Institute of Sports and Sports Sciences, University of Heidelberg, Heidelberg, Germany.
Department of Medical Oncology, National Center for Tumor Diseases (NCT), Heidelberg University Hospital, Heidelberg, Germany.
J Commun Healthc. 2023 Jul;16(2):158-169. doi: 10.1080/17538068.2022.2117529. Epub 2022 Sep 26.
People receiving hematopoietic stem cell transplantation (HSCT) endure long phases of therapy and immobility, which diminish their physical activity (PA) level leading to physical deconditioning. One of the reasons is a lack of clarity on the part of those who work in oncology clinical settings of their role in assessing, advising, and referring patients to exercise. Therefore, our study investigates reported physical activity counseling behavior of health care professionals (HCPs) and the patient perspective on this topic.
Physicians ( = 52), nurses ( = 52) physical therapists ( = 26), and patients receiving HSCT ( = 62) participated in a nationwide cross-sectional online-survey. Patients' preferred source of information concerning PA was determined. We examined HCPs self-assessed PA counseling behavior and patients' PA recall by assessing the use of the 5As (Ask, Advice, Agree, Assist, Arrange). Analysis of survey responses was descriptive. Univariate multinomial logistic regression examined whether sociodemographic factors and patient characteristics influence the response behavior.
Physicians and PA specialists were patients' preferred source of information regarding PA. A large discrepancy between HCPs' perception and the degree to which HSCT patients recall advice became apparent; profound counseling steps like making referrals were less often recalled in our patient sample. Inactive patients reported to receive less basic PA counseling by physicians.
Future research should identify the requirements to increase patients' recall concerning PA counseling in the setting of HSCT. Important messages about PA need to be made more salient to those who are less active and less engaged.
接受造血干细胞移植（HSCT）的患者需要经历长期的治疗和卧床，这会降低他们的身体活动（PA）水平，导致身体机能下降。造成这种情况的原因之一是，肿瘤临床环境中的工作人员对于评估、建议和将患者转介至运动康复治疗方面的角色认知不清晰。因此，我们的研究调查了医护人员（HCPs）报告的身体活动咨询行为，以及患者对此主题的看法。
52 名医生、52 名护士、26 名物理治疗师和 62 名接受 HSCT 的患者参与了一项全国性的横断面在线调查。确定了患者对 PA 相关信息的首选来源。我们通过评估使用 5A（Ask、Advice、Agree、Assist、Arrange）来评估 HCPs 自我评估的 PA 咨询行为和患者的 PA 记忆，评估了 HCPs 的 PA 咨询行为和患者的 PA 记忆。对调查结果进行描述性分析。单变量多项逻辑回归检验了社会人口统计学因素和患者特征是否影响应答行为。
医生和 PA 专家是患者获得 PA 相关信息的首选来源。HCPs 的感知与 HSCT 患者对建议的记忆程度之间存在很大差距；在我们的患者样本中，很少有专业人员采取转诊等深入的咨询步骤。不活跃的患者报告说他们从医生那里获得的基本 PA 咨询较少。
未来的研究应该确定在 HSCT 环境中增加患者对 PA 咨询的记忆的需求。需要使那些不太活跃和参与度较低的人更加关注 PA 的重要信息。
