The aim of this study is to explore physiotherapists perspectives on barriers, facilitators, and potential solutions to improve the care of sequelae after cancer in physiotherapy clinics.
This qualitative study used semi-structured interviews with physiotherapists, following a published research protocol and the COREQ checklist. A phenomenological approach was employed for data collection and thematic analysis, allowing researchers to set aside preconceptions. Pre-understandings were stated and revisited post-analysis for validation. The interview guide was developed and validated through discussions and pilot testing. A patient panel provided feedback on the interview guide. Interviews were conducted by AKST, a trained and experienced physiotherapist, and transcribed using a standardized key.
Interviewed physiotherapists believe treating cancer sequelae should be a specialized function offered through continuing education, while basic education should cover only fundamental understanding. Basic knowledge helps identify red flags and understand causality in patients with musculoskeletal issues. However, treating sequelae is seen as a niche requiring special interest and competencies beyond basic education. Working with cancer patients is emotionally demanding and requires life experience.
Therapists highlight barriers cancer patients face, including financial constraints due to prolonged illness and unemployment. Treating cancer patients is time-consuming as patients often require additional support for anxiety and depressive symptoms. The psychosocial impact and identity changes post-cancer also affect patients’ resources for treatment.
Participants noted communication challenges in the healthcare sector, relying on professional relationships and individual interests. Therapists suggest creating publicly accessible lists of physiotherapists with expertise in sequelae rehabilitation to help patients find appropriate care. They emphasize the need to disseminate knowledge about cancer sequelae to both patients and healthcare professionals and note the stigma patients face for ongoing symptoms post-cancer, stressing the importance of seeing specialized physiotherapists.
Physiotherapists identify various clinical challenges that require expert knowledge and therefore specialization. At the same time, system-level barriers exist in the Danish healthcare system that make effective care to patients with cancer challenging. They use various techniques and gain confidence through experience. Personal experiences with life and fear of death help therapists engage in difficult conversations with patients. Awareness among patients and healthcare professionals about the benefits of physiotherapy for cancer sequelae is lacking.
Increase understanding of physiotherapist care for patients with cancer sequalae.
rehabilitaion
physiotherapy
