TY - JOUR
T1 - Oncology care provider perspectives on exercise promotion in people with cancer
T2 - an examination of knowledge, practices, barriers, and facilitators
AU - Nadler, Michelle
AU - Bainbridge, Daryl
AU - Tomasone, Jennifer
AU - Cheifetz, Oren
AU - Juergens, Rosalyn A.
AU - Sussman, Jonathan
PY - 2017/3/3
Y1 - 2017/3/3
N2 - 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 test 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 multidisciplinary 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.
AB - 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 test 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 multidisciplinary 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.
KW - Exercise
KW - Guideline
KW - Knowledge
KW - Knowledge translation
KW - Medical oncology
KW - Neoplasms
KW - Patient care team
KW - Physical activity
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U2 - 10.1007/s00520-017-3640-9
DO - 10.1007/s00520-017-3640-9
M3 - Article
C2 - 28258503
AN - SCOPUS:85014291375
SN - 0941-4355
SP - 1
EP - 8
JO - Supportive Care in Cancer
JF - Supportive Care in Cancer
ER -