Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

Bouwman, Eline; Pluijm, Saskia M F; Stollman, Iridi; Araujo‐Soares, Vera; Blijlevens, Nicole M A; Follin, Cecilia; Winther, Jeanette Falck; Hjorth, Lars; Kepák, Tomáš; Kepakova, Katerina; Kremer, Leontien C. M.; Muraca, Monica; Pal, Helena van der; Schneider, Carina; Uyttebroeck, Anne; Vercruysse, Gertrui; Skinner, Roderick; Brown, Morven C.; Hermens, R.P.M.G.; Loonen, Jacqueline J.

doi:10.1002/cam4.5445

Cited by 4 publications

(5 citation statements)

References 34 publications

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“…This review highlights the importance of increasing knowledge about healthy behaviors in general among CAYA cancer survivors through health behavior advice, information dissemination, and health promotion discussions with HCPs. These findings align with a recent qualitative study of HCPs, which highlighted the critical role of education and training of HCPs in effectively guiding CAYA cancer survivors toward healthy behaviors 68 . Survivorship care clinics should prioritize the integration of health behavior support services such as lifestyle coaching and ensure that HCPs are adequately equipped with the necessary knowledge and skills to support survivors in adopting and maintaining healthy behaviors.…”

Section: Discussionsupporting

confidence: 80%

“…These findings align with a recent qualitative study of HCPs, which highlighted the critical role of education and training of HCPs in effectively guiding CAYA cancer survivors toward healthy behaviors. 68 Survivorship care clinics should prioritize the integration of health behavior support services such as lifestyle coaching and ensure that HCPs are adequately equipped with the necessary knowledge and skills to support survivors in adopting and maintaining healthy behaviors. In addition, a systematic review of 17 randomized controlled trials among all types of patients showed that using deliberate communication strategies when providing information can improve patient outcomes more effectively than not using such strategies.…”

Section: Discussionmentioning

confidence: 99%

“…Health promotion conversation with healthcare professional N = 2 [28,30] Being able to contact healthcare professional for lifestyle choices…”

Section: Barriers Facilitators Barriers Facilitators Barriers Facilit...mentioning

confidence: 99%

“…Barriers identified in at least two studies were unmet information needs (n = 2 29,30 ) and time constraints (n = 2 29,30 ). Lifestyle advice and information (n = 3 [28][29][30] ) and having a health promotion conversation with a healthcare professional (n = 2 28,30 ) were identified as facilitators in at least two studies. There were no other factors associated with health behavior in general.…”

Section: Behavioral Regulationmentioning

confidence: 99%

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Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review

de Beijer,

Bouwman,

Mulder

et al. 2024

Cancer Medicine

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BackgroundHealthy behaviors are paramount in preventing long‐term adverse health outcomes in childhood, adolescent, and young adult (CAYA) cancer survivors. We systematically reviewed and synthesized existing literature on barriers, facilitators, and other factors associated with health behaviors in this population.MethodsMEDLINE and PsycInfo were searched for qualitative and quantitative studies including survivors aged 16–50 years at study, a cancer diagnosis ≤25 years and ≥2 years post diagnosis. Health behaviors included physical activity, smoking, diet, alcohol consumption, sun exposure, and a combination of these behaviors (defined as health behaviors in general).ResultsBarriers, facilitators, and other factors reported in ≥2 two studies were considered relevant. Out of 4529 studies, 27 were included (n = 31,905 participants). Physical activity was the most frequently examined behavior (n = 12 studies), followed by smoking (n = 7), diet (n = 7), alcohol (n = 4), sun exposure (n = 4), and health behavior in general (n = 4). Relevant barriers to physical activity were fatigue, lack of motivation, time constraints, and current smoking. Relevant facilitators were perceived health benefits and motivation. Influence of the social environment and poor mental health were associated with more smoking, while increased energy was associated with less smoking. No relevant barriers and facilitators were identified for diet, alcohol consumption, and sun exposure. Barriers to healthy behavior in general were unmet information needs and time constraints whereas lifestyle advice, information, and discussions with a healthcare professional facilitated healthy behavior in general. Concerning other factors, women were more likely to be physically inactive, but less likely to drink alcohol and more likely to comply with sun protection recommendations than men. Higher education was associated with more physical activity, and lower education with more smoking.ConclusionThis knowledge can be used as a starting point to develop health behavior interventions, inform lifestyle coaches, and increase awareness among healthcare providers regarding which survivors are most at risk of unhealthy behaviors.

