Nadler Michelle, Bainbridge Daryl, Tomasone Jennifer, Cheifetz Oren, Juergens Rosalyn A, Sussman Jonathan
McMaster Michael G DeGroote School of Medicine, Hamilton, ON, Canada.
Department of Oncology, McMaster University, Hamilton, ON, Canada.
Support Care Cancer. 2017 Jul;25(7):2297-2304. doi: 10.1007/s00520-017-3640-9. Epub 2017 Mar 3.
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.
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.
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.
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.
尽管有报道称体育活动有助于减轻癌症及其治疗的影响，但肿瘤护理提供者（OCPs）并未定期与患者讨论运动问题，这表明在知识转化为行动方面存在差距。我们试图确定OCPs在运动讨论方面的知识、信念、障碍和促进因素。
对安大略省汉密尔顿癌症中心的OCPs进行了一项调查。问题包括人口统计学信息、关于运动指南的知识和信念，以及运动讨论的障碍和促进因素。对调查回复的分析采用描述性方法。使用Pearson卡方检验来检验选定的关联。
共有120名受访者（回复率为61%），代表了不同的职业。大约80%的OCPs不了解任何癌症方面的运动指南，并且自我报告在何时、如何以及将哪些患者转介到运动项目方面知识不足。报告符合加拿大身体活动指南的OCPs更有可能识别正确的指南（p = 0.023），并报告在如何提供运动咨询方面有良好的知识（p = 0.014）。在各个OCP群体中，运动讨论的障碍包括知识不足、时间不足和安全担忧。大多数人认为教育课程和临床团队中有运动专家会有所帮助。
OCPs在运动咨询方面知识水平较低，但认为讨论运动是一项多学科任务，并表示希望接受进一步培训。干预措施将需要采取多管齐下的方法，包括对OCPs进行教育以及提供运动安全评估指导。
