Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

Pallin, Nickola D.; Beeken, Rebecca J; Pritchard‐Jones, Kathy; Charlesworth, Laura; Woznitza, N.; Fisher, Abigail

doi:10.1136/bmjopen-2020-039909

Cited by 2 publications

(4 citation statements)

References 42 publications

(70 reference statements)

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“…Cancer is an age-related disorder with the incidence of most cancers increasing rapidly beginning in middle age ( 42 , 43 ). The prevalence of all cancers in the general UK population is approximately 3.6% ( 44 ), which should be lower than the prevalence in the older population represented in the UKBB. Chemotherapy is a nonspecific identifier because ‘chemotherapeutic agents’ are used in a variety of inflammatory disorders, such as rheumatologic disease and IBD.…”

Section: Discussionmentioning

confidence: 91%

Acute and Chronic Pancreatitis Disease Prevalence, Classification, and Comorbidities: A Cohort Study of the UK BioBank

Spagnolo

Greer²,

Ohlsen³

et al. 2022

Clin Transl Gastroenterol

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INTRODUCTION: Pancreatitis is a complex syndrome that results from many etiologies. Large well-characterized cohorts are needed to further understand disease risk and prognosis. METHODS: A pancreatitis cohort of more than 4,200 patients and 24,000 controls were identified in the UK BioBank (UKBB) consortium. A descriptive analysis was completed, comparing patients with acute (AP) and chronic pancreatitis (CP). The Toxic-metabolic, Idiopathic, Genetic, Autoimmune, Recurrent, and severe pancreatitis and Obstructive checklist Version 2 classification was applied to patients with AP and CP and compared with the control population. RESULTS: CP prevalence in the UKBB is 163 per 100,000. AP incidence increased from 21.4/100,000 per year from 2001 to 2005 to 48.2/100,000 per year between 2016 and 2020. Gallstones and smoking were confirmed as key risk factors for AP and CP, respectively. Both populations carry multiple risk factors and a high burden of comorbidities, including benign and malignant neoplastic disorders. DISCUSSION: The UKBB serves as a rich cohort to evaluate pancreatitis. Disease burden of AP and CP was high in this population. The association of common risk factors identified in other cohort studies was confirmed in this study. Further analysis is needed to link genomic risks and biomarkers with disease features in this population.

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Section: Discussionmentioning

confidence: 91%

Acute and Chronic Pancreatitis Disease Prevalence, Classification, and Comorbidities: A Cohort Study of the UK BioBank

Spagnolo

Greer²,

Ohlsen³

et al. 2022

Clin Transl Gastroenterol

View full text Add to dashboard Cite

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“…Length: each course had to take less than 1 h to complete as time is a reported barrier among healthcare professionals in undergoing training. 14 Cost: freely available so all healthcare professionals can access them.…”

Section: Online Coursesmentioning

confidence: 99%

“…13 Qualitative interviews with 15 TRs from this study further highlighted that lack of knowledge, confidence and skills were barriers to lifestyle advice provision. 14 This was particularly the case for advice provision on the topics of physical activity and diet, and online training was highlighted as a potential strategy to address this. 13,14 The distribution of educational materials may bring about professional behaviour change.…”

Section: Introductionmentioning

confidence: 99%

“…14 This was particularly the case for advice provision on the topics of physical activity and diet, and online training was highlighted as a potential strategy to address this. 13,14 The distribution of educational materials may bring about professional behaviour change. 15 Online courses for healthcare professionals can be appropriate for continuing professional development, while allowing flexibility to participate during times that are convenient.…”

Section: Introductionmentioning

confidence: 99%

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Online training resources to aid therapeutic radiographers in engaging in conversations about physical activity and diet: A mixed methods study

et al. 2022

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Introduction: This study explored changes in therapeutic radiographers' (TRs) self-reported knowledge and skills to engage in conversations about physical activity and diet with people living with and beyond cancer following completion of publicly available online courses. Methods: Participants were randomly assigned to two of five online courses that aim to support health professionals to engage in conversations about physical activity and diet in the oncology setting. Participants rated their agreement with 18 statements related to the COM-B (capability, opportunity and motivation-behaviour) model components following completion of an online course on healthy diet (n ¼ 16) and physical activity (n ¼ 21). Semi-structured telephone interviews (n ¼ 21) were also conducted. Analysis of the interviews was guided by the Theoretical Domains Framework. Results: Overall, the online courses were acceptable and the TRs in this study self-reported improved COM to deliver advice on physical activity and diet. The inclusion of the evidence and scientific rationale on the benefits of diet and physical activity, and also guidance on how to start conversations with patients were highlighted as important features of the courses. Suggestions for adaptations to the nutrition courses included the need for content that accounts for the side effects cancer patients experience while undergoing treatment. To support the implementation of training and the delivery of advice on these topics, multi-disciplinary working, organisational support and guidance around professional role boundaries were highlighted as important. Conclusion: Current publicly available online courses on physical activity and diet for oncology health professionals can reduce some barriers among TRs to providing advice to those living with and beyond cancer. Implications for practice: Existing online training courses could be used to support TRs to deliver physical activity and dietary advice in practice. Findings show that these courses can be disseminated within radiotherapy departments. The results also highlight a number of important considerations for the implementation of brief health behaviour advice and online training interventions on physical activity and diet within cancer care.

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Therapeutic radiographers’ delivery of health behaviour change advice to those living with and beyond cancer: a qualitative study

Cited by 2 publications

References 42 publications

Acute and Chronic Pancreatitis Disease Prevalence, Classification, and Comorbidities: A Cohort Study of the UK BioBank

Acute and Chronic Pancreatitis Disease Prevalence, Classification, and Comorbidities: A Cohort Study of the UK BioBank

Online training resources to aid therapeutic radiographers in engaging in conversations about physical activity and diet: A mixed methods study

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