Adopting a systems-thinking approach to optimise dietary and exercise referral practices for cancer survivors.
Joseph, R
Hart, NH
Bradford, N
Crawford-Williams, F
Wallen, MP
Knowles, R
Han, CY
Milch, V
Holland, JJ
Chan, RJ
- Publisher:
- Springer Nature
- Publication Type:
- Journal Article
- Citation:
- Support Care Cancer, 2024, 32, (8), pp. 502
- Issue Date:
- 2024-07-10
Open Access
Copyright Clearance Process
- Recently Added
- In Progress
- Open Access
This item is open access.
Full metadata record
Field | Value | Language |
---|---|---|
dc.contributor.author | Joseph, R | |
dc.contributor.author | Hart, NH | |
dc.contributor.author | Bradford, N | |
dc.contributor.author | Crawford-Williams, F | |
dc.contributor.author | Wallen, MP | |
dc.contributor.author | Knowles, R | |
dc.contributor.author | Han, CY | |
dc.contributor.author | Milch, V | |
dc.contributor.author | Holland, JJ | |
dc.contributor.author | Chan, RJ | |
dc.date.accessioned | 2024-08-01T04:49:16Z | |
dc.date.available | 2024-06-24 | |
dc.date.available | 2024-08-01T04:49:16Z | |
dc.date.issued | 2024-07-10 | |
dc.identifier.citation | Support Care Cancer, 2024, 32, (8), pp. 502 | |
dc.identifier.issn | 0941-4355 | |
dc.identifier.issn | 1433-7339 | |
dc.identifier.uri | http://hdl.handle.net/10453/179971 | |
dc.description.abstract | PURPOSE: Service referrals are required for cancer survivors to access specialist dietary and exercise support. Many system-level factors influence referral practices within the healthcare system. Hence, the aim of this study was to identify system-level factors and their interconnectedness, as well as strategies for optimising dietary and exercise referral practices in Australia. METHODS: A full-day workshop involving national multidisciplinary key stakeholders explored system-level factors impacting dietary and exercise referral practices. Facilitated group discussions using the nominal group technique identified barriers and facilitators to referral practices based on the six World Health Organisation (WHO) building blocks. The systems-thinking approach generated six cognitive maps, each representing a building block. A causal loop diagram was developed to visualise factors that influence referral practices. Additionally, each group identified their top five strategies by leveraging facilitators and addressing barriers relevant to their WHO building block. RESULTS: Twenty-seven stakeholders participated in the workshop, including consumers (n = 2), cancer specialists (n = 4), nursing (n = 6) and allied health professionals (n = 10), and researchers, representatives of peak bodies, not-for-profit organisations, and government agencies (n = 5). Common system-level factors impacting on referral practices included funding, accessibility, knowledge and education, workforce capacity, and infrastructure. Fifteen system-level strategies were identified to improve referral practices. CONCLUSION: This study identified system-level factors and strategies that can be applied to policy planning and practice in Australia. | |
dc.format | Electronic | |
dc.language | eng | |
dc.publisher | Springer Nature | |
dc.relation.ispartof | Support Care Cancer | |
dc.relation.isbasedon | 10.1007/s00520-024-08692-z | |
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.classification | 32 Biomedical and clinical sciences | |
dc.subject.classification | 42 Health sciences | |
dc.subject.classification | 52 Psychology | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Cancer Survivors | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Exercise | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Exercise | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Female | |
dc.subject.mesh | Male | |
dc.subject.mesh | Cancer Survivors | |
dc.subject.mesh | Humans | |
dc.subject.mesh | Cancer Survivors | |
dc.subject.mesh | Referral and Consultation | |
dc.subject.mesh | Australia | |
dc.subject.mesh | Exercise | |
dc.subject.mesh | Neoplasms | |
dc.subject.mesh | Male | |
dc.subject.mesh | Female | |
dc.title | Adopting a systems-thinking approach to optimise dietary and exercise referral practices for cancer survivors. | |
dc.type | Journal Article | |
utslib.citation.volume | 32 | |
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 | |
pubs.organisational-group | University of Technology Sydney/Strength - HPRC - Human Performance Research Centre | |
utslib.copyright.status | open_access | * |
dc.rights.license | This work is licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). To view a copy of this license, visit https://creativecommons.org/licenses/by/4.0/ | |
dc.date.updated | 2024-08-01T04:49:10Z | |
pubs.issue | 8 | |
pubs.publication-status | Published online | |
pubs.volume | 32 | |
utslib.citation.issue | 8 |
Abstract:
PURPOSE: Service referrals are required for cancer survivors to access specialist dietary and exercise support. Many system-level factors influence referral practices within the healthcare system. Hence, the aim of this study was to identify system-level factors and their interconnectedness, as well as strategies for optimising dietary and exercise referral practices in Australia. METHODS: A full-day workshop involving national multidisciplinary key stakeholders explored system-level factors impacting dietary and exercise referral practices. Facilitated group discussions using the nominal group technique identified barriers and facilitators to referral practices based on the six World Health Organisation (WHO) building blocks. The systems-thinking approach generated six cognitive maps, each representing a building block. A causal loop diagram was developed to visualise factors that influence referral practices. Additionally, each group identified their top five strategies by leveraging facilitators and addressing barriers relevant to their WHO building block. RESULTS: Twenty-seven stakeholders participated in the workshop, including consumers (n = 2), cancer specialists (n = 4), nursing (n = 6) and allied health professionals (n = 10), and researchers, representatives of peak bodies, not-for-profit organisations, and government agencies (n = 5). Common system-level factors impacting on referral practices included funding, accessibility, knowledge and education, workforce capacity, and infrastructure. Fifteen system-level strategies were identified to improve referral practices. CONCLUSION: This study identified system-level factors and strategies that can be applied to policy planning and practice in Australia.
Please use this identifier to cite or link to this item:
Download statistics for the last 12 months
Not enough data to produce graph