Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma

Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and kn...

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Main Authors: Mette Lysdahl Fahrenholtz, Anders Hansen, Karen Søgaard, Lotte Nygaard Andersen
Format: Article
Language:English
Published: BMJ Publishing Group 2019-12-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/9/12/e031665.full
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author Mette Lysdahl Fahrenholtz
Anders Hansen
Karen Søgaard
Lotte Nygaard Andersen
author_facet Mette Lysdahl Fahrenholtz
Anders Hansen
Karen Søgaard
Lotte Nygaard Andersen
author_sort Mette Lysdahl Fahrenholtz
collection DOAJ
description Objective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients’ experience of being diagnosed with a severe disease and of their view of a rehabilitation process.Design Qualitative interview study.Setting Odense University Hospital, Denmark.Informants Five patients (men, aged 30–79 years) with primary glioma who had participated in a rehabilitation intervention.Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews.Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme.Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention’s impact on health-related quality of life also has the potential to increase patients’ resources to manage their situation.Trial registration number NCT02221986
format Article
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institution Kabale University
issn 2044-6055
language English
publishDate 2019-12-01
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series BMJ Open
spelling doaj-art-a24550645f534ef0955e9e8f9c34029c2024-12-02T21:50:08ZengBMJ Publishing GroupBMJ Open2044-60552019-12-0191210.1136/bmjopen-2019-031665Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary gliomaMette Lysdahl Fahrenholtz0Anders Hansen1Karen Søgaard2Lotte Nygaard Andersen31 Department of Psychology, University of Southern Denmark, Odense, Denmark2 Clinical Research, University Hospital of Odense, Odense, DenmarkResearch Unit for Musculoskeletal Function and Physiotherapy, Institute of Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, Denmark3 Sports Science and Clinical Biomechanics, University of Southern Denmark, Odense, DenmarkObjective Brain tumours are relatively rare but hold a significant place in cancer rehabilitation due to their pronounced disabling capacity to promote physical, cognitive and psychosocial sequelae. This small-scale qualitative study used coping and motivational theories to gain understanding and knowledge of patients’ experience of being diagnosed with a severe disease and of their view of a rehabilitation process.Design Qualitative interview study.Setting Odense University Hospital, Denmark.Informants Five patients (men, aged 30–79 years) with primary glioma who had participated in a rehabilitation intervention.Methods Semi-structured interviews were conducted. The phenomenological interpretive analysis was used to analyse the interviews.Results The analysis revealed three main themes: (1) coping with a new life situation, (2) motivating and maintaining elements and (3) experience of the benefit of the rehabilitation programme.Conclusion The study concluded that interviewed informants use problem-solving coping strategies, which make them more active in their health behaviour. However, passive and emotion-focused strategies related to confronting diagnosis may be used in some cases. The motivational aspect is multifaceted. Personal and interpersonal elements alongside a competitive setting are crucial to self-efficacy and benefit. The intervention’s impact on health-related quality of life also has the potential to increase patients’ resources to manage their situation.Trial registration number NCT02221986https://bmjopen.bmj.com/content/9/12/e031665.full
spellingShingle Mette Lysdahl Fahrenholtz
Anders Hansen
Karen Søgaard
Lotte Nygaard Andersen
Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
BMJ Open
title Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
title_full Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
title_fullStr Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
title_full_unstemmed Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
title_short Finding ‘the inner drive’ for a rehabilitation process: a small-scale qualitative investigation among male patients with primary glioma
title_sort finding the inner drive for a rehabilitation process a small scale qualitative investigation among male patients with primary glioma
url https://bmjopen.bmj.com/content/9/12/e031665.full
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