Evidence map›Paper›PMID 38302072›Full record

ArticlePhysical therapy2024

Introducing Mechanically Assisted Cough for Patients With Progressive Neurological Disease: Patient-Physical Therapist Interaction and Physical Therapist Perspective.

Anna Andersson-Watz, Malin Nygren-Bonnier, Elisabeth Bergdahl, Martin Eriksson Crommert, Mia Svantesson

Open access · hybridAbstract read
In one paragraph

Article in Physical therapy, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.9field-weighted citation impact, top 27% 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

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Article
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

5 authors at 2 institutions in 2 countries.

Anna Andersson-WatzFaculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.ORCID 0000-0002-9449-0308
Malin Nygren-BonnierMedical Unit Occupational Therapy and Physiotherapy. Women's Health and Allied Health Professionals Theme, Karolinska University Hospital, Huddinge, Sweden.
Elisabeth BergdahlSchool of Health Sciences, Faculty of Medicine and Health, Örebro University, Örebro, Sweden.
Martin Eriksson CrommertFaculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.ORCID 0000-0003-3474-3200
Mia SvantessonFaculty of Medicine and Health, University Health Care Research Center, Örebro University, Örebro, Sweden.
Örebro University · SEKarolinska University Hospital · SE

Funding

NEURO Sweden, Agreement Concerning Research and Education of Doctors OLL-935347Örebro Research Committee OLL-684431Uppsala-Örebro Regional Research Council RFR-842271
6 · The paper itself

Abstract

objectiveThe goal of this study was to explore the patient-physical therapist interaction and the physical therapist's experience of the introductory session for mechanical insufflation-exsufflation (MI-E) device treatment for patients with progressive neurological disease.

methodsQualitative content analysis of participant's observation of interaction between patients and physical therapists during 9 MI-E introduction sessions in different clinical care settings and 10 follow-up interviews with 6 physical therapists.

resultsThe introduction of MI-E emerged as a process of instilling a sense of security in the patient. The process can be described in 4 steps: (1) gain understanding by being responsive to the person's whole life situation; (2) share knowledge and expectations in a respectful and permissive way; (3) introduce the device in a gentle and reciprocal interactivity; and (4) adapt to home use in an inclusive dialog with the patient and their significant others. Physical therapists described a need for assurance to instill a sense of security in the patient, implying a need for confidence, competent peers, guiding yet flexible routines, and emotional support.

conclusionPhysical therapists have a need to foster assurance in employing a person-centered approach to make a patient feel secure in the process of introducing MI-E treatment. Multiple modes of professional knowledge were used together with action-based and relational-based ethics to facilitate a person-centered care approach. This seems to be a promising approach for providing good care when introducing MI-E to patients. Further research is needed to explore this from the patient's perspective. IMPACT: This study added to the body of knowledge regarding MI-E treatment in relation to patients. This has direct implication, particularly for inexperienced physical therapists, for informed care for the patient during introduction. Our study also supports that person-centered care should be implemented at all levels of health care to make it possible for physical therapists to practice person-centered care.

Indexed as

Physical TherapistsProfessional-Patient RelationsQualitative ResearchAdultAttitude of Health PersonnelCoughFemaleHumansMaleMiddle AgedNervous System DiseasesPhysical Therapy ModalitiesMechanical Insufflation–ExsufflationNeuromuscular DiseasePhysical TherapyQualitative

Identifiers

PMID38302072
PMCPMC11140267
OpenAlexW4391463685

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.