Table 3. Instructor satisfaction with the exercise intervention.
| Instructor response, n = 6 | ||||||
|---|---|---|---|---|---|---|
| Statement/Question | ||||||
| Did you feel prepared before study start? | Yes: 6 | No: 0 | ||||
| Strongly disagree | Disagree | Agree | Strongly agree | Do not know | ||
| The information from the hospital was sufficient to plan the exercise: | 3 | 3 | ||||
| The content of the intervention was relevant: | 2 | 4 | ||||
| The physical exercise was high intensive: | 1 | 2 | 3 | |||
| I was able to challenge the participants: | 4 | 2 | ||||
| The participants were involved in exercise planning: | 1 | 2 | 3 | |||
| The physical exercise was performed as planned: | 1 | 4 | 1 | |||
| I had enough time to plan, conduct, and administer the exercise intervention: | 1 | 4 | 1 | |||
| The study documents were easy to use and feasible: | 3 | 3 | ||||
| My competence was enough to conduct the exercise: | 1 | 5 | ||||
| The home-based approach was feasible: | 1 | 5 | ||||
| The intervention felt safe: | 6 | |||||
| Barriers: |
“The overall time aspect (two physiotherapists at each unit are needed). The participants were sometimes too worried to focus fully on the exercise.” “Being able to conduct the planned number of exercise sessions is a challenge, both based on the resources of the primary care unit and the participants’ other commitments.” “The inspiratory muscle trainer can be difficult for some patients to use on their own.” “Time-consuming and at short notice.” |
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| Possibilities: |
“Home-based exercise means good accessibility for the patients. Good opportunities to increase intensity and see improvement.” “Well-informed patient prior to surgery, less anxious and they may be able to initiate physical exercise faster postoperatively. Also, contact has already been initiated with the primary care unit, improving the postoperative care continuum.” “Increased amount of physical activity in the patients’ everyday life.” “Works well with patients who can go outside, but can also work okay for those who cannot go outside. Easy to adjust the intensity of the exercise.” “That the patient may continue to exercise after the surgery.” |
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| Suggestions for change? |
“To shorten the visits: Conduct the IMT and functional strength exercise during the supervised visits and do the aerobic exercise within the self-administered exercise. Remove the PSFS.”
a “Look through the Borg scale more in depth with the participant prior to the intervention.” “Even clearer instructions regarding the inspiratory muscle trainers, also look over the inspiratory muscle trainers one additional time before training to avoid technical issues.” a |
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a Comment from two instructors