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Section: Discussionsupporting

confidence: 80%

Section: Discussionmentioning

confidence: 99%

“…Health promotion conversation with healthcare professional N = 2 [28,30] Being able to contact healthcare professional for lifestyle choices…”

Section: Barriers Facilitators Barriers Facilitators Barriers Facilit...mentioning

confidence: 99%

Section: Behavioral Regulationmentioning

confidence: 99%

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Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review

de Beijer,

Bouwman,

Mulder

et al. 2024

Cancer Medicine

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“…A healthy lifestyle including regular physical activity and nutrient and vitamin rich diet can reduce this risk (36). It is important to include health care professionals in survivorship care to support a healthy lifestyle among this cohort (37). Generally, due to limited resources, regular lifestyle counseling might not be feasible for every CCS during LTFU which is why it is particularly important to identify CCS at risk for metabolic complications.…”

Section: Discussionmentioning

confidence: 99%

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

Richter,

Kronziel,

König

et al. 2023

Preprint

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Background Many childhood cancer survivors (CCS) develop treatment-related late effects years after the end of treatment, including increased risk of obesity, metabolic syndrome and related diseases. A healthy lifestyle can reduce the risk of associated comorbidities. Lifestyle counseling during regular long term follow up (LTFU) care could benefit these at-risk CCS. Methods Lifestyle counseling was implemented within LTFU care over the study period of one year. Metabolic markers and activity levels were prospectively evaluated as screening parameters for different risk groups. Perspectives of CCS, Physician and sports scientist were compared to identify those in need of counseling. Additionally, a follow-up appointment after one month was performed. Results During the counseling offer, 155 CCS (65% female, 35% male) aged between 18 and 63 years (median:30 years) were contacted. Among them, 112 CCS (72%) had an indication for lifestyle counseling based on assessments from physicians, sports scientists, or CCS themselves. 45% were affected by metabolic disorders, 25% met the criteria through BMI and 46% did not meet the recommended activity levels. A total of 120 CCS (77%) received lifestyle counseling, with those who underwent intensive cancer treatment showing the highest need. During the follow-up appointment, CCS indicated high adherence to recommendations and successful implementation into their daily lives. Conclusion Metabolic disorders and reduced physical activity impact around two-thirds (68%) of CCS. Nearly all survivors (97%) find the provision of lifestyle counseling during regular LTFU beneficial. Incorporating specialized healthcare professionals into survivorship care enhances the multidisciplinary approach and can aid in promoting a healthy lifestyle, potentially reducing long-term morbidity among CCS.

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Sufficiency for PSS tracking gait disorders in multiple sclerosis: A managerial perspective

Grijalvo,

Ordieres-Meré,

Villalba-Díez

et al. 2024

Heliyon

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Healthcare professionals' perceived barriers and facilitators of health behavior support provision: A qualitative study

Abstract: Background: Childhood cancer survivors (CCSs) have an increased risk of developing chronic health conditions.

Cited by 4 publications

References 34 publications

Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review

Barriers, facilitators, and other factors associated with health behaviors in childhood, adolescent, and young adult cancer survivors: A systematic review

High incidence of metabolic diseases and sedentary lifestyle underline the need for regular counseling in LTFU for CCS- results from a monocentric prospective study

Sufficiency for PSS tracking gait disorders in multiple sclerosis: A managerial perspective

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