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Tailoring of exercise and dietary interventions to adverse effects and existing comorbidities in patients with ovarian cancer receiving chemotherapy: a clinical vignettes study among expert physical therapists and dietitians.
Stelten, Stephanie; Ten Tusscher, Marieke R; Stuiver, Martijn M; Hartman, Yvonne A W; van Lonkhuijzen, Luc R C W; Kenter, Gemma G; van der Leeden, Marike; Hoedjes, Meeke; Buffart, Laurien M.
Afiliación
  • Stelten S; Radboud University Medical Center, Department of Medical BioSciences, Radboud Institute of Health Sciences, Nijmegen, The Netherlands.
  • Ten Tusscher MR; Radboud University Medical Center, Department of Medical BioSciences, Radboud Institute of Health Sciences, Nijmegen, The Netherlands.
  • Stuiver MM; Department of Medical Oncology, Amsterdam UMC, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands.
  • Hartman YAW; Division of Psychosocial Research and Epidemiology, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
  • van Lonkhuijzen LRCW; Center for Quality of Life, The Netherlands Cancer Institute, Amsterdam, The Netherlands.
  • Kenter GG; Center of Expertise Urban Vitality, Faculty of Health, Amsterdam University of Applied Sciences, Amsterdam, The Netherlands.
  • van der Leeden M; Radboud University Medical Center, Department of Medical BioSciences, Radboud Institute of Health Sciences, Nijmegen, The Netherlands.
  • Hoedjes M; Department of Obstetrics and Gynecology, Center for Gynecologic Oncology Amsterdam (CGOA), Amsterdam UMC, Univ(ersity) of Amsterdam, Amsterdam, The Netherlands.
  • Buffart LM; Department of Obstetrics and Gynecology, Center for Gynecologic Oncology Amsterdam (CGOA), Amsterdam UMC, Univ(ersity) of Amsterdam, Amsterdam, The Netherlands.
Disabil Rehabil ; : 1-8, 2023 Oct 10.
Article en En | MEDLINE | ID: mdl-37815167
ABSTRACT

PURPOSE:

This study aims to capture the complex clinical reasoning process during tailoring of exercise and dietary interventions to adverse effects and comorbidities of patients with ovarian cancer receiving chemotherapy.

METHODS:

Clinical vignettes were presented to expert physical therapists (n = 4) and dietitians (n = 3). Using the think aloud method, these experts were asked to verbalize their clinical reasoning on how they would tailor the intervention to adverse effects of ovarian cancer and its treatment and comorbidities. Clinical reasoning steps were categorized in questions raised to obtain additional information; anticipated answers; and actions to be taken. Questions and actions were labeled according to the evidence-based practice model.

RESULTS:

Questions to obtain additional information were frequently related to the patients' capacities, safety or the etiology of health issues. Various hypothetical answers were proposed which led to different actions. Suggested actions by the experts included extensive monitoring of symptoms and parameters, specific adaptations to the exercise protocol and dietary-related patient education.

CONCLUSIONS:

Our study obtained insight into the complex process of clinical reasoning, in which a variety of patient-related variables are used to tailor interventions. This insight can be useful for description and fidelity assessment of interventions and training of healthcare professionals.
The delivery of exercise and dietary programs is not a one-size fits all approach but involves a complex clinical reasoning process.Therefore, protocols should not only describe the intervention content, but also the strategy on how to tailor the intervention to individual adverse effects and pre-existing comorbidities.Education of healthcare professionals delivering the intervention is important as these professionals need to have good clinical reasoning skills to adequately tailor the intervention.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_recursos_humanos_saude Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Contexto en salud: 1_ASSA2030 Problema de salud: 1_recursos_humanos_saude Tipo de estudio: Guideline / Prognostic_studies Idioma: En Revista: Disabil Rehabil Asunto de la revista: REABILITACAO Año: 2023 Tipo del documento: Article País de afiliación: Países Bajos
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