| Title |
Development of an exercise intervention for the prevention of musculoskeletal shoulder problems after breast cancer treatment: the prevention of shoulder problems trial (UK PROSPER)
|
|---|---|
| Published in |
BMC Health Services Research, June 2018
|
| DOI | 10.1186/s12913-018-3280-x |
| Pubmed ID | |
| Authors |
Helen Richmond, Clare Lait, Cynthia Srikesavan, Esther Williamson, Jane Moser, Meredith Newman, Lauren Betteley, Beth Fordham, Sophie Rees, Sarah E. Lamb, Julie Bruce, on behalf of the PROSPER Study Group |
| Abstract |
Musculoskeletal shoulder problems are common after breast cancer treatment. There is some evidence to suggest that early postoperative exercise is safe and may improve shoulder function. We describe the development and delivery of a complex intervention for evaluation within a randomised controlled trial (RCT), designed to target prevention of musculoskeletal shoulder problems after breast cancer surgery (The Prevention of Shoulder Problems Trial; PROSPER). A pragmatic, multicentre RCT to compare the clinical and cost-effectiveness of best practice usual care versus a physiotherapy-led exercise and behavioural support intervention in women at high risk of shoulder problems after breast cancer treatment. PROSPER will recruit 350 women from approximately 15 UK centres, with follow-up at 6 and 12 months. The primary outcome is shoulder function at 12 months; secondary outcomes include postoperative pain, health related quality of life, adverse events and healthcare resource use. A multi-phased approach was used to develop the PROSPER intervention which was underpinned by existing evidence and modified for implementation after input from clinical experts and women with breast cancer. The intervention was tested and refined further after qualitative interviews with patients newly diagnosed with breast cancer; a pilot RCT was then conducted at three UK clinical centres. The PROSPER intervention incorporates three main components: shoulder-specific exercises targeting range of movement and strength; general physical activity; and behavioural strategies to encourage adherence and support exercise behaviour. The final PROSPER intervention is fully manualised with clear, documented pathways for clinical assessment, exercise prescription, use of behavioural strategies, and with guidance for treatment of postoperative complications. This paper adheres to TIDieR and CERT recommendations for the transparent, comprehensive and explicit reporting of complex interventions. International Standard Randomised Controlled Trial Number: ISRCTN 35358984 . |
X Demographics
The data shown below were collected from the profiles of 38 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 12 | 32% |
| Saudi Arabia | 3 | 8% |
| Canada | 2 | 5% |
| United States | 2 | 5% |
| Switzerland | 1 | 3% |
| Ireland | 1 | 3% |
| Australia | 1 | 3% |
| Unknown | 16 | 42% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 26 | 68% |
| Scientists | 11 | 29% |
| Practitioners (doctors, other healthcare professionals) | 1 | 3% |
Mendeley readers
The data shown below were compiled from readership statistics for 385 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 385 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Bachelor | 42 | 11% |
| Student > Master | 39 | 10% |
| Student > Ph. D. Student | 28 | 7% |
| Other | 20 | 5% |
| Researcher | 20 | 5% |
| Other | 64 | 17% |
| Unknown | 172 | 45% |
| Readers by discipline | Count | As % |
|---|---|---|
| Nursing and Health Professions | 80 | 21% |
| Medicine and Dentistry | 45 | 12% |
| Sports and Recreations | 22 | 6% |
| Psychology | 9 | 2% |
| Social Sciences | 7 | 2% |
| Other | 37 | 10% |
| Unknown | 185 | 48% |
Attention Score in Context
This research output has an Altmetric Attention Score of 27. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 21 January 2020.
All research outputs
#1,368,769
of 24,483,002 outputs
Outputs from BMC Health Services Research
#423
of 8,272 outputs
Outputs of similar age
#29,641
of 333,178 outputs
Outputs of similar age from BMC Health Services Research
#22
of 211 outputs
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