Rowbotham, NJ;
Smith, SJ;
Davies, G;
Daniels, T;
Elliott, ZC;
Gathercole, K;
Rayner, OC;
(2020)
Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals.
Journal of Cystic Fibrosis
, 19
(4)
e19-e24.
10.1016/j.jcf.2019.10.026.
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Abstract
Airway clearance techniques (ACTs) are recommended in cystic fibrosis (CF) to prevent accumulation of secretions and lung infection. "Can exercise replace chest physiotherapy for people with CF?" is one of the CF community's top 10 research questions. We conducted an online survey of the CF community to gather data on current ACT use, recommendations, reported adherence levels and exercise strategies used. There were 488 respondents: 194 (40%) people with CF (pwCF), 141 (29%) family and 153 (31%) healthcare professionals (HCPs) (mostly physiotherapists). Only 10/285 (4%) of pwCF do no exercise at present and 163/303 (54%) already incorporate exercise into ACTs. ACTs were omitted by 128/267 (48%) of pwCF when they exercised. Nearly all (110/129, 93%) of HCPs currently recommend exercise to support ACTs. A trial replacing some or all ACTs with exercise, was supported by 80/110 (73%) of HCPs, with an additional 9/110 (8%) willing to consider in selected patients.
| Type: | Article |
|---|---|
| Title: | Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals |
| Location: | Netherlands |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.1016/j.jcf.2019.10.026 |
| Publisher version: | https://doi.org/10.1016/j.jcf.2019.10.026 |
| Language: | English |
| Additional information: | This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. |
| Keywords: | Airway clearance techniques, Clinical trial, Co-production, Cystic fibrosis, Exercise, Priority setting |
| UCL classification: | UCL UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept |
| URI: | https://discovery-pp.ucl.ac.uk/id/eprint/10087468 |
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