Assessing the Perceptions of Inspiratory Muscle Training in Children With Cystic Fibrosis and Their Multidisciplinary Team: Mixed-Methods Study.

Jessica L Mccreery,Kelly A Mackintosh,Narelle S Cox,Melitta A Mcnarry

doi:10.2196/11189

Jessica L Mccreery, Kelly A Mackintosh + Show 2 more

Open Access

https://doi.org/10.2196/11189

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Abstract

BackgroundLittle is known about the opinions or perceived benefits of an inspiratory muscle training intervention in patients with cystic fibrosis and their multidisciplinary team.ObjectiveThe aim of this qualitative study was to examine patients' and multidisciplinary teams' views on inspiratory muscle training to inform and tailor future interventions.MethodsIndividual, semistructured interviews were conducted to evaluate participants’ perspectives of a 4-week inspiratory muscle training intervention. In this study, 8 of 13 individuals involved in the inspiratory muscle training program (5 children aged 11-14 years; 2 physiotherapists; and 1 respiratory physician) participated. Interviews were transcribed verbatim, analyzed using thematic analyses, and then coded into relevant themes.ResultsFour key themes emerged: acceptability, facilitators, barriers, and recommendations. While fun, enjoyment, and improved perceived physical ability were reported by children and their multidisciplinary team following the inspiratory muscle training program, the multidisciplinary team identified factors such as time and cost as key barriers.ConclusionsA short inspiratory muscle training program was perceived to have positive effects on the physical ability and psychosocial health of children with cystic fibrosis. These findings highlight the importance of obtaining participants’ and multidisciplinary teams' perceptions and recommendations to ensure the efficacy and optimal design of future inspiratory muscle training protocols.

Highlights

Cystic fibrosis (CF) is the most common inherited, life-shortening condition in the United Kingdom [1]
JMIR Pediatr Parent 2018 | vol 1 | iss. 2 | e11189 | p. 1 exercise capacity, and respiratory function are paramount for CF multidisciplinary team (MDT), in relation to Inspiratory muscle training (IMT) following a 4-week training the well-being of patients with CF
Substantial improvements in respiratory muscle endurance [6,7], respiratory muscle strength, and vital capacity [8] have been reported in patients with CF who have undertaken IMT, and there is some evidence for a positive effect on lung function and quality of life (QoL) [4]

Summary

Introduction

Cystic fibrosis (CF) is the most common inherited, life-shortening condition in the United Kingdom [1]. With no cure available currently, the development or refinement of treatment strategies that increase or maintain the quality of life (QoL), http://pediatrics.jmir.org/2018/2/e11189/ XSLFO RenderX. With the average life expectancy of around 45.1 years, participants in these studies are effectively middle aged, and further research in the younger CF population is warranted [14]. This lack of evidence makes it difficult to establish the overall efficacy of IMT as a therapeutic strategy for adolescents with CF [9]. Little is known about the opinions or perceived benefits of an inspiratory muscle training intervention in patients with cystic fibrosis and their multidisciplinary team

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Conclusion