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Research Articles

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

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Pages 2535-2547 | Received 16 Nov 2022, Accepted 10 Jun 2023, Published online: 21 Jun 2023

References

  • Alderwick H, Dixon J. The NHS long term plan. BMJ. 2019;364:l84.
  • Lafond S, Charlesworth A, Roberts A. A perfect storm: an impossible climate for NHS providers’ finances? 2016.
  • Office for National Statistics People with long-term conditions: UK 2019 available at: people with long-term health conditions. 2019.
  • Jones H, George KP, Scott A, et al. Charter to establish clinical exercise physiology as a recognised allied health profession in the UK: a call to action. BMJ Open Sport Exerc Med. 2021;7(3):e001158. doi: 10.1136/bmjsem-2021-001158.
  • Crozier A, Watson PM, Graves LEF, et al. Clinical exercise provision in the UK: comparison of staff job titles, roles and qualifications across five specialised exercise services. BMJ Open Sport Exerc Med. 2022;8(1):e001152. doi: 10.1136/bmjsem-2021-001152.
  • MacMillan Cancer Support, RCoA, the National Institute for Health Research. Prehabilitation for people with cancer: principles and guidance for prehabilitation within the management and support of people with cancer. 2019.
  • Moore J, Merchant Z, Rowlinson K, et al. Implementing a system-wide cancer prehabilitation programme: the journey of greater manchester’s ‘Prehab4cancer. Eur J Surg Oncol. 2021;47(3 Pt A):524–532. doi: 10.1016/j.ejso.2020.04.042.
  • Krane V, Baird SM. Using ethnography in applied sport psychology. Journal of Applied Sport Psychology. 2005;17(2):87–107. doi: 10.1080/10413200590932371.
  • Damschroder LJ, Aron DC, Keith RE, et al. Fostering implementation of health services research findings into practice: a consolidated framework for advancing implementation science. Implementation Sci. 2009;4(1):1–15. doi: 10.1186/1748-5908-4-50.
  • Downey J, Shearn K, Brown N, et al. Behaviour change practices in exercise referral schemes: developing realist programme theory of implementation. BMC Health Serv Res. 2021;21(1):1–9. doi: 10.1186/s12913-021-06349-9.
  • Stetler CB, Legro MW, Wallace CM, et al. The role of formative evaluation in implementation research and the QUERI experience. J Gen Intern Med. 2006;21(S2):S1–S8. doi: 10.1007/s11606-006-0267-9.
  • Smith JA. Semi structured interviewing and qualitative analysis. 1995.
  • Davies CA. Reflexive ethnography: a guide to researching selves and others. Routledge; 2012.
  • Turner GL, Owen S, Watson PM. Addressing childhood obesity at school entry: qualitative experiences of school health professionals. J Child Health Care. 2016;20(3):304–313. doi: 10.1177/1367493515587061.
  • Hoffmann TC, Glasziou PP, Boutron I, et al. Better reporting of interventions: template for intervention description and replication (TIDieR) checklist and guide. BMJ. 2014;348:g1687. doi: 10.1136/bmj.g1687.
  • Emerson RM, Fretz RI, Shaw LL. Writing ethnographic fieldnotes. Chicago: University of Chicago; 1995.
  • Hennink MM, Kaiser BN, Weber MB. What influences ­saturation? Estimating sample sizes in focus group research. Qual Health Res. 2019;29(10):1483–1496. doi: 10.1177/1049732318821692.
  • Shaw R. Embedding reflexivity within experiential qualitative psychology. Qualitative Research in Psychology. 2010;7(3):233–243. doi: 10.1080/14780880802699092.
  • Braun V, Clarke V. To saturate or not to saturate? Questioning data saturation as a useful concept for thematic analysis and sample-size rationales. Qual Res Sport Exerc Health. 2021;13(2):201–216. doi: 10.1080/2159676X.2019.1704846.
  • Kitzinger J. The methodology of focus groups: the importance of interaction between research participants. Soc Health Illness. 1994;16(1):103–121. doi: 10.1111/1467-9566.ep11347023.
  • Kidd PS, Parshall MB. Getting the focus and the group: enhancing analytical rigor in focus group research. Qual Health Res. 2000;10(3):293–308. doi: 10.1177/104973200129118453.
  • Braun V, Clarke V. Reflecting on reflexive thematic analysis. Qual Res Sport Exerc Health. 2019;11(4):589–597. doi: 10.1080/2159676X.2019.1628806.
  • Wolcott HF. Writing up qualitative research. London: Sage Publications;2008.
  • Costa AL, Kallick B. Through the lens of a critical friend. Education Leadership. Westport, CT: USA 1993;51:49–49.
  • Foley DE. Critical ethnography: the reflexive turn. Inter J Qual Stud Educ. 2002;15(4):469–490. doi: 10.1080/09518390210145534.
  • Smith B, Sparkes AC. Contrasting perspectives on narrating selves and identities: an invitation to dialogue. Qual Res. 2008;8(1):5–35. doi: 10.1177/1468794107085221.
  • Agar M. Ethnography reconstructed: the professional stranger at fifteen. The professional Stranger; 1996: p. 1–51.
