Jayasekera Jinani, Wilson Oliver W A, Wojcik Kaitlyn M, Kerr Eleanor M, Brick Rachelle, Berrigan David, Sheng Jennifer Yeong-Shin, Fujii Takeo, Thomas Kathleen, Parson Henri K, Rajagopal Padma Sheila, Street Richard L
National Institute On Minority Health and Health Disparities, Intramural Research Program, National Institutes of Health, Bethesda, MD, 20892, USA.
Ripple Effect Communications, Inc, Rockville, MD, USA.
J Cancer Surviv. 2025 Mar 12. doi: 10.1007/s11764-025-01750-3.
We evaluated healthcare providers' current knowledge, practices, and perspectives on a novel clinical decision tool (beta-version) to facilitate individualized exercise prescriptions and discussions in clinical settings.
We recruited healthcare providers who had treated or provided care to breast cancer survivors aged ≥ 35-years in the past 12 months. The participants were presented with a tool to provide individualized exercise recommendations considering women's individual, clinical, and contextual characteristics. Validated and reliable pre-existing instruments were used to survey providers' current knowledge, practices regarding exercise discussions, and perspectives on the beta-version (paper-draft) of the novel tool.
The sample consisted of complete survey responses from 177 healthcare providers including breast oncologists (27.7%), primary care physicians (10.7%), exercise specialists (19.8%), occupational/physical therapists (18.1%), advanced care providers, nurses, navigators, and social workers (23.7%). Median years of experience was 8-years (range: 5-13). Overall, 62.1% (n = 110) reported that they were knowledgeable about counseling survivors based on exercise guidelines. Among breast oncologists and primary care physicians (n = 68), only 39.7% reported that they were knowledgeable about identifying patients for exercise referals. The majority agreed that they would find the tool offering individualized information useful (n = 148, 83.6%), and would use it regularly to inform practice (82.5%). 'Exercise Readiness', 'Exercise Resources at Home', and 'Quality-of-Life' were the highest rated items for inclusion in the tool for exercise prescriptions. Provider perspectives were incorporated into the beta-version of the tool.
A clinical decision tool considering individual, clinical, and contextual characteristics may support exercise prescriptions and discussions in clinical settings.
An evidence-based tool for exercise prescriptions may increase healthcare provider confidence to discuss, educate, encourage, and provide exercise referrals for breast cancer survivors.
我们评估了医疗服务提供者对一种新型临床决策工具（测试版）的现有知识、实践情况及看法，该工具旨在促进临床环境中的个性化运动处方制定及相关讨论。
我们招募了在过去12个月中为年龄≥35岁的乳腺癌幸存者提供过治疗或护理的医疗服务提供者。向参与者展示了一种工具，该工具可根据女性的个人、临床和背景特征提供个性化运动建议。使用经过验证且可靠的现有工具来调查提供者的现有知识、关于运动讨论的实践情况以及对该新型工具测试版（纸质草稿）的看法。
样本包括177名医疗服务提供者的完整调查问卷回复，其中包括乳腺肿瘤学家（27.7%）、初级保健医生（10.7%）、运动专家（19.8%）、职业/物理治疗师（18.1%）、高级护理人员、护士、导航员和社会工作者（23.7%）。中位工作年限为8年（范围：5 - 13年）。总体而言，62.1%（n = 110）报告称他们了解基于运动指南为幸存者提供咨询。在乳腺肿瘤学家和初级保健医生（n = 68）中，只有39.7%报告称他们了解识别适合运动转诊的患者。大多数人同意他们会发现提供个性化信息的工具很有用（n = 148，83.6%），并且会经常使用它来指导实践（82.5%）。“运动准备情况”、“家中运动资源”和“生活质量”是运动处方工具中纳入评分最高的项目。提供者的意见被纳入了该工具的测试版。
一种考虑个人、临床和背景特征的临床决策工具可能会支持临床环境中的运动处方制定及相关讨论。
一种基于证据的运动处方工具可能会增强医疗服务提供者为乳腺癌幸存者讨论、教育、鼓励并提供运动转诊的信心。
