Oncology care provider perspectives on exercise promotion in people with cancer: an examination of knowledge, practices, barriers, and facilitators
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Authors
Nadler, Michelle
Bainbridge, Daryl
Tomasone, Jennifer
Cheifetz, Oren
Juergens, Rosalyn A.
Sussman, Jonathan
Date
2017-03-03
Type
journal article
Language
en
Keyword
Neoplasms , Medical oncology , Exercise , Physical activity , Guideline , Patient care team , Knowledge , Knowledge translation
Alternative Title
Abstract
Background:
Despite the reported benefits of physical activity in alleviating the impact of cancer and its treatments, oncology care providers (OCPs) are not routinely discussing exercise with their patients, suggesting a Knowledge to Action gap. We sought to determine OCP’s knowledge, beliefs, barriers, and facilitators to exercise discussion.
Methods:
A survey was administered to OCPs at the cancer center in Hamilton, Ontario. Questions comprised of demographics, knowledge and beliefs regarding exercise guidelines, and barriers and facilitators to exercise discussion. Analysis of survey responses was descriptive. Pearson's chi-squared tests was used to examine select associations.
Results:
There were 120 respondents (61% response rate) representing a diversity of professions. Approximately 80% of OCPs were not aware of any exercise guidelines in cancer and self-reported poor knowledge on when, how, and which patients to refer to exercise programs. OCPs who reported meeting Canada’s Physical Activity guidelines were significantly more likely to identify correct guidelines (p=0.023) and to report good knowledge on how to provide exercise counseling (p=0.014). Across OCP groups, barriers to exercise discussion included poor knowledge, lack of time, and safety concerns. Most felt that educational sessions and having an exercise specialist on the clinical team would be beneficial.
Conclusions:
OCPs have low knowledge regarding exercise counseling, but believe that discussing exercise is a multi-disciplinary task and expressed a desire for further training. Interventions will require a multi-pronged approach including education for OCPs and guidance on assessment for exercise safety.
Description
This is an Accepted Manuscript of an article published by Springer in Supportive Care in Cancer on 2017-03-03, available online: https://doi.org/10.1007/s00520-017-3640-9
Citation
Nadler, M., Bainbridge, D., Tomasone, J. R., Cheifetz, O., Juergens, R., & Sussman, J. (2017). Oncology care provider perspectives on exercise promotion in people with cancer: An examination of knowledge, practices, barriers, and facilitators. Supportive Care in Cancer, 25, 2297-2304. doi:10.1007/s00520-017-3640-9
Publisher
Springer