Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Caring Futures Institute, Flinders University, Bedford Park, South Australia, Australia;; Cancer and Palliative Care Outcomes Centre, Faculty of Health, Queensland University of Technology, Brisbane, Queensland, Australia.
Semin Oncol Nurs. 2023 Aug;39(4):151453. doi: 10.1016/j.soncn.2023.151453. Epub 2023 Jun 17.
To evaluate an educational intervention based on the Theory of Planned Behavior to increase oncology nurses' exercise advice behaviors.
A single-group, quasi-experimental repeated measures design study was used with 124 oncology nurses in a Thai cancer institute. The educational intervention included preeducation self-directed activities for 1 hour, a 2-hour group education session, and posteducation outreach contact 1 week later. The outcome measures, including the Theory of Planned Behavior constructs, exercise knowledge, and self-reported exercise prescription behaviors, were collected at three time points: Time 1 (2 weeks preintervention), Time 2 (immediately preintervention), and Time 3 (2 weeks after the intervention).
Results indicated a statistically significant increase in scores after the intervention for all outcomes, including the Theory of Planned Behavior constructs (overall P value <.001), exercise knowledge (β = 2.99, P < .001), and exercise prescription behaviors: asking (odds ratio [OR] = 12.98, P < .001), assessing (OR = 6.20, P < .001), referring (OR = 4.10, P < .001), and writing exercise advice (OR = 11.52, P < .001). Additionally, verbal counseling behavior was performed by all participants, and therefore, the odds for verbal counseling were not reported. Structural equation modeling analysis demonstrated that attitudes and perceived behavioral control explained 41% of the variance in exercise advice intention. Perceived behavioral control and intention also explained 20% of the variance in self-reported exercise advice behaviors.
Attitudinal and perceived behavioral control constructs should be a focus of attention to improve health care professionals' exercise advice behaviors. More focused research is required to examine whether patients engage in and follow the exercise advice provided by oncology nurses.
评估基于计划行为理论的教育干预措施，以提高肿瘤护士的运动建议行为。
采用泰国癌症研究所 124 名肿瘤护士的单组准实验重复测量设计研究。教育干预包括 1 小时的预教育自学活动、2 小时的小组教育课程和 1 周后的后续教育外展联系。在三个时间点（干预前 2 周、干预前即刻和干预后 2 周）收集了包括计划行为理论结构、运动知识和自我报告的运动处方行为在内的结局指标。
结果表明，干预后所有结局指标（包括计划行为理论结构[总体 P 值<0.001]、运动知识[β=2.99，P<0.001]和运动处方行为：询问[比值比（OR）=12.98，P<0.001]、评估[OR=6.20，P<0.001]、转介[OR=4.10，P<0.001]和书写运动建议[OR=11.52，P<0.001]）的得分均有统计学意义增加。此外，所有参与者都进行了口头咨询行为，因此未报告口头咨询的几率。结构方程模型分析表明，态度和感知行为控制解释了运动建议意向变化的 41%。感知行为控制和意向也解释了自我报告的运动建议行为变化的 20%。
应关注态度和感知行为控制结构，以提高医疗保健专业人员的运动建议行为。需要进行更有针对性的研究，以检验患者是否接受并遵循肿瘤护士提供的运动建议。
