Physical activity for people living with cancer: Knowledge, attitudes, and practices of general practitioners in Australia.
Journal
PloS one
ISSN: 1932-6203
Titre abrégé: PLoS One
Pays: United States
ID NLM: 101285081
Informations de publication
Date de publication:
2020
2020
Historique:
received:
12
04
2020
accepted:
19
10
2020
entrez:
9
11
2020
pubmed:
10
11
2020
medline:
21
1
2021
Statut:
epublish
Résumé
Healthcare professionals' (Oncologists, doctors, and nurses) physical activity (PA) recommendations impact patients living with cancer PA levels. General practitioners (GPs) monitor the overall health of patients living with cancer throughout their treatment journey. This is the first study to explore GP's knowledge, attitudes and practices of PA for patients living with cancer. GPs who see patients living with cancer regularly (n = 111) completed a survey based on The Theory of Planned Behaviour (TPB). Participants (GP's) reported knowledge, attitudes, perceived behaviour control and subjective norms of PA within the cancer population. GP recommendation and referral rates of PA were reported. Principal component analysis was conducted to establish a set of survey items aligned to TPB constructs (attitude, subjective norms, perceived control), and multiple regression analyses characterised associations between these predictor variables and (a) recommendation; and (b) referral-of PA to cancer patients. GPs (n = 111) recommended PA to 41-60% of their patients and referred 1-20% to PA programs. Multiple regression models significantly predicted the percent of patients recommended PA, p < .0005 adj. R2 = 0.40 and referred PA, p < .0005, adj. R2 = 0.21. GP attitudes and perceived behavioural control and GP's own activity levels were significant predictors of whether patients were recommended and referred for PA, p<0.05. GPs reported positive attitudes and perceptions towards promoting PA for their patients living with cancer. Despite having a positive correlation between PA recommendations and referral rates, a gap was evident between GP's PA beliefs and their individual referral practices. More GP's willing to promote and refer their patients for PA, would improve the physical and mental health outcomes of the cancer population.
Sections du résumé
BACKGROUND
Healthcare professionals' (Oncologists, doctors, and nurses) physical activity (PA) recommendations impact patients living with cancer PA levels. General practitioners (GPs) monitor the overall health of patients living with cancer throughout their treatment journey. This is the first study to explore GP's knowledge, attitudes and practices of PA for patients living with cancer.
METHODS
GPs who see patients living with cancer regularly (n = 111) completed a survey based on The Theory of Planned Behaviour (TPB). Participants (GP's) reported knowledge, attitudes, perceived behaviour control and subjective norms of PA within the cancer population. GP recommendation and referral rates of PA were reported. Principal component analysis was conducted to establish a set of survey items aligned to TPB constructs (attitude, subjective norms, perceived control), and multiple regression analyses characterised associations between these predictor variables and (a) recommendation; and (b) referral-of PA to cancer patients.
RESULTS
GPs (n = 111) recommended PA to 41-60% of their patients and referred 1-20% to PA programs. Multiple regression models significantly predicted the percent of patients recommended PA, p < .0005 adj. R2 = 0.40 and referred PA, p < .0005, adj. R2 = 0.21. GP attitudes and perceived behavioural control and GP's own activity levels were significant predictors of whether patients were recommended and referred for PA, p<0.05.
CONCLUSION
GPs reported positive attitudes and perceptions towards promoting PA for their patients living with cancer. Despite having a positive correlation between PA recommendations and referral rates, a gap was evident between GP's PA beliefs and their individual referral practices. More GP's willing to promote and refer their patients for PA, would improve the physical and mental health outcomes of the cancer population.
Identifiants
pubmed: 33166304
doi: 10.1371/journal.pone.0241668
pii: PONE-D-20-10478
pmc: PMC7652282
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e0241668Déclaration de conflit d'intérêts
The authors have declared that no competing interests exist.
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