  • Herr K, Anderson GL. The action research dissertation: a guide for students and faculty. Sage publications; 2014.
  • Howlett M. Looking at the ‘field’through a zoom lens: methodological reflections on conducting online research during a global pandemic. Qual Res. 2022;22(3):387–402. doi: 10.1177/1468794120985691.
  • Rowley N, Steele J, Mann S, et al. Delivery approaches within exercise referral schemes: a survey of current practice in England. J Phys Act Health. 2021;18(4):357–373. doi: 10.1123/jpah.2020-0388.
  • Steele J, Wade M, Copeland RJ, et al. The national ReferAll database: an open dataset of exercise referral schemes across the UK. IJERPH. 2021;18(9):4831. doi: 10.3390/ijerph18094831.
  • Buckley BJR, Thijssen DHJ, Murphy RC, et al. Making a move in exercise referral: co-development of a physical activity referral scheme. J Public Health (Oxf). 2018;40(4):e586–e593. doi: 10.1093/pubmed/fdy072.
  • Warburton DE, Bredin SS, Charlesworth SA, et al. Evidence-based risk recommendations for best practices in the training of qualified exercise professionals working with clinical populations. Appl Physiol Nutr Metab. 2011;36(S1):S232–S265. doi: 10.1139/h11-054.
  • Renouf T, Bates A, Davis JF, et al. Prehabilitation. An ­interdisciplinary Patient-Centric conceptual framework. Semin Oncol Nurs. 2022;38(5):151329. doi: 10.1016/j.soncn.2022.151329.
  • Ganeshan S, Tse C, Beatty A. Home-based cardiac rehabilitation during COVID-19: a Qualitative Study. 2021.
  • Tribble C, Newburg D. Learning to fly: teaching mental strategies to future surgeons. J Excellence. 1998;1:6–19.
  • Crozier A, Porcellato L, Buckley BJR, et al. Facilitators and challenges in delivering a peer-support physical activity intervention for older adults: a qualitative study with multiple stakeholders. BMC Public Health. 2020;20(1):1–10. doi: 10.1186/s12889-020-09990-x.
  • Lewis A, Knight E, Bland M, et al. Feasibility of an online platform delivery of pulmonary rehabilitation for individuals with chronic respiratory disease. BMJ Open Resp Res. 2021;8(1):e000880. doi: 10.1136/bmjresp-2021-000880.
  • Dal Mas F, Biancuzzi H, Miceli L. The importance of soft skills in Co-Production of healthcare services in the public sector. In: Soft skills for human centered management and global sustainability. London: Routledge; 2021. pp. 110–126.
  • Gibb S. Soft skills assessment: theory development and the research agenda. Inter J Lifelong Educ. 2014;33(4):455–471. doi: 10.1080/02601370.2013.867546.
  • Snell S, Snell-Siddle C, Whitehouse D. Soft or hard boiled: relevance of soft skills for is professionals In: Proceedings of the 15th Annual Conference of the National Advisory Committee on Computing Qualifications. 2002.
  • Soukup T, Lamb BW, Arora S, et al. Successful strategies in implementing a multidisciplinary team working in the care of patients with cancer: an overview and synthesis of the available literature. J Multidiscip Healthc. 2018;11:49–61. doi: 10.2147/JMDH.S117945.
  • CEP-UK, CEP. Clinical exercise physiology curriculum framework. 2021. https://www.clinicalexercisephysiology.org.uk/_files/ugd/dc94ed_7c916b9cbf4f480a8c25a2b9f6aeeae7.pdf
  • Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55(1):68–78. doi: 10.1037//0003-066x.55.1.68.
  • Teixeira PJ, Carraça EV, Markland D, et al. Exercise, physical activity, and self-determination theory: a systematic review. Int J Behav Nutr Phys Act. 2012;9(1):78. doi: 10.1186/1479-5868-9-78.
  • Teixeira PJ, Marques MM, Silva MN, et al. A classification of motivation and behavior change techniques used in self-determination theory-based interventions in health contexts. Motivation Science. 2020;6(4):438–455. doi: 10.1037/mot0000172.
  • Kelly MP, Barker M. Why is changing health-related behaviour so difficult? Public Health. 2016;136:109–116. doi: 10.1016/j.puhe.2016.03.030.
  • Arena R, Canada JM, Popovic D, et al. Cardiopulmonary exercise testing–refining the clinical perspective by combining assessments. Expert Rev Cardiovasc Ther. 2020;18(9):563–576. doi: 10.1080/14779072.2020.1806057.
  • Reychler G, Boucard E, Peran L, et al. One minute sit‐to‐stand test is an alternative to 6MWT to measure functional exercise performance in COPD patients. Clin Respir J. 2018;12(3):1247–1256. doi: 10.1111/crj.12658.
  • Raymond J, Sealey R, Naumann F, et al. Development of core clinical learning competencies for Australian exercise physiology students. J Clin Exerc Physiol. 2020;9(1):1–9. doi: 10.31189/2165-6193-9.1.1.
  • Buckley BJR, Finnie SJ, Murphy RC, et al. “You’ve got to pick your battles”: a mixed-methods investigation of physical activity counselling and referral within general practice. IJERPH. 2020;17(20):7428. doi: 10.3390/ijerph17207428.