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Implementation of Pelvic Floor Rehabilitation after rectal cancer surgery: A qualitative study guided by the Consolidated Framework for Implementation Research (CFIR)

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Listed:
  • N M Bosch
  • A J Kalkdijk-Dijkstra
  • P M A Broens
  • H L van Westreenen
  • J P E N Pierie
  • B R Klarenbeek
  • J A G van der Heijden
  • on behalf of the FORCE trial group

Abstract

Background: Pelvic Floor Rehabilitation (PFR) is effective in a selection of patients with low anterior resection syndrome (LARS) after rectal cancer surgery. This study aimed to identify barriers and enablers to prepare for successful implementation into clinical practice. Methods: A qualitative study was performed, guided by the Consolidated Framework for Implementation Research (CFIR). Individual interviews (n = 27) and two focus groups were conducted to synthesize the perspectives of rectal cancer patients, pelvic floor (PF) physiotherapists, and medical experts. Results: Barriers were found to be the absence of guidelines about LARS treatment, underdeveloped network care, suboptimal patient information, and expectation management upfront to PFR. Financial status is frequently a barrier because insurance companies do not always reimburse PFR. Enablers were the current level of evidence for PFR, the positive relationship between patients and PF physiotherapists, and the level of self-motivation by patients. Conclusion: The factors identified in our study play a crucial role in ensuring a successful implementation of PFR after rectal cancer surgery.

Suggested Citation

  • N M Bosch & A J Kalkdijk-Dijkstra & P M A Broens & H L van Westreenen & J P E N Pierie & B R Klarenbeek & J A G van der Heijden & on behalf of the FORCE trial group, 2024. "Implementation of Pelvic Floor Rehabilitation after rectal cancer surgery: A qualitative study guided by the Consolidated Framework for Implementation Research (CFIR)," PLOS ONE, Public Library of Science, vol. 19(6), pages 1-12, June.
    • Handle: RePEc:plo:pone00:0301518
    DOI: 10.1371/journal.pone.0301518
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    References listed on IDEAS

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    1. Sabiha Khanum & Maria De Lourdes de Souza & Najma Naz & Grace Teresinha Marcon Dal Sasso & Odalea Maria Brüggemann & Ivonete Teresinha Schulter Buss Heideman, 2016. "The Use of Networking in Nursing Practice —An Integrative Review," Societies, MDPI, vol. 6(3), pages 1-14, July.
    2. Serena Barello & Guendalina Graffigna & Elena Vegni, 2012. "Patient Engagement as an Emerging Challenge for Healthcare Services: Mapping the Literature," Nursing Research and Practice, Hindawi, vol. 2012, pages 1-7, October.
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