Consultant in Sports and Exercise Medicine, English Institute of Sport, Sheffield, UK.
Reader, Previously at Sheffield Hallam University. Centre for Sport and Exercise Science, Sheffield Hallam University, Sheffield, UK.
Disabil Rehabil. 2023 Dec;45(24):4058-4064. doi: 10.1080/09638288.2022.2143580. Epub 2022 Dec 27.
Allied Health Professionals (AHPs) are well placed to deliver physical activity advice but this is currently not routine clinical practice. Increasing evidence demonstrates physical activity can improve quality-of-life for people affected by cancer, enable behaviour change, improve survival and reduce long-term treatment effects. We aimed to understand AHPs' current knowledge and practice in advising about physical activity.
AHPs' self-reported knowledge, competency and training needs in managing physical effects of cancer, and the merits of physical activity data were collected an online survey. The survey link was cascaded electronically to all NHS and NHS-affiliated AHPs working across several generic and non-cancer-specific healthcare interfaces across one city in England.
Eighty AHPs responded. Forty-one percent of AHPs had patients with current or past diagnoses of cancer. Overall, AHPs reported low confidence in giving physical activity advice, with physiotherapists the most confident. 60% of respondents identified training needs concerning the impact of cancer.
Although the merits of physical activity for people affected by cancer is clearly evidenced, low levels of AHP confidence and competence in discussing this topic limit patients' awareness and access to services. Addressing this confidence and competence has potential to improve patient outcome.
医疗辅助人员(AHPs)非常适合提供有关身体活动的建议,但目前这并非常规临床实践。越来越多的证据表明,身体活动可以提高癌症患者的生活质量,促进行为改变,提高生存率并减少长期治疗效果。我们旨在了解 AHPs 在提供身体活动建议方面的当前知识和实践。
通过在线调查收集了 AHPs 在管理癌症身体影响方面的自我报告的知识、能力和培训需求,以及身体活动数据的优点。该调查链接通过电子方式逐级传递给在英格兰一个城市的多个通用和非特定癌症的医疗保健接口工作的所有 NHS 和 NHS 附属的 AHPs。
80 名 AHPs 做出了回应。41%的 AHPs 有当前或过去诊断为癌症的患者。总体而言,AHPs 报告对提供身体活动建议的信心较低,其中物理治疗师的信心最高。60%的受访者表示在了解癌症影响方面存在培训需求。
尽管身体活动对癌症患者的益处已得到明确证实,但 AHPs 在讨论这一话题方面的信心和能力水平较低,限制了患者对该服务的认识和获得。解决这种信心和能力不足的问题有潜力改善患者的预后。