TY - JOUR
T1 - Implementation of Pelvic Floor Rehabilitation after rectal cancer surgery
T2 - A qualitative study guided by the Consolidated Framework for Implementation Research (CFIR)
AU - FORCE
AU - Bosch, N. M.
AU - Kalkdijk-Dijkstra, A. J.
AU - Broens, P. M.A.
AU - van Westreenen, H. L.
AU - Pierie, J. P.E.N.
AU - Klarenbeek, B. R.
AU - van der Heijden, J. A.G.
N1 - Publisher Copyright:
© 2024 Bosch et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
PY - 2024/6/20
Y1 - 2024/6/20
N2 - Background Pelvic Floor Rehabilitation (PFR) is effective in a selection of patients with low anterior resection syndrome (LARS) after rectal cancer surgery. This study aimed to identify barriers and enablers to prepare for successful implementation into clinical practice. Methods A qualitative study was performed, guided by the Consolidated Framework for Implementation Research (CFIR). Individual interviews (n = 27) and two focus groups were conducted to synthesize the perspectives of rectal cancer patients, pelvic floor (PF) physiotherapists, and medical experts. Results Barriers were found to be the absence of guidelines about LARS treatment, underdeveloped network care, suboptimal patient information, and expectation management upfront to PFR. Financial status is frequently a barrier because insurance companies do not always reimburse PFR. Enablers were the current level of evidence for PFR, the positive relationship between patients and PF physiotherapists, and the level of self-motivation by patients. Conclusion The factors identified in our study play a crucial role in ensuring a successful implementation of PFR after rectal cancer surgery.
AB - Background Pelvic Floor Rehabilitation (PFR) is effective in a selection of patients with low anterior resection syndrome (LARS) after rectal cancer surgery. This study aimed to identify barriers and enablers to prepare for successful implementation into clinical practice. Methods A qualitative study was performed, guided by the Consolidated Framework for Implementation Research (CFIR). Individual interviews (n = 27) and two focus groups were conducted to synthesize the perspectives of rectal cancer patients, pelvic floor (PF) physiotherapists, and medical experts. Results Barriers were found to be the absence of guidelines about LARS treatment, underdeveloped network care, suboptimal patient information, and expectation management upfront to PFR. Financial status is frequently a barrier because insurance companies do not always reimburse PFR. Enablers were the current level of evidence for PFR, the positive relationship between patients and PF physiotherapists, and the level of self-motivation by patients. Conclusion The factors identified in our study play a crucial role in ensuring a successful implementation of PFR after rectal cancer surgery.
UR - http://www.scopus.com/inward/record.url?scp=85196498344&partnerID=8YFLogxK
U2 - 10.1371/journal.pone.0301518
DO - 10.1371/journal.pone.0301518
M3 - Comment/Letter to the editor
C2 - 38900764
AN - SCOPUS:85196498344
SN - 1932-6203
VL - 19
JO - PLoS ONE
JF - PLoS ONE
IS - 6
M1 - e0301518
ER -