Physical activity promotion among oncologists in France
ISPAH ePoster Library. d'Arripe-Longueville F. Oct 16, 2018; 225414; 393
Prof. Fabienne d'Arripe-Longueville
Prof. Fabienne d'Arripe-Longueville
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Abstract
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Abstract Introduction. Although barriers to physical activity (PA) for cancer patients have been well identified, attitudes and practices of health care providers towards PA have been less explored specifically in France. The purposes of this study were to qualitatively examine oncologists’ practices and their perceived facilitators and barriers for promotion of PA; and to identify psychosocial correlates of intention to recommend PA to patients. Method. 22 oncologists took part in semi-structured interviews. 146 out of 502 contacted oncologists participated in an online survey. Results. According to the qualitative content analysis, 70% of oncologists reported PA promotion practices, which varied depending on patients’ clinical and social profiles. The main facilitators and barriers for adherence to the French PA prescription law referred to economic (costs) and institutional (hierarchy support) factors, and to the oncologists’ and patients’ characteristics (knowledge; beliefs; motivation for PA). The regression analyses showed that perceived benefits of PA, self-efficacy and subjective norms respectively explained 23%, 11% and 4% of the variance of intention to recommend PA.Discussion. The identified facilitators and barriers to PA promotion provide both support to the model of determinants of innovation (Chaudoir et al., 2013) and to the Theory of Planned Behavior predictions. Barriers related to the lack of knowledge and training of oncologists, and to the lack of motivation of patients, suggest directing promotion toward these targets (Keogh et al. 2017). Determining whether or not PA recommendations effectively changes patient behavior remains an important research area. External funding details This study was financially supported by the Cancerôpole PACA.
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