Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention

Webb, Justin; Hall, Jennifer; Hall, Kevin G; Fabunmi-Alade, R.

doi:10.1016/j.puhe.2016.05.015

Cited by 41 publications

(38 citation statements)

References 22 publications

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“…The online training was developed by Webb, Foster and Poulter (2016) 2 to overcome an identified knowledge gap in nurses regarding the importance of physical activity for cancer patients. 3 Healthcare professionals are expected to give lifestyle advice 4 yet in a UK survey of 15,524 colorectal cancer patients, only 31% recall receiving such advice.…”

Section: The Online Trainingmentioning

confidence: 99%

“…Details of training development and feasibility have been reported previously. 2,7 The original training was designed specifically for nurses however, a recommendation from the feasibility study was that it be open to all healthcare professionals engaging with cancer patients. 2 Online seminar technology is used to deliver the training, providing a virtual medium for peer-to-peer interaction, important for learner engagement and social learning.…”

Section: The Online Trainingmentioning

confidence: 99%

“…2,7 The original training was designed specifically for nurses however, a recommendation from the feasibility study was that it be open to all healthcare professionals engaging with cancer patients. 2 Online seminar technology is used to deliver the training, providing a virtual medium for peer-to-peer interaction, important for learner engagement and social learning. 8 All healthcare professionals attending the online training are asked to complete a baseline survey on their discussions of physical activity with cancer patients, rating discussions as 0-25% of the time, 26-50%, 51-75% or 76-100% of the time.…”

Section: The Online Trainingmentioning

confidence: 99%

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The reach, adoption, and effectiveness of online training for healthcare professionals

2017

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Traditionally the continued professional development of healthcare professionals is completed through classroom based educational courses, workshops, and conferences. These can prove costly and time intensive. Online learning is becoming increasingly common, is easy to access, and can save learners time which is important in a healthcare system where job demands are high and study leave is limited. Well-designed internetbased learning has been shown to be as effective as traditional classroom based learning in the skill and knowledge development of healthcare professionals, 1 however the reach, adoption, and effectiveness of such training is largely underreported in the literature.This short communication reports on evaluation data from delivery of a 60 minute online training session to healthcare professionals, between January and November 2016.

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Section: The Online Trainingmentioning

confidence: 99%

Section: The Online Trainingmentioning

confidence: 99%

Section: The Online Trainingmentioning

confidence: 99%

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The reach, adoption, and effectiveness of online training for healthcare professionals

2017

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“…First, previous systematic reviews focus specifically on defined healthcare professionals in the context of managing specific conditions, or healthcare professionals working within specific contexts such as primary or secondary care settings. For example, previous systematic reviews have focused on weight management interventions delivered by midwives during pregnancy , smoking cessation interventions delivered by anesthesiologists (Yousefzadeh et al 2016), physical activity interventions delivered by nurses as part of cancer care (Webb et al 2016), or health behavior change support by dentists (Lala et al 2017). A second limitation of existing systematic reviews is the lack of focus on common barriers and enablers that are shared across professional groups.…”

Section: Introductionmentioning

confidence: 99%

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

et al. 2020

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Opportunities for healthcare professionals to deliver health behavior change interventions are often missed, but understanding the barriers and enablers to this activity is limited by a focus on defined specialisms/health conditions. This systematic review of systematic reviews collates all the evidence across professional groups to provide guidance to policy makers for implementing healthcare professional delivery of behavior change interventions. Eight electronic databases were searched for systematic reviews reporting patient-facing healthcare professionals' (e.g., general practitioners, nurses) barriers and enablers to delivering behavior change interventions (diet, physical activity, alcohol reduction, smoking cessation, and weight management). A narrative synthesis was conducted. Thirty-six systematic reviews were included. Four themes emerged as both barriers and enablers:(1) perceptions of the knowledge or skills needed to support behavior change with patients, (2) perceptions of the healthcare professional role, (3) beliefs about resources and support needed, and (4) healthcare professionals' own health behavior. There were four cross-disciplinary barriers: (1) perceived lack of time, (2) perceived lack of prioritization of health behavior change, (3) negative attitudes towards patients and perceptions of patient risk, and (4) perceptions of patient motivation. The three enablers were as follows: (1) training, (2) context, and (3) attitudes towards delivering interventions. To enhance healthcare professionals' delivery of behavior change interventions, policy makers should (a) address perceptions about patient need for interventions, (b) support diverse professional groups to identify opportunities to deliver interventions, and (c) encourage professionals to focus on prevention and management of health conditions.

