Patient and physiotherapist perceptions of the Getting Recovery Right After Neck Dissection (GRRAND) rehabilitation intervention: A qualitative interview study embedded within a feasibility trial

Fordham, Beth, Smith, Toby O. ORCID: https://orcid.org/0000-0003-1673-2954, Lamb, Sarah, Morris, Alana and Winter, Stuart C. (2022) Patient and physiotherapist perceptions of the Getting Recovery Right After Neck Dissection (GRRAND) rehabilitation intervention: A qualitative interview study embedded within a feasibility trial. BMJ Open, 12 (11). ISSN 2044-6055

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Abstract

Objective: The GRRAND intervention is a physiotherapy programme for head and neck cancer patients who have undergone neck dissection. The aim of this qualitative study was to understand if the intervention was useful, acceptable and whether it was feasible to conduct a randomised control trial (RCT) to explore the effectiveness of the GRRAND intervention. Design: This qualitative study was embedded within the GRRAND-Feasibility study (ISRCTN registry: ISRCTN11979997). Setting: Participants were recruited from four acute NHS hospitals in England between 2020 and 2021. Participants: We interviewed four usual care and four intervention patient participants from a single study site (Oxford). Six were male, two were female. All were white British ethnicity. We interviewed two physiotherapists who delivered the GRRAND-F intervention at Oxford. We interviewed other physiotherapists from Birmingham, Poole and Norwich) who were trained to deliver the intervention but were not able to deliver it within the study timeframe due to COVID-19 restrictions. Results: The analysis identified five thematic groups: (1) acceptability of GRRAND, (2) patient adherence to GRRAND, (3) perceived outcomes, (4) feasibility of conducting a randomised control trial and (5) standalone themes (pre-habilitation, video-consultations, additional healthcare use). Patient and physiotherapist participants agreed that usual care was not meeting patients’ rehabilitation needs. The GRRAND intervention provided biopsychosocial support. In comparison to the usual care group, patients-participants who received the intervention were more confident that they could perform rehabilitation exercises and were more motivated to engage in long-term adaptive behaviour change. Physiotherapists felt they needed more administrative support to participate in a RCT. Conclusions: Participants felt that current usual care was insufficient. The physiotherapy intervention provided, much needed, biopsychosocial support to patients. Participants were supportive that it would be feasible to test GRRAND in a randomised control trial.

Item Type: Article
Additional Information: Funding: This work was supported by the National Institute of Health Research grant number PB-PG-1217-20031.
Uncontrolled Keywords: head neck cancer,neck dissection,rehabilitation,physiotherapy,recovery,qualitative,embedded trial,sdg 3 - good health and well-being,2*,feasibility study embedded qualitative paper ,/dk/atira/pure/sustainabledevelopmentgoals/good_health_and_well_being
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Depositing User: LivePure Connector
Date Deposited: 10 Oct 2022 09:30
Last Modified: 16 Nov 2022 10:30
URI: https://ueaeprints.uea.ac.uk/id/eprint/88919
DOI: 10.1136/bmjopen-2022-064269

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