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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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| _version_ | 1867613270557327360 |
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| access_status_str | Open Access |
| author | Labuschagne, Lisa |
| author2 | Du Plessis, Ilse |
| author_browse | Du Plessis, Ilse Labuschagne, Lisa |
| author_facet | Du Plessis, Ilse Labuschagne, Lisa |
| author_sort | Labuschagne, Lisa |
| collection | Thesis |
| description | 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. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/41005 |
| institution | University of Cape Town (South Africa) |
| language | English eng |
| last_indexed | 2026-06-10T12:33:28.738Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2025 |
| publishDateRange | 2025 |
| publishDateSort | 2025 |
| publisher | Division of Physiotherapy |
| publisherStr | Division of Physiotherapy |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/41005 Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole Labuschagne, Lisa Du Plessis, Ilse Lupton-Smith, Alison Gretschel, Pam pulmonary rehabilitation overcoming barriers chronic respiratory disease 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. 2025-02-25T09:37:45Z 2025-02-25T09:37:45Z 2024 2025-02-25T08:47:43Z Thesis / Dissertation Masters MSc http://hdl.handle.net/11427/41005 en eng application/pdf Division of Physiotherapy Faculty of Health Sciences University of Cape Town |
| spellingShingle | pulmonary rehabilitation overcoming barriers chronic respiratory disease Labuschagne, Lisa Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| thesis_degree_str | Master's |
| title | Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| title_full | Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| title_fullStr | Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| title_full_unstemmed | Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| title_short | Factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme, as viewed by physiotherapists in the Cape Metropole |
| title_sort | factors affecting the establishment and provision of an outpatient pulmonary rehabilitation programme as viewed by physiotherapists in the cape metropole |
| topic | pulmonary rehabilitation overcoming barriers chronic respiratory disease |
| url | http://hdl.handle.net/11427/41005 |
| work_keys_str_mv | AT labuschagnelisa factorsaffectingtheestablishmentandprovisionofanoutpatientpulmonaryrehabilitationprogrammeasviewedbyphysiotherapistsinthecapemetropole |