many women experience during breast cancer treatment.Trial registration number ISRCTN35358984.https://bmjopen.bmj.com/content/11/5/e040116.full |
| spellingShingle | Julie Bruce Sophie Rees Esther Williamson Helen Richmond Bruno Mazuquin Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial BMJ Open |
| title | Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial |
| title_full | Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial |
| title_fullStr | Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial |
| title_full_unstemmed | Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial |
| title_short | Role of physiotherapy in supporting recovery from breast cancer treatment: a qualitative study embedded within the UK PROSPER trial |
| title_sort | role of physiotherapy in supporting recovery from breast cancer treatment a qualitative study embedded within the uk prosper trial |
| url | https://bmjopen.bmj.com/content/11/5/e040116.full |
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