Dalla Via Jack, Cehic Francesca, Peddle-McIntyre Carolyn J, Andrew Christopher R, Mizrahi David, Zissiadis Yvonne, Spry Nigel A, Newton Robert U, Kennedy Mary A
Nutrition and Health Innovation Research Institute, School of Medical and Health Sciences, Edith Cowan University, Perth, WA, Australia.
Institute for Physical Activity and Nutrition, School of Exercise and Nutrition Sciences, Deakin University, Geelong, VIC, Australia.
Support Care Cancer. 2025 Jun 14;33(7):581. doi: 10.1007/s00520-025-09633-0.
The Clinical Oncology Society of Australia (COSA) position statement on exercise in cancer care encourages all healthcare professionals to discuss, recommend, and refer people with cancer to exercise; however, use of these recommendations in practice is unknown.
Oncology healthcare professionals working in Australia were invited to complete a cross-sectional online survey that assessed contextual factors that influence implementation of COSA exercise guidance in cancer care, based on the Consolidated Framework for Implementation Research.
We received 133 survey responses. Most were women (74%), nurses (35%), or oncologists (26%), involved in cancer care for > 10 years (63%), and in a public hospital setting (69%). Most participants agreed that exercise is beneficial (94%) and the COSA recommendations would positively influence patients' exercise behaviours (94%). However, only 35% routinely apply COSA recommendations in practice, and only 35% believe they are the best person to provide exercise support. Patient-level barriers included needing additional support to access exercise (92%), most commonly financial (74%). Organisational-level barriers included a lack of dedicated resources to support delivering exercise guidance (69%), and not believing providing exercise guidance is an important part of their role (51%). Only 24% agreed their organisation revised practice based on the COSA recommendations.
Despite most oncology healthcare professionals agreeing that exercise is beneficial, and that the COSA recommendations are important for patients, only a minority actually apply the recommendations in their practice. Targeted implementation efforts are needed to facilitate use of COSA exercise guidance in clinical practice.
澳大利亚临床肿瘤学会（COSA）关于癌症护理中运动的立场声明鼓励所有医疗保健专业人员讨论、推荐并将癌症患者转介至运动项目；然而，这些建议在实际中的应用情况尚不清楚。
邀请在澳大利亚工作的肿瘤医疗保健专业人员完成一项横断面在线调查，该调查基于实施研究综合框架评估影响COSA运动指南在癌症护理中实施的背景因素。
我们收到了133份调查回复。大多数是女性（74%）、护士（35%）或肿瘤学家（26%），从事癌症护理超过10年（63%），且在公立医院工作（69%）。大多数参与者同意运动有益（94%），且COSA的建议会对患者的运动行为产生积极影响（94%）。然而，只有35%的人在实际中常规应用COSA的建议，只有35%的人认为自己是提供运动支持的最佳人选。患者层面的障碍包括需要额外支持以参与运动（92%），最常见的是资金方面（74%）。组织层面的障碍包括缺乏支持提供运动指导的专用资源（69%），以及不认为提供运动指导是其职责的重要组成部分（51%）。只有24%的人同意他们的组织根据COSA的建议修订了实践。
尽管大多数肿瘤医疗保健专业人员同意运动有益，且COSA的建议对患者很重要，但实际上只有少数人在实践中应用这些建议。需要有针对性的实施努力来促进COSA运动指南在临床实践中的应用。
