{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T07:11:35Z","timestamp":1777533095356,"version":"3.51.4"},"reference-count":34,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T00:00:00Z","timestamp":1760572800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/501100002322","name":"Coordena\u00e7\u00e3o de Aperfei\u00e7oamento de Pessoal de N\u00edvel Superior","doi-asserted-by":"publisher","award":["process number 88887.371124\/2019-00"],"award-info":[{"award-number":["process number 88887.371124\/2019-00"]}],"id":[{"id":"10.13039\/501100002322","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Clin Rehabil"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To investigate how health professionals working in palliative care services understand rehabilitation related to oncology palliative care in England and Brazil, according to different health system contexts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Qualitative study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Setting<\/jats:title>\n                    <jats:p>Hospices, hospitals, community-based palliative care centre, palliative care units, nursing care homes in different areas of Brazil and England.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Participants<\/jats:title>\n                    <jats:p>Thirty-six nurses and occupational therapists experienced in providing palliative care interventions from England and Brazil.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Interventions<\/jats:title>\n                    <jats:p>Individual interviews with open-ended questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Main Measures<\/jats:title>\n                    <jats:p>Individual semi-structured, in-depth interviews, analysed using Braun and Clarke's reflexive thematic analysis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Professionals in England demonstrated a consolidated and integrated understanding of rehabilitation as part of palliative care, often supported by structured services such as hospices. In contrast, many Brazilian participants expressed uncertainty or perceived rehabilitation as incompatible with end-of-life care, reflecting conceptual misunderstandings, limited training and a lack of service infrastructure. The findings revealed divergence in how rehabilitation in palliative care is conceptualised and implemented in these countries. This divergence is reflected in structural, educational and cultural differences in how palliative care is organised and delivered. However, there is a growing recognition that rehabilitation and palliative care are not separate but complementary approaches.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The findings underscore the urgent need to clarify definitions, develop unified conceptual models and invest in policy and education to ensure that rehabilitation is no longer seen as contradictory to palliative goals, but as a complementary strategy to enhance quality of life in advanced cancer care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02692155251387314","type":"journal-article","created":{"date-parts":[[2025,10,16]],"date-time":"2025-10-16T21:14:39Z","timestamp":1760649279000},"page":"103-122","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Rehabilitation in oncological palliative care, does it exist? A qualitative and multicentre study of healthcare professionals\u2019 perceptions"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1355-3945","authenticated-orcid":false,"given":"Gabriela","family":"Rezende","sequence":"first","affiliation":[{"name":"University of S\u00e3o Paulo"},{"name":"Faculty of Health, Social Care and Education, Kingston and St University of London, London, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5923-5742","authenticated-orcid":false,"given":"Gabriel","family":"Morais Xavier dos Santos","sequence":"additional","affiliation":[{"name":"Ribeir\u00e3o Preto Medical School, University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8205-2028","authenticated-orcid":false,"given":"Ingrid","family":"Bacon","sequence":"additional","affiliation":[{"name":"University of Roehampton"},{"name":"Ribeir\u00e3o Preto College of Nursing, University of S\u00e3o Paulo, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3242-0769","authenticated-orcid":false,"given":"Marysia Mara","family":"Rodrigues do Prado De-Carlo","sequence":"additional","affiliation":[{"name":"Postgraduate Program, Public Health Nursing, Nursing School of Ribeir\u00e3o Preto, University of S\u00e3o Paulo"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,16]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.3322\/caac.21834"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.324.7349.1291"},{"key":"e_1_3_3_4_2","article-title":"Palliative care is an overlooked global health priority","volume":"387","author":"Peeler A","year":"2024","unstructured":"Peeler A, Afolabi O, Harding R. Palliative care is an overlooked global health priority. Br Med J 2024; 387: q2387.","journal-title":"Br Med J"},{"key":"e_1_3_3_5_2","volume-title":"Palliative care: key facts","author":"World Health Organization","year":"2020","unstructured":"World Health Organization. Palliative care: key facts. Geneva: World Health Organization, 2020, Available from: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/palliative-care."