Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer

The views of health care professionals

Richard Wagland, Jackie Ellis, Chris D. Bailey, Jemma Haines, Ann Caress, Mari Lloyd Williams, Paul Lorigan, Jaclyn Smith, Carol Tishelman, Richard Booton, Karen Luker, Fiona Blackhall, Alex Molassiotis

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

Background A respiratory distress symptom cluster has recently been identified in lung cancer associated with breathlessness, cough and fatigue, and the study reported here is part of a wider body of work being undertaken to develop a novel non-pharmacological intervention (NPI) for the management of this symptomcluster. The current paper reports the views of health care professionals (HCPs) involved with cancer care regarding the most appropriate ways of developing and delivering such a novel intervention. Methods Five focus groups, supplemented with additional telephone interviews, were conducted with a range of both community- and acute-based HCPs involved in symptom management for lung cancer patients. Participants included oncologists, palliative care consultants, specialist nurses, occupational therapists and physiotherapists. The focus groups were transcribed verbatim and analysed using NVIVO to support a framework analysis approach. Results The current delivery of NPIs was found to be ad hoc and varied between sites both in terms of what was delivered and by which health care professionals. The provision of NPIs within acute medical settings faced common problems concerning staffing time and space, and there was a recognition that the preference of most patients to make as few hospital visits as possible also complicated NPI teaching. Moreover, there may only be a small window of opportunity in which to effectively teach lung cancer patients a novel NPI as the period between diagnosis and the onset of severe symptoms is often short. Discussion The participants agreed that the novel symptom management NPI should be individually personalised to the needs of each patient and be available for patients when they become receptive to it. Moreover, they agreed that the intervention would be most effective if delivered to patients individually rather than in groups, outside acute medical settings where possible and closer to patient's homes, should be delivered by an HCP rather than a trained volunteer or lay person and should involve informal carers wherever practicable.

Original languageEnglish
Pages (from-to)2565-2574
Number of pages10
JournalSupportive Care in Cancer
Volume20
Issue number10
Early online date20 Jan 2012
DOIs
Publication statusPublished - 1 Oct 2012
Externally publishedYes

Fingerprint

Lung Neoplasms
Delivery of Health Care
Focus Groups
Patient Preference
Physical Therapists
Consultants
Palliative Care
Cough
Dyspnea
Caregivers
Fatigue
Volunteers
Teaching
Interviews
Neoplasms

Cite this

Wagland, Richard ; Ellis, Jackie ; Bailey, Chris D. ; Haines, Jemma ; Caress, Ann ; Williams, Mari Lloyd ; Lorigan, Paul ; Smith, Jaclyn ; Tishelman, Carol ; Booton, Richard ; Luker, Karen ; Blackhall, Fiona ; Molassiotis, Alex. / Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer : The views of health care professionals. In: Supportive Care in Cancer. 2012 ; Vol. 20, No. 10. pp. 2565-2574.
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Wagland, R, Ellis, J, Bailey, CD, Haines, J, Caress, A, Williams, ML, Lorigan, P, Smith, J, Tishelman, C, Booton, R, Luker, K, Blackhall, F & Molassiotis, A 2012, 'Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer: The views of health care professionals', Supportive Care in Cancer, vol. 20, no. 10, pp. 2565-2574. https://doi.org/10.1007/s00520-011-1362-y

Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer : The views of health care professionals. / Wagland, Richard; Ellis, Jackie; Bailey, Chris D.; Haines, Jemma; Caress, Ann; Williams, Mari Lloyd; Lorigan, Paul; Smith, Jaclyn; Tishelman, Carol; Booton, Richard; Luker, Karen; Blackhall, Fiona; Molassiotis, Alex.

In: Supportive Care in Cancer, Vol. 20, No. 10, 01.10.2012, p. 2565-2574.

Research output: Contribution to journalArticle

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T1 - Considerations in developing and delivering a non-pharmacological intervention for symptom management in lung cancer

T2 - The views of health care professionals

AU - Wagland, Richard

AU - Ellis, Jackie

AU - Bailey, Chris D.

AU - Haines, Jemma

AU - Caress, Ann

AU - Williams, Mari Lloyd

AU - Lorigan, Paul

AU - Smith, Jaclyn

AU - Tishelman, Carol

AU - Booton, Richard

AU - Luker, Karen

AU - Blackhall, Fiona

AU - Molassiotis, Alex

PY - 2012/10/1

Y1 - 2012/10/1

N2 - Background A respiratory distress symptom cluster has recently been identified in lung cancer associated with breathlessness, cough and fatigue, and the study reported here is part of a wider body of work being undertaken to develop a novel non-pharmacological intervention (NPI) for the management of this symptomcluster. The current paper reports the views of health care professionals (HCPs) involved with cancer care regarding the most appropriate ways of developing and delivering such a novel intervention. Methods Five focus groups, supplemented with additional telephone interviews, were conducted with a range of both community- and acute-based HCPs involved in symptom management for lung cancer patients. Participants included oncologists, palliative care consultants, specialist nurses, occupational therapists and physiotherapists. The focus groups were transcribed verbatim and analysed using NVIVO to support a framework analysis approach. Results The current delivery of NPIs was found to be ad hoc and varied between sites both in terms of what was delivered and by which health care professionals. The provision of NPIs within acute medical settings faced common problems concerning staffing time and space, and there was a recognition that the preference of most patients to make as few hospital visits as possible also complicated NPI teaching. Moreover, there may only be a small window of opportunity in which to effectively teach lung cancer patients a novel NPI as the period between diagnosis and the onset of severe symptoms is often short. Discussion The participants agreed that the novel symptom management NPI should be individually personalised to the needs of each patient and be available for patients when they become receptive to it. Moreover, they agreed that the intervention would be most effective if delivered to patients individually rather than in groups, outside acute medical settings where possible and closer to patient's homes, should be delivered by an HCP rather than a trained volunteer or lay person and should involve informal carers wherever practicable.

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