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Cited by 116Cancer survivorship and carePhysical Activity and HealthBehavioral Health and Interventions

Knowledge, attitudes, and practice of oncologists and oncology health care providers in promoting physical activity to cancer survivors: an international survey

Hardcastle, Sarah J., Kane, Robert, Chivers, Paola, Hince, Dana, Dean, Andrew, Higgs, Dominic, Cohen, Paul A.·2018·Supportive Care in Cancer
DOI 10.1007/s00520-018-4230-1
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Abstract

Objective To investigate knowledge, attitudes, and practices of oncologists towards physical activity (PA) in cancer survivors, and the association between oncologists' own PA behavior and PA promotion.Methods Oncologists (n = 123) completed a survey based on the Theory of Planned Behavior (TPB). Participants reported PA promotion behavior, PA involvement, attitudes, intentions, social norm, perceived behavioral control (PBC), and confidence and knowledge of exercise prescription. Structural equation modeling (SEM) evaluated these associations.Results Less than half of oncologists reported regularly promoting PA to patients (46%), with 20% providing written information and 23% referrals. Only 26% were physically active. TPB SEM pathways explained 54.6% of the variance in PA promotion (comparative fit index (CFI) = 0.905, standardized root mean square residual (SRMR) = 0.040). Social norm was not only the significant pathway to intention but also a significant indirect pathway to PA promotion (p = 0.007). Confidence to promote PA, PBC, and intentions were direct significant pathways to PA promotion (p < 0.05). Exploratory SEM pathways explained 19.6% of the variance of PA behavior, which in turn explained 13.1% social norm, 10.7% attitude, 10.0% confidence to recommend, and 17.8% PA promotion behavior (CFI = 0.921, SRMR = 0.076). Instrumental attitude was a direct significant pathway to PA behavior (p = 0.001). PA behavior was a direct significant pathway to social norms, attitude, confidence to recommend, and PA promotion (p < 0.05).Conclusions Oncologists reported a modest ability to promote PA, low PA promotion rates, and limited knowledge of exercise prescription. Patient physical activity promotion may be improved through strategies that increase oncologists' PBC, confidence, and their own personal PA participation.

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  • Studies suggest that 9% of nurses and from 19% to 23% of oncology physicians refer patients with cancer to exercise programming.

    “studies suggest that 9% of nurses and from 19% to 23% of oncology physicians refer patients with cancer to exercise programming.13,17,21,22”

    From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [21]

  • Observed barriers to clinicians referring patients to exercise programming include lack of awareness of the potential value of exercise in cancer populations, uncertainty regarding the safety or suitability of exercise for a particular patient, lack of awareness regarding available programs, need for education and skills development for making referrals, and a belief that referrals to exercise编程

    “Observed barriers to clinicians referring patients to exercise programming include lack of awareness of the potential value of exercise in cancer populations, uncertainty regarding the safety or suitability of exercise for a particular patient, lack of awareness regarding available programs to help facilitate exercise in cancer populations, need for education and skills development for making”

    From Exercise is medicine in oncology: Engaging clinicians to help patients move through cancer (2019) · cites this paper as [21]

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Authors
Hardcastle, S. J., Kane, R., Chivers, P., Hince, D., Dean, A., Higgs, D., & Cohen, P. A.
Affiliations
  • The University of Western Australia (AU)
  • Curtin University (AU)
  • The University of Notre Dame Australia (AU)
  • St John of God Subiaco Hospital (AU)
Corresponding author
Hardcastle, Sarah J.
ORCID
Venue
Supportive Care in Cancer
Publisher
Springer Science and Business Media LLC
Published
2018-05-08
Volume
26
Issue
11
Pages
3711-3719
ISSN
  • 0941-4355 (ISSN-L)
  • 1433-7339
DOI
10.1007/s00520-018-4230-1
OpenAlex
W2800944636
Cited by
116
References
44
Citations by year
2026: 4 · 2025: 13 · 2024: 8 · 2023: 12 · 2022: 20 · 2021: 30 · 2020: 19 · 2019: 9
FWCI
5.45
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • Supportive Care in Cancer (publishedVersion)
  • PubMed (publishedVersion)
  • UWA Profiles and Research Repository (UWA) (submittedVersion)
  • ResearchOnline@ND (The University of Notre Dame) (submittedVersion)
  • eSpace (Curtin University) (submittedVersion)
Topics
  • Health Sciences › Medicine › Oncology › Cancer survivorship and care
  • Health Sciences › Medicine › Physiology › Physical Activity and Health
  • Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
Keywords
physical activity promotion, cancer survivors, oncologists, exercise prescription, theory of planned behavior, social norms, perceived behavioral control, exercise confidence
MeSH terms
Oncologists, Cancer Survivors, Adult, Aged, Behavior Therapy, Cross-Sectional Studies, Exercise Therapy, Female, Health Personnel, Health Promotion, Humans, Health Knowledge, Attitudes, Practice, Male, Medical Oncology, Middle Aged, Neoplasms, Practice Patterns, Physicians', Surveys and Questionnaires, Exercise, Internationality

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