Insights and recommendations into service model structure, staff roles and qualifications in a UK cancer specific clinical exercise service: a multi-method qualitative study.

Clinical exercise delivery in the United Kingdom is disparate in terms of service structure, staff roles and qualifications, therefore it is difficult to evaluate and compare across services. Our aim was to explore, in a purposely selected cancer exercise service that was recognised as effective; (i...

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Publicado en:Disability & Rehabilitation Vol. 46; no. 12; pp. 2535 - 2548
Autores principales: Crozier, Anthony, Watson, Paula M., Graves, Lee E., George, Keith P., Richardson, David, Naylor, Louise, Green, Daniel J., Rosenberg, Michael, Jones, Helen
Formato: critical path research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jun2024
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jun2024
      vid: 46
      iid: 12
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09638288.2023.2225879
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        atl: Insights and recommendations into service model structure, staff roles and qualifications in a UK cancer specific clinical exercise service: a multi-method qualitative study.
      aug:
        au:
          Crozier, Anthony
          Watson, Paula M.
          Graves, Lee E.
          George, Keith P.
          Richardson, David
          Naylor, Louise
          Green, Daniel J.
          Rosenberg, Michael
          Jones, Helen
        affil: Research institute for Sport and Exercise Sciences, Liverpool John Moores University, Liverpool, UK
      sug:
        subj:
          Neoplasms Therapy
          Rehabilitation, Cancer
          Therapeutic Exercise
          Clinical Competence
          Health Care Delivery
          Models, Theoretical
          Attitude of Health Personnel
          Human
          Male
          Female
          Adult
          Middle Age
          United Kingdom
          Multimethod Studies
          Semi-Structured Interview
          Focus Groups
          Convenience Sample
          Conceptual Framework
          Prehabilitation
          Professional Knowledge
          Work Environment
          Communication Skills
          Implementation Science
          Thematic Analysis
          Data Analysis Software
          Descriptive Statistics
          Funding Source
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Male
          Female
      ab: Clinical exercise delivery in the United Kingdom is disparate in terms of service structure, staff roles and qualifications, therefore it is difficult to evaluate and compare across services. Our aim was to explore, in a purposely selected cancer exercise service that was recognised as effective; (i) how staff knowledge, skills and competencies contribute to the provision of the service, (ii) how these components assist in creating effective services, and (iii) to identify existing challenges from staff and service user perspectives. The Consolidated Framework for Implementation Research was used as an overarching guide to review the Prehab4Cancer service. Exercise specialists and service user perspectives were explored using a multi-method approach (online semi-structured interviews, online focus group and in-person observation) and data triangulation. Exercise specialists were educated to a minimum of undergraduate degree level with extensive cancer-specific knowledge and skills, equivalent to that of a Registration Council for Exercise Physiologist (RCCP) Clinical Exercise Physiologist. Workplace experience was essential for exercise specialist development in behaviour change and communications skills. Staff should be educated to a level comparable with the standards for registered RCCP Clinical Exercise Physiologists, which includes workplace experience to develop knowledge, skills and competencies in real-world settings. Cancer services Clinical exercise staff should attain extensive cancer-specific knowledge, skills and competencies, underpinned by undergraduate degrees in sport and exercise science-related subjects or higher and equivalent to that of Registration Council for Exercise Physiologist -registered Clinical Exercise Workplace experience is vital for exercise specialists to develop their knowledge, skills and competencies in real-world settings. Behaviour change and communication skills, specifically empathy and listening skills, should be incorporated into clinical exercise practitioner training.
      pubtype: Academic Journal
      doctype:
        critical path
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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