To rest or not to rest—Health care professionals' attitude toward recommending physical activity to their cancer patients

Ungar, Nadine; Tsiouris, Angeliki; Haussmann, Alexander; Herbolsheimer, Florian; Wiskemann, Joachim; Steindorf, Karen; Sieverding, Monika

doi:10.1002/pon.5020

Cited by 24 publications

(30 citation statements)

References 38 publications

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“…This number further decreases with GPs only referring 1-20% of patients living with cancer to an exercise program or to receive exercise specialist PA advice. These findings are consistent with similar studies looking at other HCPs (such as oncologists, oncology nurses and specialists) involved in cancer care [16,32,45,[54][55][56][57].…”

Section: Discussionsupporting

confidence: 92%

“…This study builds upon the existing evidence showing that overall GP’s personal PA levels played a significant role in the likelihood that they would recommend PA to their patients living with cancer [ 61 ] [ Table 4 ]. Nonetheless, the current study is the only research conducted on GP’s that has demonstrated a positive association between personal PA levels and PA referral practices [ 32 , 36 , 55 , 59 ].…”

Section: Discussionmentioning

confidence: 99%

“…In comparison to oncology HCPs, greater portions of GPs understand that PA is beneficial and important for patients living with cancer. General practitioners also recognise that patients living with cancer are capable of participating in PA, which had previously been noted as a sizeable barrier to PA recommendations in previous oncology HCP studies [ 24 , 54 , 55 ].…”

Section: Discussionmentioning

confidence: 99%

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Physical activity for people living with cancer: Knowledge, attitudes, and practices of general practitioners in Australia

et al. 2020

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Background Healthcare professionals’ (Oncologists, doctors, and nurses) physical activity (PA) recommendations impact patients living with cancer PA levels. General practitioners (GPs) monitor the overall health of patients living with cancer throughout their treatment journey. This is the first study to explore GP’s knowledge, attitudes and practices of PA for patients living with cancer. Methods GPs who see patients living with cancer regularly (n = 111) completed a survey based on The Theory of Planned Behaviour (TPB). Participants (GP’s) reported knowledge, attitudes, perceived behaviour control and subjective norms of PA within the cancer population. GP recommendation and referral rates of PA were reported. Principal component analysis was conducted to establish a set of survey items aligned to TPB constructs (attitude, subjective norms, perceived control), and multiple regression analyses characterised associations between these predictor variables and (a) recommendation; and (b) referral–of PA to cancer patients. Results GPs (n = 111) recommended PA to 41–60% of their patients and referred 1–20% to PA programs. Multiple regression models significantly predicted the percent of patients recommended PA, p < .0005 adj. R2 = 0.40 and referred PA, p < .0005, adj. R2 = 0.21. GP attitudes and perceived behavioural control and GP’s own activity levels were significant predictors of whether patients were recommended and referred for PA, p<0.05. Conclusion GPs reported positive attitudes and perceptions towards promoting PA for their patients living with cancer. Despite having a positive correlation between PA recommendations and referral rates, a gap was evident between GP’s PA beliefs and their individual referral practices. More GP’s willing to promote and refer their patients for PA, would improve the physical and mental health outcomes of the cancer population.

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Section: Discussionsupporting

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Physical activity for people living with cancer: Knowledge, attitudes, and practices of general practitioners in Australia

et al. 2020

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“…lack of consultation time, or not wanting to overwhelm the patient [67][68][69] ; worry about undermining the relationship with the patient 68 ; and lacking confidence in providing PA advice. 68,70 Reports also suggest that there may be a significant educational need amongst health care professionals in this regard, 70,71 which could be considered a secondary barrier for patients.…”