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“…Provision of brief lifestyle advice to endometrial cancer survivors after treatment and directing them to relevant resources may help facilitate lifestyle changes, as survivors report being more likely to engage in behavior change following counseling from their oncologist 40. Given the time constraints during clinical appointments, interventions training healthcare professionals to deliver very brief lifestyle advice and motivate survivors appear feasible and acceptable 41. Combining these interventions with the current one may increase intervention efficacy.…”

Section: Discussionmentioning

confidence: 99%

Diet, physical activity, and health-related outcomes of endometrial cancer survivors in a behavioral lifestyle program: the Diet and Exercise in Uterine Cancer Survivors (DEUS) parallel randomized controlled pilot trial

Koutoukidis

Beeken

Manchanda

et al. 2019

Int J Gynecol Cancer

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ObjectivesTo explore the effectiveness of a theory-based behavioral lifestyle intervention on health behaviors and quality of life in endometrial cancer survivors.’MethodsThis was a secondary analysis of a randomized controlled pilot trial conducted in two UK hospitals enrolling disease-free stage I-IVA endometrial cancer survivors. Participants were allocated to an 8-week group-based healthy eating and physical activity intervention or usual care using 1:1 minimization. Participants were followed up at 8 and 24 weeks, with the 8-week assessment being blinded. Diet, physical activity, and quality of life were measured with the Alternative Healthy Eating Index 2010, Stanford 7-Day Physical Activity Recall, and the EORTC Quality of life Questionnaire Core 30, respectively. We analyzed all eligible participants using the intention-to-treat approach in complete cases, adjusting for baseline values, body mass index, and age.ResultsWe enrolled 60 of the 296 potentially eligible endometrial cancer survivors (May - December 2015). Fifty-four eligible participants were randomized to the intervention (n=29) or usual care (n=31), and 49 had complete follow-up data (n=24 in the intervention and n= 25 in usual care). Intervention adherence was 77%. At 8 weeks, participants in the intervention improved their diet compared to usual care (difference in Alternative Healthy Eating Index 2010 score 7.5 (95% CI: 0.1 to 14.9), P=0.046) but not their physical activity (0.1 metabolic equivalent-h/day 95% CI: (-1.6 to 1.8), P=0.879), or global quality of life score (5.0 (95% CI: -3.4 to 13.3), P=0.236). Global quality of life improved in intervention participants at 24 weeks (difference 8.9 (95% CI: 0.9 to 16.8), P=0.029). No intervention-related adverse events were reported.ConclusionsThe potential effectiveness of the intervention appeared promising. A future fully-powered study is needed to confirm these findings.Trial registration numberNCT02433080.

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Increasing the frequency of physical activity very brief advice by nurses to cancer patients. A mixed methods feasibility study of a training intervention

Abstract: The intervention is acceptable, practical and improves delivery of very brief advice on physical activity by nurses to cancer patients in the short-term. Both face-to-face and online delivery should be considered.

Cited by 41 publications

References 22 publications

The reach, adoption, and effectiveness of online training for healthcare professionals

The reach, adoption, and effectiveness of online training for healthcare professionals

Delivering Opportunistic Behavior Change Interventions: a Systematic Review of Systematic Reviews

Diet, physical activity, and health-related outcomes of endometrial cancer survivors in a behavioral lifestyle program: the Diet and Exercise in Uterine Cancer Survivors (DEUS) parallel randomized controlled pilot trial

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