Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole

Background: Chronic respiratory diseases are a significant global health problem, and although pulmonary rehabilitation is shown by extensive evidence to be an important tool in their management, access to it is lacking world-wide. This study aimed to explore the factors affecting the establishment and provision of outpatient pulmonary rehabilitation programmes, as viewed by Physiotherapists in the Cape Metropole- our local context. Methodology: An exploratory qualitative descriptive design was used, whereby data was collected through three tools: semi-structured interviews with six physiotherapists in the Cape Metropole, a screening questionnaire and a reflective journal. Credibility was ensured through active engagement, member checking and peer debriefing; transferability through rich, thick description; and dependability and confirmability through keeping a meticulous audit trail. Theoretical, thematic analysis was then done. The principles of Helsinki were adhered to at all times. Findings: Three themes were found in the data, relating to the three objectives of the study: 1: One size does not fit all; 2: Sustained and driven by internal factors and external sources of support; 3: Common barriers with differing impacts. Discussion: These findings were compared to findings from previous studies and discussed through the lens of social cognitive theory. The need to promote self-efficacy and behavioural capability amongst physiotherapists, in overcoming the barriers to provision of pulmonary rehabilitation programmes was emphasised.

Grantor dc:publisher.institution

Division of Physiotherapy

Year dc:date.issued

2024

Author dc:creator

• Labuschagne, Lisa

Advisors dc:contributor.advisor

• Du Plessis, Ilse
• Lupton-Smith, Alison
• Gretschel, Pam

• pulmonary rehabilitation
• overcoming barriers
• chronic respiratory disease

Language dc:language.iso

en

Handle dc:identifier.uri

http://hdl.handle.net/11427/41005

OAI identifier oai:identifier

oai:open.uct.ac.za:11427/41005