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Oncology care provider perspectives on exercise promotion in people with cancer: an examination of knowledge, practices, barriers, and facilitators

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Abstract

Background

Despite the reported benefits of physical activity in alleviating the impact of cancer and its treatments, oncology care providers (OCPs) are not routinely discussing exercise with their patients, suggesting a knowledge to action gap. We sought to determine OCP’s knowledge, beliefs, barriers, and facilitators to exercise discussion.

Methods

A survey was administered to OCPs at the cancer center in Hamilton, Ontario. Questions comprised of demographics, knowledge and beliefs regarding exercise guidelines, and barriers and facilitators to exercise discussion. Analysis of survey responses was descriptive. Pearson’s chi-squared test was used to examine select associations.

Results

There were 120 respondents (61% response rate) representing a diversity of professions. Approximately, 80% of OCPs were not aware of any exercise guidelines in cancer and self-reported poor knowledge on when, how, and which patients to refer to exercise programs. OCPs who reported meeting Canada’s Physical Activity guidelines were significantly more likely to identify correct guidelines (p = 0.023) and to report good knowledge on how to provide exercise counseling (p = 0.014). Across OCP groups, barriers to exercise discussion included poor knowledge, lack of time, and safety concerns. Most felt that educational sessions and having an exercise specialist on the clinical team would be beneficial.

Conclusions

OCPs have low knowledge regarding exercise counseling, but believe that discussing exercise is a multidisciplinary task and expressed a desire for further training. Interventions will require a multi-pronged approach including education for OCPs and guidance on assessment for exercise safety.

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Authors’ contribution

Conceptualization M.N., J.S.; methodology M.N., J.T., O.C., R.J., J.S.; validation and investigation M.N., D.B., J.T. J.S.; resources J.S.; writing M.N., D.B., J.S., review and editing M.N., D.B., J.T., O.C., J.S.; administration M.N.

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Authors and Affiliations

  1. McMaster Michael G DeGroote School of Medicine, Hamilton, ON, Canada

    Michelle Nadler

  2. Department of Oncology, McMaster University, Hamilton, ON, Canada

    Daryl Bainbridge, Rosalyn A. Juergens & Jonathan Sussman

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

    Jennifer Tomasone

  4. Hamilton Health Sciences, Hamilton, ON, Canada

    Oren Cheifetz

  5. Escarpment Cancer Research Institute (ECRI), Hamilton, ON, Canada

    Rosalyn A. Juergens & Jonathan Sussman

Authors
  1. Michelle Nadler
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  2. Daryl Bainbridge
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  3. Jennifer Tomasone
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  4. Oren Cheifetz
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  5. Rosalyn A. Juergens
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  6. Jonathan Sussman
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Corresponding author

Correspondence to Michelle Nadler.

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Conflict of interest

The authors declare that they have no conflict of interest.

Funding

This study received funding from the supportive cancer care research unit at the JCC.

Additional information

Provider perspectives on exercise in oncology

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

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  • DOI: https://doi.org/10.1007/s00520-017-3640-9

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