Patient‐provider discussion of physical activity among early stage lung cancer survivors

Philip, Errol J.; Coups, Elliot J.; Feinstein, Marc B.; Park, Bernard J.; Wilson, Donna; Ostroff, Jamie S.

doi:10.1002/pon.3613

Cited by 4 publications

(3 citation statements)

References 12 publications

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“…Furthermore, we found that respondents with a higher level of education, and those who perceived the physical activity advice they received as being appropriate, were more likely to meet aerobic exercise guidelines. The proportion of participants (52%) that recalled receiving physical activity advice is consistent with data from previous studies, reporting proportions in the range of 31-65% [6,[10][11][12]. A recent survey of 971 oncology clinicians showed that 79% of respondents felt that the treating oncologist should be the person responsible for recommending physical activity to their patients [26].…”

Section: Discussionsupporting

confidence: 83%

“…Our findings extend those of previous studies [6,[10][11][12] by further exploring contextual factors, including the extent to which advice on specific types of physical activity was provided, and considering the important issues of timing and perceived appropriateness/sufficiency of the advice. Half of the advice given comprised of a general recommendation to be physically active (50%), with less guidance given on type of physical activity to be undertaken (30%).…”

Section: Discussionsupporting

confidence: 82%

“…Receiving an exercise recommendation from an oncologist has been shown to increase exercise behaviour in newly diagnosed breast cancer survivors, compared with a control group receiving no recommendation [9]. However, discussing physical activity with cancer survivors is not yet standard practise within oncology care [10,11]. Furthermore, there is evidence that only one in three cancer survivors recalls receiving physical activity advice from a healthcare professional [6,12].…”

Section: Introductionmentioning

confidence: 99%

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Recall, perceptions and determinants of receiving physical activity advice amongst cancer survivors: a mixed-methods survey

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Gilbert

Brown

et al. 2021

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Purpose This study explored cancer survivors’ views and experiences of receiving physical activity advice post-diagnosis. We also determined the influence of sociodemographic characteristics on the recall of physical activity advice and whether receiving advice was associated with meeting physical activity guidelines. Methods An anonymised, mixed-methods, 27-item survey was distributed to cancer survivors via online cancer communities in the UK. Results Of the 242 respondents, 52% recalled receiving physical activity advice. Of those who recalled receiving advice, only 30% received guidance on type of physical activity and 14% were referred to another source of information or exercise specialist. Advice was most often given after treatment cessation, with only 19% of respondents receiving advice during active treatment. Most respondents (56%) expressed a need for further information. There was no evidence of associations between sociodemographic characteristics and recall of physical activity advice. However, cancer survivors who perceived the physical activity advice they received as being appropriate (odds ratio [OR] 3.8, 95% confidence interval [95% CI]: 1.4–10.7) and those with a higher level of education (OR 3.2, 95% CI: 1.8–5.8) were more likely to meet aerobic exercise guidelines. Females were less likely to meet resistance exercise guidelines than males (OR 0.44, 95% CI: 0.21–0.90). Conclusion There is scope to improve the provision of physical activity advice in cancer care by providing advice in a timely manner after diagnosis, referring patients to a suitable exercise or rehabilitation specialist when indicated, and using a tailored approach to ensure the advice is appropriate for specific sociodemographic groups.

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Section: Discussionsupporting

confidence: 83%

Section: Discussionsupporting

confidence: 82%

Section: Introductionmentioning

confidence: 99%

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Recall, perceptions and determinants of receiving physical activity advice amongst cancer survivors: a mixed-methods survey

Orange

Gilbert

Brown

et al. 2021

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Understanding factors influencing physical activity and exercise in lung cancer: a systematic review

Granger

Connolly

Denehy

et al. 2016

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This systematic review has identified the volume of literature demonstrating that barriers and enablers to PA in lung cancer are multidimensional and span diverse factors. These include patient-level factors, such as symptoms, comorbidities, sedentary lifestyle, mood and fear, and environmental factors. These factors should be considered to identify and develop suitable interventions and clinical services in attempt to increase PA in patients with lung cancer.

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Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies

Antwi

Jayawardene

Lohrmann

et al. 2019

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Patient‐provider discussion of physical activity among early stage lung cancer survivors

Cited by 4 publications

References 12 publications

Recall, perceptions and determinants of receiving physical activity advice amongst cancer survivors: a mixed-methods survey

Recall, perceptions and determinants of receiving physical activity advice amongst cancer survivors: a mixed-methods survey

Understanding factors influencing physical activity and exercise in lung cancer: a systematic review

Physical activity and fitness among pediatric cancer survivors: a meta-analysis of observational studies

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