Skip to main content

Advertisement

SpringerLink
Log in

Moving Cancer Care Ontario’s Exercise for People with Cancer guidelines into oncology practice: using the Theoretical Domains Framework to validate a questionnaire

  • Commentary
  • Published:
Supportive Care in Cancer Aims and scope Submit manuscript

Abstract

Evidence supporting the benefits of exercise surrounding cancer treatment has led to internationally published guidelines, with minimal uptake by oncology care providers (OCPs). There is a need to understand how to implement research evidence into practice. Our team developed a questionnaire to assess OCPs’ knowledge of exercise guidelines and barriers/facilitators to exercise counseling and program referral. We validated the questionnaire using the Theoretical Domains Framework, a knowledge translation (KT) framework used to implement evidence-based guidelines into practice. In this commentary, we describe this process and the rationale for integrating a KT framework into intervention development and implementation in oncology practice. The revised questionnaire, entitled Clinicians Perspectives on Exercise in Patients with Cancer (CliPEC), is shared to facilitate the implementation process and allow for comparison across oncology practices.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

References

  1. Clinical Oncology Society of Australia (2018) COSA Position Statement on Exercise in Cancer

  2. National Comprehensive Cancer Network (2018) NCCN Clinical Practice Guidelines in Oncology: Survivorship vol 2.2018

  3. Schmitz KH, Courneya KS, Matthews C, Demark-Wahnefried W, Galvao DA, Pinto BM, Irwin ML, Wolin KY, Segal RJ, Lucia A, Schneider CM, von Gruenigen VE, Schwartz AL, American College of Sports M (2010) American College of Sports Medicine roundtable on exercise guidelines for cancer survivors. Med Sci Sports Exerc 42(7):1409–1426. https://doi.org/10.1249/MSS.0b013e3181e0c112

    Article  Google Scholar 

  4. Segal R, Zwaal C, Green E, Tomasone JR, Loblaw A, Petrella T, Exercise for People with Cancer Guideline Development G (2017) Exercise for people with cancer: a clinical practice guideline. Curr Oncol 24(1):40–46. https://doi.org/10.3747/co.24.3376

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  5. Nadler M, Bainbridge D, Tomasone J, Cheifetz O, Juergens RA, Sussman J (2017) Oncology care provider perspectives on exercise promotion in people with cancer: an examination of knowledge, practices, barriers, and facilitators. Support Care Cancer 25(7):2297–2304. https://doi.org/10.1007/s00520-017-3640-9

    Article  PubMed  Google Scholar 

  6. Park JH, Oh M, Yoon YJ, Lee CW, Jones LW, Kim SI, Kim NK, Jeon JY (2015) Characteristics of attitude and recommendation of oncologists toward exercise in South Korea: a cross sectional survey study. BMC Cancer 15:249. https://doi.org/10.1186/s12885-015-1250-9

    Article  PubMed  PubMed Central  Google Scholar 

  7. Fong AJ, Faulkner G, Jones JM, Sabiston CM (2018) A qualitative analysis of oncology clinicians’ perceptions and barriers for physical activity counseling in breast cancer survivors. Support Care Cancer 26(9):3117–3126. https://doi.org/10.1007/s00520-018-4163-8

    Article  PubMed  Google Scholar 

  8. Clifford BK, Mizrahi D, Sandler CX, Barry BK, Simar D, Wakefield CE, Goldstein D (2018) Barriers and facilitators of exercise experienced by cancer survivors: a mixed methods systematic review. Support Care Cancer 26(3):685–700. https://doi.org/10.1007/s00520-017-3964-5

    Article  PubMed  Google Scholar 

  9. Eng L, Pringle D, Su J, Shen X, Mahler M, Niu C, Charow R, Tiessen K, Lam C, Halytskyy O, Naik H, Hon H, Irwin M, Pat V, Gonos C, Chan C, Villeneuve J, Harland L, Shani RM, Brown MC, Selby P, Howell D, Xu W, Liu G, Alibhai SMH, Jones JM (2018) Patterns, perceptions, and perceived barriers to physical activity in adult cancer survivors. Support Care Cancer 26:3755–3763. https://doi.org/10.1007/s00520-018-4239-5

    Article  PubMed  Google Scholar 

  10. Neil SE, Gotay CC, Campbell KL (2014) Physical activity levels of cancer survivors in Canada: findings from the Canadian Community Health Survey. J Cancer Surviv 8(1):143–149. https://doi.org/10.1007/s11764-013-0322-6