Section: The Potential For a Bidirectional Facilitative Relationshimentioning

confidence: 99%

Barriers and facilitators to physical activity in men with prostate cancer: A qualitative and quantitative systematic review

et al. 2019

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Objective Existing research indicates that moderate‐to‐vigorous physical activity (PA) alleviates treatment side effects and is associated with survival in men with prostate cancer. We aimed to ascertain the state of research investigating barriers and facilitators to PA in men with prostate cancer and synthesise existing qualitative research on this topic. Methods A systematic review of qualitative and quantitative studies was conducted. MEDLINE, Embase, PsycINFO, Web of Knowledge, CINAHL, PEDro, OATD, and WorldCat were searched to June 2019 for quantitative studies investigating causes or predictors of PA or qualitative studies describing patient‐reported barriers/facilitators to PA, amongst men with prostate cancer of any stage. Thirty‐two studies (n = 17 quantitative; n = 15 qualitative) were included from 3698 screened articles. Results Heterogeneity and unsystematic reporting of quantitative study methods prohibited a quantitative data synthesis. Thematic synthesis of qualitative studies produced five analytical themes: individual needs by treatment pathway, self‐determination and its relationship with prostate cancer‐related events, co‐ordination and support of the clinical care team, individual preferences in discrete aspects of PA engagement style, and the potential for a bidirectional facilitative relationship between structured group PA and spontaneous peer support. Both qualitative and quantitative studies indicated incontinence as a barrier. Conclusions Unsystematic reporting of interventions hinders a robust quantitative understanding of behavioural intervention research in this subject area. Good co‐ordination of multidisciplinary care personnel could facilitate PA, by enabling a more comprehensive approach to targeting social cognitive processes. Well‐timed intervention and access to highly individualised PA support, including optional group PA classes, seem to also be important facilitators.

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“…To successfully disseminate this strategy, it is essential to provide physicians with support. The provision of educational material, structured counseling plans, and tailored interventions addressing individual counseling barriers might be helpful to facilitate the integration of exercise counseling into clinical routine 24,28,29,31 .…”

Section: Discussionmentioning

confidence: 99%

The association between physicians’ exercise counseling and physical activity in patients with cancer: Which roles do patients’ satisfaction and previous physical activity levels play?

et al. 2020

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Objectives: The purpose of this study was to examine the association between physicians' exercise counseling and post-diagnosis physical activity (PA) in patients with cancer by investigating the mediating role of patients' satisfaction with exercise counseling as well as the moderating role of patients' previous PA. Methods: The study sample consisted of 1002 people with cancer (503 breast, 265 prostate, and 234 colorectal cancer). Participants reported their pre-and postdiagnosis moderate-to-vigorous PA (MVPA) levels, indicated whether their physician had covered different steps of exercise counseling as defined by the 5A framework (Assess, Advise, Agree, Assist, and Arrange) and rated their satisfaction with exercise counseling. A conditional process analysis was used to determine the direct and indirect effects of counseling on post-diagnosis MVPA through satisfaction at different levels of pre-diagnosis MVPA. Results: Physicians' exercise counseling was associated with post-diagnosis MVPA in patients with cancer. However, the association differed by patients' pre-diagnosis MVPA (P = .039). While counseling was directly associated with higher postdiagnosis MVPA for individuals with low pre-diagnosis MVPA (CI: 0.02-0.20, P = .014), the effect was mediated through satisfaction with exercise counseling for previously highly active individuals (Boot CI: 0.01-0.08). Conclusions: Our findings emphasize the relevance of physicians' exercise counseling for PA in patients with cancer. However, the results indicate that in order to effectively influence patients' PA, it appears important to provide a comprehensive counseling that is adjusted to the patients' exercise experiences.

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To rest or not to rest—Health care professionals' attitude toward recommending physical activity to their cancer patients

Cited by 24 publications

References 38 publications

Physical activity for people living with cancer: Knowledge, attitudes, and practices of general practitioners in Australia

Physical activity for people living with cancer: Knowledge, attitudes, and practices of general practitioners in Australia

Barriers and facilitators to physical activity in men with prostate cancer: A qualitative and quantitative systematic review

The association between physicians’ exercise counseling and physical activity in patients with cancer: Which roles do patients’ satisfaction and previous physical activity levels play?

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