Timely access to skilled physiotherapy during prostate cancer treatment is valued but inequitable: a qualitative study

QUESTION: What experiences do people undergoing treatment for prostate cancer have with access to and participation in physiotherapy services in metropolitan and regional public and private settings? DESIGN: A phenomenological qualitative approach was used to describe patient experiences with access to and participation in physiotherapy services in metropolitan and regional Australian public and private settings. We conducted 29 one-to-one interviews and reflexive thematic analysis was used to identify themes in the data. RESULTS: Four themes were identified. There was limited patient awareness that physiotherapy can provide symptomatic support. Participants stressed the importance of early implementation of pelvic floor muscle training. Transperineal, real-time ultrasound was valued as biofeedback. Regional locations and public health settings challenged access and impacted participation. CONCLUSION: This research identified that physiotherapy supportive care in prostate cancer should be established early and under the supervision of an appropriately trained clinician. Referral should be directed to specific providers and further exposure and education around physiotherapists' role in this space may be required. Different health service and geographical contexts influence access. Strategies to address systemic barriers need ongoing attention.