    Article  CAS  PubMed  Google Scholar 

  11. De Groef A, Geraerts I, Demeyer H, Van der Gucht E, Dams L, de Kinkelder C, Dukers-van Althuis S, Van Kampen M, Devoogdt N (2018) Physical activity levels after treatment for breast cancer: two-year follow-up. Breast 40:23–28. https://doi.org/10.1016/j.breast.2018.04.009

    Article  PubMed  Google Scholar 

  12. Bloom BS (2005) Effects of continuing medical education on improving physician clinical care and patient health: a review of systematic reviews. Int J Technol Assess Health Care 21(3):380–385

    Article  PubMed  Google Scholar 

  13. Prior M, Guerin M, Grimmer-Somers K (2008) The effectiveness of clinical guideline implementation strategies--a synthesis of systematic review findings. J Eval Clin Pract 14(5):888–897. https://doi.org/10.1111/j.1365-2753.2008.01014.x

    Article  PubMed  Google Scholar 

  14. Straus SE, Tetroe J, Graham I (2009) Defining knowledge translation. CMAJ 181(3–4):165–168. https://doi.org/10.1503/cmaj.081229

    Article  PubMed  PubMed Central  Google Scholar 

  15. Cane J, O'Connor D, Michie S (2012) Validation of the theoretical domains framework for use in behaviour change and implementation research. Implement Sci 7:37. https://doi.org/10.1186/1748-5908-7-37

    Article  PubMed  PubMed Central  Google Scholar 

  16. Atkins L, Francis J, Islam R, O'Connor D, Patey A, Ivers N, Foy R, Duncan EM, Colquhoun H, Grimshaw JM, Lawton R, Michie S (2017) A guide to using the Theoretical Domains Framework of behaviour change to investigate implementation problems. Implement Sci 12(1):77. https://doi.org/10.1186/s13012-017-0605-9

    Article  PubMed  PubMed Central  Google Scholar 

  17. French SD, Green SE, O'Connor DA, McKenzie JE, Francis JJ, Michie S, Buchbinder R, Schattner P, Spike N, Grimshaw JM (2012) Developing theory-informed behaviour change interventions to implement evidence into practice: a systematic approach using the Theoretical Domains Framework. Implement Sci 7:38. https://doi.org/10.1186/1748-5908-7-38

    Article  PubMed  PubMed Central  Google Scholar 

  18. Mangurian C, Niu GC, Schillinger D, Newcomer JW, Dilley J, Handley MA (2017) Utilization of the Behavior Change Wheel framework to develop a model to improve cardiometabolic screening for people with severe mental illness. Implement Sci 12(1):134. https://doi.org/10.1186/s13012-017-0663-z

    Article  PubMed  PubMed Central  Google Scholar 

  19. IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. IBM Corp, Armonk, NY

  20. Michie S, van Stralen MM, West R (2011) The behaviour change wheel: a new method for characterising and designing behaviour change interventions. Implement Sci 6:42. https://doi.org/10.1186/1748-5908-6-42

    Article  PubMed  PubMed Central  Google Scholar 

  21. Fabrigar LRWD, MacCallum RC, Strahan EJ (1999) Evaluating the use of exploratory factor analysis in psychological research. Psychol Methods 4(3):272–299

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Princess Margaret Cancer Centre and University of Toronto, Toronto, ON, Canada

    Michelle B. Nadler

  2. McMaster University, Hamilton, ON, Canada

    Daryl Bainbridge, Jonathan Sussman & Sarah E. Neil-Sztramko

  3. School of Kinesiology and Health Studies, Queen’s University, Kingston, ON, Canada

    Angela J. Fong & Jennifer R. Tomasone

Authors
  1. Michelle B. Nadler
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Daryl Bainbridge
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Angela J. Fong
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jonathan Sussman
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Jennifer R. Tomasone
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Sarah E. Neil-Sztramko
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Michelle B. Nadler.

Ethics declarations

Conflict of interest

The authors declare that they have no conflict of interest.

Additional information

Publisher’s note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Electronic supplementary material

ESM 1

(DOCX 45 kb)

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Nadler, M.B., Bainbridge, D., Fong, A.J. et al. Moving Cancer Care Ontario’s Exercise for People with Cancer guidelines into oncology practice: using the Theoretical Domains Framework to validate a questionnaire. Support Care Cancer 27, 1965–1968 (2019). https://doi.org/10.1007/s00520-019-04689-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00520-019-04689-1

Keywords

Search

Navigation