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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...
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| Format: | Thesis |
| Language: | English English |
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Division of Physiotherapy
2025
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| Summary: | 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. |
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