Exercise in cancer care in Ireland: a survey of oncology nurses and physiotherapists

O’Hanlon, Éadaoin; Kennedy, Norelee

doi:10.1111/ecc.12206

Cited by 29 publications

(53 citation statements)

References 43 publications

(117 reference statements)

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“…These response options were based on barriers previously reported in the literature (Karvinen et al 2010;Miles et al 2010;Anderson et al 2013;Spellman et al 2013;O'Hanlon & Kennedy 2014). Response options were lack of time/lack of patient interest/not being the right person to give advice/patients too frail or unwell/seeming to blame the patient/lack of clear guidelines/cultural differences or beliefs/not convinced it would affect cancer outcomes/thinking the advice would not change behaviour/none of the above/other.…”

Section: Methodsmentioning

confidence: 99%

“…Among physiotherapists and oncology nurses in Ireland, lack of guidelines and lack of knowledge have been cited as barriers to providing physical activity advice to cancer survivors (O'Hanlon & Kennedy 2014). Among physiotherapists and oncology nurses in Ireland, lack of guidelines and lack of knowledge have been cited as barriers to providing physical activity advice to cancer survivors (O'Hanlon & Kennedy 2014).…”

Section: Introductionmentioning

confidence: 99%

“…A few studies have now investigated health professionals' reported barriers to providing lifestyle advice for cancer survivors. Among physiotherapists and oncology nurses in Ireland, lack of guidelines and lack of knowledge have been cited as barriers to providing physical activity advice to cancer survivors (O'Hanlon & Kennedy 2014). Among clinicians in the US, insufficient time (Karvinen et al 2010) and believing that giving advice was not part of their role (Spellman et al 2013) have also been cited as barriers to providing such advice.…”

Section: Introductionmentioning

confidence: 99%

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Health professionals' provision of lifestyle advice in the oncology context in the United Kingdom

et al. 2015

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A healthy lifestyle following a cancer diagnosis is linked with better long-term outcomes. Health professionals can play an important role in promoting healthy lifestyles after cancer, but little is known about the factors that influence whether or not they give lifestyle advice. We conducted an online survey to examine levels of, and predictors of, health professionals' provision of lifestyle advice to cancer patients in the United Kingdom. The survey included questions on awareness of lifestyle guidelines for cancer survivors, current practices with regard to giving advice on smoking, diet, exercise, weight and alcohol, and perceived barriers to giving advice. Nurses, surgeons and physicians (N=460) responded to the survey. Many (36%) were not aware of any lifestyle guidelines for cancer survivors, but 87% reported giving some lifestyle advice; although this was lower for individual behaviours and often to <50% of patients. Respondents who were aware of lifestyle guidelines were more likely to give lifestyle advice on all behaviours (all OR's>1.76, all P's<0.05). Not believing lifestyle would affect outcomes was associated with lower odds of giving lifestyle advice (all OR's<0.48, all P's<0.05). Improved survivorship education for health professionals may increase the number of patients receiving lifestyle advice, and improve their long-term outcomes.

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Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Health professionals' provision of lifestyle advice in the oncology context in the United Kingdom

et al. 2015

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“…Also unknown is whether physicians perceive a relationship between cancer survivors' adherence to a medical treatment regimen and adherence to changes to health behaviors. In particular, limited qualitative research exists on oncologists' perspectives and practices regarding providing health‐promotion counseling to their patients; qualitative studies in the oncology setting have predominantly examined nurses …”

Section: Introductionmentioning

confidence: 99%

“…In particular, limited qualitative research exists on oncologists' perspectives and practices regarding providing health-promotion counseling to their patients; qualitative studies in the oncology setting have predominantly examined nurses. 20,23 This mixed-methods study compared the healthpromotion practices and beliefs of oncologists, PCPs, and physician specialists. Survey questions were designed to: 1) probe the hypothesis that oncologists and other specialist physicians are less likely than PCPs to provide or refer cancer survivors to health-promotion services, 2) examine physician beliefs about their own ability to provide health-promotion counseling and about indirect effects on medication adherence when patients are trying to lose weight, and 3) explore barriers to health-promotion discussions.…”

Section: Introductionmentioning

confidence: 99%

Physicians' perspectives on medication adherence and health promotion among cancer survivors

Stump

Robinson

Yanez

et al. 2019

Cancer

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Background Cancer survivors face an increased risk of cardiovascular events compared with the general population. Adopting a healthy lifestyle may reduce these risks, and guidelines encourage health‐promotion counseling for cancer survivors, but the extent of physician adherence is unclear. Methods This mixed‐method study surveyed 91 physicians, including 30 primary care physicians (PCPs), 30 oncologists, and 31 specialists (urologists, dermatologists, and gynecologists). Interviews also were conducted with 12 oncologists. Results Most PCPs (90%) reported recommending health promotion (eg, weight loss, smoking cessation) to at least some cancer survivors, whereas few oncologists (26.7%) and specialists (9.7%) said they ever did so (P < .001). Although most physicians believed that at least 50% of cancer survivors would be adherent to medication regimens to prevent cancer recurrence, they also believed that, if patients were trying to lose weight, they would not remain medication‐adherent. In interviews, oncologists expressed fear that providing health‐promotion advice would distress or overwhelm patients. Additional health‐promotion barriers identified by thematic analysis included: identifying cancer as oncologists' focal concern, time pressure, insufficient behavior change training, and care coordination challenges. Facilitators included perceiving a patient benefit and having health‐promotion resources integrated into the cancer care system. Conclusions Physicians often do not have the time, expertise, or resources to address health promotion with cancer survivors. Research is needed to evaluate whether health‐promotion efforts compromise medical regimen adherence, as physicians' responses suggest.

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“How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study”

Cuddy

Gaskell

2020

Musculoskeletal Care

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Background Pilates is a popular exercise therapy approach offering numerous benefits, including muscular strength, flexibility, control, and core stability. Pilates has been widely utilized in the prevention and rehabilitation of a variety of musculoskeletal disorders. Objectives The aim of this study was to explore the experiences and opinions of Pilates trained NHS and private practice physiotherapists in the UK, regarding the perceived benefits, risks, delivery and rationale for this exercise method. Methods This qualitative study used a self‐designed electronic survey to retrieve the views of 30 physiotherapists, who had undertaken formal Pilates Instruction training, recruited by a purposive and snowball sampling method. Questions were either multiple choice or open‐ended, examined via thematic analysis. Results Physiotherapists identified the most important benefits of Pilates as reduction in fear‐avoidance, improving bodily awareness and increasing muscular strength. Exercises that promote general movement were highlighted as being particularly useful, with a majority recommending daily practice for optimum benefit. Participants recognized lack of core strength as a key indicator, whereas others criticized excessive focus on this principle. Conclusions Physiotherapists identified a range of inter‐linked benefits and recognized that Pilates is hugely modifiable. Individualizing exercises can further encourage participation and negate the restriction of some health conditions. NHS and Private Practice Therapists utilize Pilates in a similar way, although rationales for its use may differ, as the justification for Pilates exercise may be evolving. Pilates appears a valuable methodology in the NHS, which can help patients engage with activity.

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Exercise in cancer care in Ireland: a survey of oncology nurses and physiotherapists

Cited by 29 publications

References 43 publications

Health professionals' provision of lifestyle advice in the oncology context in the United Kingdom

Health professionals' provision of lifestyle advice in the oncology context in the United Kingdom

Physicians' perspectives on medication adherence and health promotion among cancer survivors

“How do Pilates Trained Physiotherapists utilize and value Pilates Exercise for MSK conditions? A Qualitative Study”

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