Exercise counselling and referral in cancer care: an international scoping survey of health care practitioners' knowledge, practices, barriers, and facilitators.

Ramsey, I; Chan, A; Charalambous, A; Cheung, YT; Darling, HS; Eng, L; Grech, L; Hart, NH; Kirk, D; Mitchell, SA; Poprawski, D; Rammant, E; Fitch, MI; Chan, RJ

Exercise counselling and referral in cancer care: an international scoping survey of health care practitioners' knowledge, practices, barriers, and facilitators.

Ramsey, I Chan, A Charalambous, A Cheung, YT Darling, HS Eng, L Grech, L Hart, NH Kirk, D Mitchell, SA Poprawski, D Rammant, E Fitch, MI Chan, RJ

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Publisher:: SPRINGER
Publication Type:: Journal Article
Citation:: Support Care Cancer, 2022, 30, (11), pp. 9379-9391
Issue Date:: 2022-11

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Field	Value	Language
dc.contributor.author	Ramsey, I
dc.contributor.author	Chan, A
dc.contributor.author	Charalambous, A
dc.contributor.author	Cheung, YT
dc.contributor.author	Darling, HS
dc.contributor.author	Eng, L
dc.contributor.author	Grech, L
dc.contributor.author	Hart, NH
dc.contributor.author	Kirk, D
dc.contributor.author	Mitchell, SA
dc.contributor.author	Poprawski, D
dc.contributor.author	Rammant, E
dc.contributor.author	Fitch, MI
dc.contributor.author	Chan, RJ
dc.date.accessioned	2023-06-26T03:10:42Z
dc.date.available	2022-08-22
dc.date.available	2023-06-26T03:10:42Z
dc.date.issued	2022-11
dc.identifier.citation	Support Care Cancer, 2022, 30, (11), pp. 9379-9391
dc.identifier.issn	0941-4355
dc.identifier.issn	1433-7339
dc.identifier.uri	http://hdl.handle.net/10453/170875
dc.description.abstract	PURPOSE: Evidence supports the role of prescribed exercise for cancer survivors, yet few are advised to exercise by a healthcare practitioner (HCP). We sought to investigate the gap between HCPs' knowledge and practice from an international perspective. METHODS: An online questionnaire was administered to HCPs working in cancer care between February 2020 and February 2021. The questionnaire assessed knowledge, beliefs, and practices regarding exercise counselling and referral of cancer survivors to exercise programs. RESULTS: The questionnaire was completed by 375 participants classified as medical practitioners (42%), nurses (28%), exercise specialists (14%), and non-exercise allied health practitioners (16%). Between 35 and 50% of participants self-reported poor knowledge of when, how, and which cancer survivors to refer to exercise programs or professionals, and how to counsel based on exercise guidelines. Commonly reported barriers to exercise counselling were safety concerns, time constraints, cancer survivors being told to rest by friends and family, and not knowing how to screen people for suitability to exercise (40-48%). Multivariable logistic regression models including age, gender, practitioner group, leisure-time physical activity, and recall of guidelines found significant effects for providing specific exercise advice (χ2(7) = 117.31, p < .001), discussing the role of exercise in symptom management (χ2(7) = 65.13, p < .001) and cancer outcomes (χ2(7) = 58.69, p < .001), and referring cancer survivors to an exercise program or specialist (χ2(7) = 72.76, p < .001). CONCLUSION: Additional education and practical support are needed to equip HCPs to provide cancer survivors with exercise guidelines, resources, and referrals to exercise specialists.
dc.format	Print-Electronic
dc.language	eng
dc.publisher	SPRINGER
dc.relation.ispartof	Support Care Cancer
dc.relation.isbasedon	10.1007/s00520-022-07342-6
dc.rights	info:eu-repo/semantics/openAccess
dc.subject	11 Medical and Health Sciences, 17 Psychology and Cognitive Sciences
dc.subject.classification	Oncology & Carcinogenesis
dc.subject.mesh	Humans
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Exercise
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Counseling
dc.subject.mesh	Neoplasms
dc.subject.mesh	Humans
dc.subject.mesh	Neoplasms
dc.subject.mesh	Exercise
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Counseling
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Humans
dc.subject.mesh	Surveys and Questionnaires
dc.subject.mesh	Referral and Consultation
dc.subject.mesh	Exercise
dc.subject.mesh	Attitude of Health Personnel
dc.subject.mesh	Counseling
dc.subject.mesh	Neoplasms
dc.title	Exercise counselling and referral in cancer care: an international scoping survey of health care practitioners' knowledge, practices, barriers, and facilitators.
dc.type	Journal Article
utslib.citation.volume	30
utslib.location.activity	Germany
utslib.for	11 Medical and Health Sciences
utslib.for	17 Psychology and Cognitive Sciences
pubs.organisational-group	/University of Technology Sydney
pubs.organisational-group	/University of Technology Sydney/Faculty of Health
utslib.copyright.status	open_access	*
dc.date.updated	2023-06-26T03:10:38Z
pubs.issue	11
pubs.publication-status	Published
pubs.volume	30
utslib.citation.issue	11

Abstract:

PURPOSE: Evidence supports the role of prescribed exercise for cancer survivors, yet few are advised to exercise by a healthcare practitioner (HCP). We sought to investigate the gap between HCPs' knowledge and practice from an international perspective. METHODS: An online questionnaire was administered to HCPs working in cancer care between February 2020 and February 2021. The questionnaire assessed knowledge, beliefs, and practices regarding exercise counselling and referral of cancer survivors to exercise programs. RESULTS: The questionnaire was completed by 375 participants classified as medical practitioners (42%), nurses (28%), exercise specialists (14%), and non-exercise allied health practitioners (16%). Between 35 and 50% of participants self-reported poor knowledge of when, how, and which cancer survivors to refer to exercise programs or professionals, and how to counsel based on exercise guidelines. Commonly reported barriers to exercise counselling were safety concerns, time constraints, cancer survivors being told to rest by friends and family, and not knowing how to screen people for suitability to exercise (40-48%). Multivariable logistic regression models including age, gender, practitioner group, leisure-time physical activity, and recall of guidelines found significant effects for providing specific exercise advice (χ2(7) = 117.31, p < .001), discussing the role of exercise in symptom management (χ2(7) = 65.13, p < .001) and cancer outcomes (χ2(7) = 58.69, p < .001), and referring cancer survivors to an exercise program or specialist (χ2(7) = 72.76, p < .001). CONCLUSION: Additional education and practical support are needed to equip HCPs to provide cancer survivors with exercise guidelines, resources, and referrals to exercise specialists.

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http://hdl.handle.net/10453/170875