Physiotherapist perspectives of airway clearance techniques in bronchiectasis

Journal article

Franks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.. (2023). Physiotherapist perspectives of airway clearance techniques in bronchiectasis. Physiotherapy Theory and Practice. 39(4), pp. 785-793. https://doi.org/10.1080/09593985.2022.2028326
AuthorsFranks, Lisa J., Walsh, James R., Hall, Kathleen, Adsett, Julie A. and Morris, Norman R.
Abstract

Introduction
Our understanding regarding the personalization of airway clearance techniques (ACTs) in bronchiectasis is limited.

Objective
This study aimed to determine physiotherapist perceptions regarding the prescription of ACTs in inpatients and outpatients with bronchiectasis.

Methods
A single-center qualitative study using semi-structured interviews of physiotherapists who treated 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. Findings were summarized into major conceptual themes. Participant demographic data was also obtained.

Results
Eleven physiotherapists participated in the interviews. Central to all themes was the complexity of physiotherapy clinical decision-making regarding ACT prescription. Main themes included: organizational factors (i.e. workload, scope of service, access to resources/ACTs); patient-related factors (i.e. symptom severity, finances, disease-specific knowledge, social commitments, clinical setting, and perceived benefit); and physiotherapist/profession-related factors (i.e. clinical experience, access to professional support and education, awareness of evidence of ACTs, and evaluating ACT effectiveness).

Conclusion
Physiotherapists regularly and routinely prescribe ACTs for individuals with bronchiectasis allowing for a multitude of competing factors. These factors should be considered by physiotherapists to enhance the personalized prescription of ACTs and may help promote patient adherence to ACTs to improve outcomes.

Keywordsphysiotherapy; airway clearance techniques; bronchiectasis; physiotherapist perspectives
Year2023
JournalPhysiotherapy Theory and Practice
Journal citation39 (4), pp. 785-793
PublisherTaylor & Francis
ISSN0959-3985
Digital Object Identifier (DOI)https://doi.org/10.1080/09593985.2022.2028326
PubMed ID35086432
Scopus EID2-s2.0-85124154550
Page range785-793
FunderQueensland Cardiorespiratory Physiotherapy Network
Publisher's version
License
All rights reserved
File Access Level
Controlled
Output statusPublished
Publication dates
Online27 Jan 2022
Publication process dates
Accepted03 Dec 2021
Deposited15 Oct 2023
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