Patient perspectives of airway clearance techniques in bronchiectasis

Journal article


Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2022). Patient perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. pp. 1-11. https://doi.org/10.1080/09593985.2022.2126741
AuthorsFranks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.
Abstract

Introduction: While airway clearance techniques (ACTs) are recommended for individuals with bronchiectasis, data suggests the use of and adherence to ACTs is poor.

Objective: This study aimed to identify patient perceptions regarding ACTs, the barriers and facilitators to ACTs, and factors affecting adherence.

Methods: A multi-center qualitative study using in-depth semi-structured interviews of individuals with bronchiectasis was undertaken. All interviews were audio recorded and transcribed verbatim. Data was analyzed using the thematic framework approach described by Braun and Clark. NVIVO™ 12 software assisted with coding and thematic analysis of the interview transcripts. Data saturation was achieved when no new common themes were identified. Findings were summarized into major conceptual themes. Participant demographic data was also obtained.

Results: Twenty-four participants participated in semi-structured interviews. The main facilitators to using ACTs included a perceived health and quality of life benefit, a tailored approach to ACTs and the use of self-management strategies. Main barriers included lack of time and motivation, lack of access to resources, and a lack of perceived health benefit. A number of factors were identified by participants that may help promote adherence including combining and trialing different ACTs, receiving regular ACT reviews and education from physiotherapists, and having good social support.

Conclusion: To assist the personalized prescription of ACTs, these facilitators and barriers should be considered by clinicians to help promote adherence and improve patient outcomes.

Keywordsairway clearance techniques; patient perspectives; facilitators; barriers; adherence
Year2022
JournalPhysiotherapy Theory and Practice
Journal citationpp. 1-11
PublisherTaylor and Francis Ltd
ISSN0959-3985
Digital Object Identifier (DOI)https://doi.org/10.1080/09593985.2022.2126741
Scopus EID2-s2.0-85138822775
Web address (URL)https://www.tandfonline.com/doi/full/10.1080/09593985.2022.2126741
Research or scholarlyResearch
Page range1-11
FunderQueensland Cardiorespiratory Physiotherapy Network
Publisher's version
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All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online20 Sep 2022
Publication process dates
Accepted13 Sep 2022
Deposited11 Jan 2023
Additional information

© 2022 Crown Copyright

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