},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjspcare-2019-002008"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12904-020-00671-5"},{"key":"e_1_3_3_8_2","volume-title":"World report on disability","author":"World Health Organization; World Bank","year":"2011","unstructured":"World Health Organization; World Bank. World report on disability. Geneva: World Health Organization, 2011, Available from: https:\/\/www.who.int\/publications\/i\/item\/9789241564187."},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.12688\/wellcomeopenres.16979.1"},{"key":"e_1_3_3_10_2","volume-title":"Policy brief on integrating rehabilitation into palliative care services","author":"World Health Organization","year":"2023","unstructured":"World Health Organization. Policy brief on integrating rehabilitation into palliative care services. Geneva: World Health Organization, 2023, Available from: https:\/\/www.who.int\/publications\/i\/item\/9789240077343."},{"key":"e_1_3_3_11_2","volume-title":"Rehabilitative palliative care: enabling people to live fully until they die: a challenge for the 21st century","author":"Tiberini R","year":"2015","unstructured":"Tiberini R, Richardson H. Rehabilitative palliative care: enabling people to live fully until they die: a challenge for the 21st century. London: Hospice UK, 2015, Available from: https:\/\/professionals.hospiceuk.org\/what-we-offer\/clinical-and-care-support\/rehabilitative-palliative-care\/resources-for-rehabilitative-palliative-care."},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-31738-0_34-1"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216316670288"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11135-021-01182-y"},{"key":"e_1_3_3_15_2","volume-title":"Nursing research: principles and methods","author":"Polit DF","year":"2012","unstructured":"Polit DF, Beck CT. Nursing research: principles and methods. 9th ed. Philadelphia, PA: Lippincott Williams & Wilkins, 2012.","edition":"9"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1080\/2159676X.2019.1628806"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.1002\/capr.12360"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/intqhc\/mzm042"},{"key":"e_1_3_3_19_2","doi-asserted-by":"publisher","DOI":"10.1177\/1049732315617444"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2023.2246373"},{"key":"e_1_3_3_21_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216318794086"},{"key":"e_1_3_3_22_2","doi-asserted-by":"publisher","DOI":"10.1177\/26323524231179979"},{"key":"e_1_3_3_23_2","first-page":"3291","article-title":"A new model of early, integrated palliative care: palliative rehabilitation for newly diagnosed patients with non-resectable cancer","volume":"27","author":"Nottelmann L","year":"2019","unstructured":"Nottelmann L, Jensen AB, Vejlgaard TB, et al. A new model of early, integrated palliative care: palliative rehabilitation for newly diagnosed patients with non-resectable cancer. Support Care Cancer 2019; 27: 3291\u20133300.","journal-title":"Support Care Cancer"},{"key":"e_1_3_3_24_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12912-024-02028-2"},{"key":"e_1_3_3_25_2","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2024.1490057"},{"key":"e_1_3_3_26_2","unstructured":"Minist\u00e9rio da Sa\u00fade (BR). Portaria GM\/MS n\u00b0 3.681 de 7 de maio de 2024. Institui a Pol\u00edtica Nacional de Cuidados Paliativos - PNCP no \u00e2mbito do Sistema \u00danico de Sa\u00fade - SUS. Di\u00e1rio Oficial da Uni\u00e3o Bras\u00edlia DF. 2024 maio 22; Edi\u00e7\u00e3o 98; Se\u00e7\u00e3o I:215. Available from: https:\/\/www.in.gov.br\/en\/web\/dou\/-\/portaria-gm\/ms-n-3.681-de-7-de-maiode-2024-561223717."},{"key":"e_1_3_3_27_2","doi-asserted-by":"publisher","DOI":"10.1590\/0102-311xen130222"},{"key":"e_1_3_3_28_2","doi-asserted-by":"publisher","DOI":"10.1177\/0269216314564240"},{"key":"e_1_3_3_29_2","doi-asserted-by":"publisher","DOI":"10.1179\/1743291X14Y.0000000103"},{"key":"e_1_3_3_30_2","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2023.1229442"},{"key":"e_1_3_3_31_2","unstructured":"Academia Nacional de Cuidados Paliativos. Hospices no Brasil ainda se concentram no eixo Sul-Sudeste. 2024 Dec 17 [cited 2025 Apr 13]. Available from: https:\/\/paliativo.org.br\/hospices-no-brasil-ainda-se-concentram-no-eixo-sul-sudeste\/."},{"key":"e_1_3_3_32_2","volume-title":"Rehabilitation oncology","author":"Dietz J","year":"1981","unstructured":"Dietz J. Rehabilitation oncology. New York: Wiley and Sons, 1981."},{"key":"e_1_3_3_33_2","doi-asserted-by":"publisher","DOI":"10.1136\/spcare-2024-004972"},{"key":"e_1_3_3_34_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11912-024-01585-8"},{"key":"e_1_3_3_35_2","doi-asserted-by":"publisher","DOI":"10.1080\/09638288.2022.2140456"}],"container-title":["Clinical Rehabilitation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155251387314","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02692155251387314","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02692155251387314","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T16:51:06Z","timestamp":1777395066000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02692155251387314"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10,16]]},"references-count":34,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/02692155251387314"],"URL":"https:\/\/doi.org\/10.1177\/02692155251387314","relation":{},"ISSN":["0269-2155","1477-0873"],"issn-type":[{"value":"0269-2155","type":"print"},{"value":"1477-0873","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,10,16]]}}}