Evidence map›Paper›PMID 34408411›Full record

ArticleInternational journal of chronic obstructive pulmonary disease2021

Identifying Appropriate Delivery of and Referral to Pulmonary Rehabilitation in Uganda: A Survey Study of People Living with Chronic Respiratory Disease and Health Care Workers.

Winceslaus Katagira, Amy V Jones, Mark W Orme, Zainab K Yusuf, Pauline Ndagire, Jaliah Nanyonga, Richard Kasiita, Josephine N Kasolo, Ruhme B Miah, Michael C Steiner and 4 more

Open access · goldAbstract read
In one paragraph

Article in International journal of chronic obstructive pulmonary disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
2.1field-weighted citation impact, top 12% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 17 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Winceslaus KatagiraMakerere University Lung Institute, Kampala, Uganda.ORCID 0000-0003-4622-191X
Amy V JonesDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0001-6565-8645
Mark W OrmeDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0003-4678-6574
Zainab K YusufDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0001-7859-5102
Pauline NdagireMakerere University Lung Institute, Kampala, Uganda.
Jaliah NanyongaMakerere University Lung Institute, Kampala, Uganda.
Richard KasiitaDepartment of Physiotherapy, Mulago Hospital, Kampala, Uganda.
Josephine N KasoloPhysiology Department, College of Health Sciences, Makerere University, Kampala, Uganda.
Ruhme B MiahDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Michael C SteinerDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-0127-0614
Rupert JonesUniversity of Plymouth, Plymouth, UK.ORCID 0000-0002-5463-2981
Andy BartonDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.
Bruce KirengaMakerere University Lung Institute, Kampala, Uganda.
Sally J SinghDepartment of Respiratory Sciences, University of Leicester, Leicester, UK.ORCID 0000-0002-9834-0366
University of Leicester · GBMakerere University · UGMulago Hospital · UGUniversity of Plymouth · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Pulmonary rehabilitation (PR) is a low cost, high impact intervention that ameliorates the disability associated with chronic respiratory diseases (CRD). PR is becoming increasingly recognized in low resource settings where the burden of CRD is rapidly increasing. To aid the implementation of PR in Uganda, we conducted a study to assess the attitudes and opinions towards PR among patients with CRD in Uganda and explore barriers faced by health care workers (HCWs) in referring to PR. Methods: A cross-sectional study comprising two survey populations: people living with CRD and HCWs regarded as potential PR referrers and PR deliverers. This exploratory study sought initial opinions and thoughts regarding PR, as well as baseline knowledge and potential barriers faced in the referral process. Results: Overall, 30 HCWs (53% female, 43% doctors) and 51 adults with CRD (63% female) participated in the survey. Among those with CRD, the majority reported breathlessness as a major problem (86%) and breathlessness affected their ability to do paid and unpaid work (70%). Interest in PR was high amongst adults with CRD (92%) with preference for a hospital-based programme (67%) as opposed to community-based (16%) or home-based (17%). All HCWs considered PR important in lung disease management, but 77% do not refer patients due to a lack of information about PR. HCWs' free-text responses identified the need for training in PR, patient education and streamlining the referral process as key elements to develop successful PR referral services. Conclusion: To successfully set up a PR service for people with CRD in Uganda, there is a great need for appropriately tailored training and education of prospective referrers about CRD and PR programs. Educating patients about the benefits of PR as well as streamlining the referral process is critical in expanding PR services across Uganda to fulfill this unmet need.

Indexed as

Pulmonary Disease, Chronic ObstructiveAdultCross-Sectional StudiesFemaleHealth PersonnelHumansMaleProspective StudiesReferral and ConsultationUgandachronic chest symptomsenthusiasmknowledgemedical workersrespiratory rehabilitationtraining

Identifiers

PMID34408411
PMCPMC8364357
OpenAlexW3192420635

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.