Exploring mechanisms of behavior change for healthcare professionals in cough and secretion management in ALS.

IF 2.3 Q3 CLINICAL NEUROLOGY

Neurodegenerative disease management Pub Date : 2025-05-20 DOI:10.1080/17582024.2025.2506954

Charlotte Massey, Esther Hobson, Alys Wyn Griffiths, Lucy Musson, Christopher McDermott

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Abstract

Objectives: To explore healthcare professionals' experiences managing cough and secretion problems in Amyotrophic Lateral Sclerosis (ALS).

Methods: A qualitative study was completed with 23 individuals participating in four focus groups. Data was analyzed using reflexive thematic analysis and COM-B and theoretical domains framework (TDF) behavior change frameworks.

Results: This study found that roles, responsibilities, and expectations needed to be clearly defined and that building relationships was important to support care delivery. Barriers identified included limited access to specialist care, equipment, and opportunities to gain knowledge and skills. A structured clinical assessment was highlighted to enable good-quality care. Data mapped most commonly to the environmental context/resources, knowledge, skills (TDF), and physical capability (COM-B) behavior change domains.

Conclusion: Cough and secretion management in ALS is complex due to the multifaceted nature of the disease. This study emphasizes the need for future development of clinical interventions to support care.

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探讨医护人员在ALS患者咳嗽和分泌物管理中的行为改变机制。

目的：探讨医护人员处理肌萎缩性侧索硬化症（ALS）咳嗽和分泌物问题的经验。方法：对23人进行定性研究，分为4个焦点小组。数据分析采用反身性专题分析、COM-B和理论域框架（TDF）行为改变框架。结果：本研究发现，角色、责任和期望需要明确界定，建立关系对支持护理服务很重要。确定的障碍包括获得专业护理、设备以及获得知识和技能的机会有限。结构化的临床评估强调了高质量的护理。数据通常映射到环境背景/资源、知识、技能（TDF）和物理能力（COM-B）行为变化领域。结论：由于ALS的多面性，其咳嗽和分泌物管理是复杂的。本研究强调了未来发展临床干预以支持护理的必要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Neurodegenerative disease management CLINICAL NEUROLOGY-

CiteScore

4.30

自引率

0.00%

发文量