The Influence of Cancer Patient Characteristics on the Recommendation of Physical Activity by Healthcare Professionals
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The Influence of Cancer Patient Characteristics on the Recommendation of Physical Activity by Healthcare Professionals Alexander Haussmann 1,2,3 & Nadine Ungar 3 & Angeliki Tsiouris 4,5 & Monika Sieverding 3 & Joachim Wiskemann 4 & Karen Steindorf 1
# International Society of Behavioral Medicine 2019
Abstract Background Although physical activity (PA) is beneficial for patients with cancer, healthcare professionals (HCP) still scarcely recommend it. This study aimed to determine how HCP’ sociodemographic and professional characteristics and their subjective assessments of patient characteristics are associated with their PA recommendations to patients with cancer. Methods A cross-sectional survey (paper-pencil or online) was completed by 929 HCP (159 general practitioners, 382 specialized physicians, and 388 oncology nurses). The survey collected information on HCP’ sociodemographic and professional characteristics, PA recommendation frequency, and the likelihood of 13 patient characteristics influencing PA recommendations (on a 7-point Likert scale). Results Descriptive results showed that 37.6% of HCP indicated often recommending PA and 41.7% indicated routinely recommending PA. More professional experience was associated with a higher reported PA recommendation frequency among specialized physicians and oncology nurses. Patient characteristics could be assigned to three higher-level categories. Characteristics from the categories “medical side effects” and “low affinity for PA” were more frequently judged by HCP as reasons for recommending PA and characteristics belonging to “indicators of poor general health” as reasons for not recommending PA. In all professional groups, the inclusion of patient characteristics resulted in additional variance explained in the prediction of a routine PA recommendation. Conclusions HCP in this study reported that they frequently recommend PA to patients with cancer. However, HCP consider cancer patient characteristics to influence their decision whether to recommend PA. Future research and interventions should aim to enable HCP to provide adequate PA recommendations to patients with cancer having different characteristics. Keywords Counseling . Exercise . Healthcare . Oncology . Patient characteristics * Karen Steindorf [email protected] 1
Division of Physical Activity, Prevention and Cancer, National Center for Tumor Diseases (NCT) Heidelberg and German Cancer Research Center (DKFZ), Im Neuenheimer Feld 581, 69120 Heidelberg, Germany
2
Medical Faculty, Heidelberg University, Im Neuenheimer Feld 672, 69120 Heidelberg, Germany
3
Institute of Psychology, Heidelberg University, Hauptstraße 47-51, 69117 Heidelberg, Germany
4
Division of Medical Oncology, National Center for Tumor Diseases (NCT) Heidelberg and University Clinic Heidelberg, Im Neuenheimer Feld 460, 69120 Heidelberg, Germany
5
Department of Psychosomatic Medicine and Psychotherapy, University Medical Center Mainz, Mainz University, Untere Zahlbacher Str. 8, 55131 Mainz, Germany
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