Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals

N. J. Rowbotham; S. J. Smith; G. Davies; T. Daniels; Z. C. Elliott; K. Gathercole; O. C. Rayner; A. R. Smyth

doi:10.1016/j.jcf.2019.10.026

Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals

N. J. Rowbotham^*
, S. J. Smith
, G. Davies
, T. Daniels
, Z. C. Elliott
, K. Gathercole
, O. C. Rayner
, A. R. Smyth

^*Corresponding author for this work

Research output: Contribution to journal › Article › peer-review

24 Citations (Scopus)

24 Downloads (Pure)

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.

Original language	English
Pages (from-to)	e19-e24
Number of pages	5
Journal	Journal of Cystic Fibrosis
Volume	19
Issue number	4
Early online date	15 Nov 2019
DOIs	https://doi.org/10.1016/j.jcf.2019.10.026
Publication status	Published - Jul 2020
Externally published	Yes

Bibliographical note

Funding Information:
This work was supported by the UK CF Trust . NJR is an NIHR Academic Clinical Fellow at University of Nottingham. GD is an NIHR Clinical Trials Fellow and was previously supported by a NIHR Clinical Lectureship at UCL.

Funding Information:
This work was led by a steering group representative of the CF community (lay and professional) and supported by the UK National Institute for Health Research (NIHR) under the title ?James Lind CF2?. An online questionnaire was co-produced using SurveyMonkey? to help us understand which ACTs are currently undertaken by people with CF and recommended by HCPs, current levels of reported adherence and exercise strategies used (See online supplement 1). The survey was designed to be inclusive, with no minimum age or restrictions on location, and was open over 5 weeks in December 2018-January 2019. There were separate streams for lay and professional respondents to complete. It was promoted via our Twitter? account (@questionCF), professional networks, UK CF Trust, US CF Foundation Community Voice group and the NIHR. The survey data were downloaded to Excel for quantitative analysis (closed questions) and NVivo for thematic analysis (free text comments) in order to generate topics which represented recurring themes.This work was supported by the UK CF Trust. NJR is an NIHR Academic Clinical Fellow at University of Nottingham. GD is an NIHR Clinical Trials Fellow and was previously supported by a NIHR Clinical Lectureship at UCL.

Publisher Copyright:
© 2019 European Cystic Fibrosis Society

Keywords

Airway clearance techniques
Clinical trial
Co-production
Cystic fibrosis
Exercise
Priority setting

ASJC Scopus subject areas

Pediatrics, Perinatology, and Child Health
Pulmonary and Respiratory Medicine

Access to Document

10.1016/j.jcf.2019.10.026Licence: Other

Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals
Copyright 2019 Elsevier. This manuscript is distributed under a Creative Commons Attribution-NonCommercial-NoDerivs License (https://creativecommons.org/licenses/by-nc-nd/4.0/), which permits distribution and reproduction for non-commercial purposes, provided the author and source are cited.
Accepted author manuscript, 368 KBLicence: CC BY-NC-ND

Cite this

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title = "Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals",

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.",

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author = "Rowbotham, \{N. J.\} and Smith, \{S. J.\} and G. Davies and T. Daniels and Elliott, \{Z. C.\} and K. Gathercole and Rayner, \{O. C.\} and Smyth, \{A. R.\}",

note = "Funding Information: This work was supported by the UK CF Trust . NJR is an NIHR Academic Clinical Fellow at University of Nottingham. GD is an NIHR Clinical Trials Fellow and was previously supported by a NIHR Clinical Lectureship at UCL. Funding Information: This work was led by a steering group representative of the CF community (lay and professional) and supported by the UK National Institute for Health Research (NIHR) under the title ?James Lind CF2?. An online questionnaire was co-produced using SurveyMonkey? to help us understand which ACTs are currently undertaken by people with CF and recommended by HCPs, current levels of reported adherence and exercise strategies used (See online supplement 1). The survey was designed to be inclusive, with no minimum age or restrictions on location, and was open over 5 weeks in December 2018-January 2019. There were separate streams for lay and professional respondents to complete. It was promoted via our Twitter? account (@questionCF), professional networks, UK CF Trust, US CF Foundation Community Voice group and the NIHR. The survey data were downloaded to Excel for quantitative analysis (closed questions) and NVivo for thematic analysis (free text comments) in order to generate topics which represented recurring themes.This work was supported by the UK CF Trust. NJR is an NIHR Academic Clinical Fellow at University of Nottingham. GD is an NIHR Clinical Trials Fellow and was previously supported by a NIHR Clinical Lectureship at UCL. Publisher Copyright: {\textcopyright} 2019 European Cystic Fibrosis Society",

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AU - Rowbotham, N. J.

AU - Smith, S. J.

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AU - Elliott, Z. C.

AU - Gathercole, K.

AU - Rayner, O. C.

AU - Smyth, A. R.

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SN - 1569-1993

VL - 19

SP - e19-e24

JO - Journal of Cystic Fibrosis

JF - Journal of Cystic Fibrosis

IS - 4

ER -

Can exercise replace airway clearance techniques in cystic fibrosis? A survey of patients and healthcare professionals

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

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