Attitudes and perceptions of cancer patients and healthcare providers towards prehabilitation: A thematic synthesis

IF 3.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL British Journal of Health Psychology Pub Date : 2023-11-20 DOI:10.1111/bjhp.12705

Chen Shen, Lianqi Gu, Na Li, Rao Wang, Xin Yang, Zhiping Chu

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Abstract

Purpose

Prehabilitation, which is the process of enhancing functional capacity before undergoing surgery or other treatments, has been shown to improve cancer patients' outcomes. Patient and healthcare provider attitudes and perceptions are essential factors in the successful implementation of prehabilitation. The purpose of this systematic review is to synthesize qualitative evidence and explore the barriers and facilitators to prehabilitation implementation.

Methods

From the earliest available date to October 2023, 7 databases (PubMed, Web of Science, Cochrane Library, Embase, CINAHL, PsycINFO, and MEDLINE) were searched for a systematic review. Data were extracted, thematically analysed, and mapped onto the Capability, Opportunity, and Motivation Model of Behaviour (COM-B). The Critical Appraisal Skills Programme (CASP) tool was used to assess the quality of the studies.

Results

A total of 26 studies were included, involving 377 patients, 51 caregivers, and 156 healthcare providers. 16 factors were identified and mapped onto the COM-B model: reflective/automatic motivation, physical/social opportunity, physical/ psychological capability.

Conclusions

Patients and healthcare provides identified a lack of reflective motivation and physical opportunities as the most significant barriers to engagement in prehabilitation. Personalized approaches, social support, and healthcare providers' engagement are key factors for prehabilitation. Future research should focus on developing effective interventions to enhance the uptake and sustainability of prehabilitation.

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癌症患者和保健提供者对康复的态度和看法:专题综合。

目的:预康复是在接受手术或其他治疗之前增强功能能力的过程，已被证明可以改善癌症患者的预后。患者和保健提供者的态度和看法是成功实施康复的关键因素。本系统综述的目的是综合定性证据，探讨康复实施的障碍和促进因素。方法:从最早可查日期到2023年10月，检索PubMed、Web of Science、Cochrane Library、Embase、CINAHL、PsycINFO和MEDLINE 7个数据库进行系统评价。数据被提取，主题分析，并映射到行为的能力，机会和动机模型(COM-B)。使用关键评估技能计划(CASP)工具来评估研究的质量。结果:共纳入26项研究，涉及377名患者、51名护理人员和156名医疗保健提供者。16个因素被确定并映射到COM-B模型:反思/自动动机，物理/社会机会，物理/心理能力。结论:患者和医疗保健提供者认为，缺乏反思动机和身体机会是参与康复的最大障碍。个性化方法、社会支持和医疗保健提供者的参与是康复的关键因素。未来的研究应侧重于开发有效的干预措施，以提高康复的吸收和可持续性。

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来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.