title: Patients' experiences of a new integrated breathlessness support service for patients with refractory breathlessness: Results of a postal survey.
abstract: BACKGROUND
  We developed a new single point of access to integrated palliative care, respiratory medicine and physiotherapy: the breathlessness support service for patients with advanced disease and refractory breathlessness. This study aimed to describe patients' experiences of the service and identify the aspects valued.
  
  
  METHODS
  We attempted to survey all patients who had attended and completed the 6-week breathlessness support service intervention by sending them a postal questionnaire to self-complete covering experience, composition, effectiveness of the BSS and about participation in research. Data were analysed using descriptive statistics and thematic analysis of free text comments.
  
  
  RESULTS
  Of the 70 postal questionnaires sent out, 25 (36%) returned. A total of 21 (84% (95% confidence interval: 69%-98%)) responding patients reported that they definitely found the breathlessness support service helpful and 13 (52% (95% confidence interval: 32%-72%)) rated the breathlessness support service as excellent. A total of 21 (84% (95% confidence interval: 69%-98%)) patients reported that the breathlessness support service helped with their management of their breathlessness along with additional symptoms and activities (e.g. mood and mobility). Four key themes were identified: (1) personalised care, (2) caring nature of the staff, (3) importance of patient education to empower patients and (4) effectiveness of context-specific breathlessness interventions. These were specific aspects that patients valued.
  
  
  CONCLUSIONS
  Patients' satisfaction with the breathlessness support service was high, and identified as important to this was a combination of personalised care, nature of staff, education and empowerment, and use of specific interventions. These components would be important in any future breathlessness service.
authors: Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK charles.c.reilly@kcl.ac.uk.
authors: Charles C
authors: CC
authors: Reilly
authors: Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK Department for Palliative Medicine, Munich University Hospital, Munich, Germany.
authors: Claudia
authors: C
authors: Bausewein
authors: Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
authors: Caty
authors: C
authors: Pannell
authors: Department of Asthma, Allergy and Respiratory Science, King's College London, London, UK.
authors: John
authors: J
authors: Moxham
authors: Department of Asthma, Allergy and Respiratory Science, King's College London, London, UK.
authors: Caroline J
authors: CJ
authors: Jolley
authors: Cicely Saunders Institute of Palliative Care, Policy & Rehabilitation, King's College London, London, UK.
authors: Irene J
authors: IJ
authors: Higginson
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D019033:Delivery of Health Care, Integrated / Q000458:organization & administration / Q000592:standards*; D004417:Dyspnea / Q000628:therapy*; D004645:Empathy; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010166:Palliative Care / Q000458:organization & administration / Q000592:standards*; D010353:Patient Education as Topic / Q000592:standards; D017060:Patient Satisfaction; D011369:Professional-Patient Relations; D011787:Quality of Health Care / Q000592:standards*
keywords: Palliative care; breathlessness; breathlessness support service; cancer; chronic obstructive; pulmonary disease