Moving Cancer Care Ontario’s Exercise for People with Cancer guidelines into oncology practice: using the Theoretical Domains Framework to validate a questionnaire
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.
KeywordsOncology Physical activity Exercise Guidelines Knowledge translation Implementation Intervention design
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
- 1.Clinical Oncology Society of Australia (2018) COSA Position Statement on Exercise in CancerGoogle Scholar
- 2.National Comprehensive Cancer Network (2018) NCCN Clinical Practice Guidelines in Oncology: Survivorship vol 2.2018Google Scholar
- 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle 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 CrossRefPubMedGoogle Scholar
- 19.IBM Corp. Released 2016. IBM SPSS Statistics for Windows, Version 24.0. IBM Corp, Armonk, NYGoogle Scholar