Studies about clinician acceptability of integrative palliative care interventions in the inpatient and outpatient cancer settings are limited. In this study, we examined clinician acceptability of a NIH-funded interdisciplinary lliative and Supportive are inervention (PACT) for older adults with acute myeloid leukemia (AML) and their care partners that transcends both inpatient and outpatient settings. Data was collected using semi-structured interviews with clinicians who were directly involved in PACT. The domains of the Theoretical Framework of Acceptability were used to guide the qualitative analysis. The clinicians consisted of occupational therapists (37%), physical therapists (25%), registered nurses (25%), and a clinical rehabilitation manager (13%). Five themes were identified in the thematic analysis: (1) Emotions and affect towards the intervention, (2) Intervention coherence and self-efficacy, (3) Barriers, burden, and opportunity costs of delivering the intervention, (4) Usefulness and effectiveness of the intervention, and (5) Recommendations to improve intervention delivery. All clinicians found the PACT intervention highly acceptable and expressed the positive impact of the intervention on job fulfillment and satisfaction. Our findings provide evidence to inform the delivery and implementation of future large scale integrative palliative care intervention trials.

中文翻译：

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“我喜欢上班的一个重要原因”：临床医生对患有急性髓性白血病的老年人及其护理伙伴的姑息和支持性护理干预 (PACT) 的接受度

关于临床医生对住院和门诊癌症患者综合姑息治疗干预措施的可接受性的研究有限。在这项研究中，我们检查了临床医生对 NIH 资助的跨学科干预和支持性干预 (PACT) 的接受程度，该项目针对患有急性髓性白血病 (AML) 的老年人及其护理伙伴，超越了住院和门诊环境。通过对直接参与 PACT 的临床医生进行半结构化访谈来收集数据。可接受性理论框架的领域用于指导定性分析。临床医生包括职业治疗师（37%）、物理治疗师（25%）、注册护士（25%）和临床康复经理（13%）。主题分析确定了五个主题：(1) 对干预的情绪和影响，(2) 干预的一致性和自我效能，(3) 实施干预的障碍、负担和机会成本，(4) 有用性和有效性(5) 改善干预实施的建议。所有临床医生都认为 PACT 干预措施高度可接受，并表示干预措施对工作成就感和满意度产生了积极影响。我们的研究结果为未来大规模综合姑息治疗干预试验的实施和实施提供了证据。